Mwangi Kevinson, Odero Sabina Adhiambo, Mbithi Gideon, Wachira Peninah, Odhiambo Rachel, Stephen Rosemary, Mwansisya Tumbwene, Pallangyo-Siaity Eunice, Ndirangu-Mugo Eunice, Abubakar Amina
Institute for Human Development, The Aga Khan University, Nairobi, Kenya.
School of Nursing and Midwifery, The Aga Khan University, Dar es Salaam, Tanzania.
BMC Nurs. 2025 Mar 14;24(1):289. doi: 10.1186/s12912-025-02917-0.
Despite the central role of resilience in promoting mental well-being, little is known about the resilience process among healthcare workers in East Africa, partly due to the lack of adequately standardised and psychometrically sound assessment tools for our context. This study provides the first psychometric evaluation of the Swahili version of the Connor-Davidson Resilience Scale 10 (CD-RISC 10) among nurses/midwives and community health volunteers (CHVs) in Tanzania, potentially informing the accuracy of measuring resilience in this setting. Additionally, we examine factors associated with self-reported resilience as measured by the CD-RISC 10 scale.
We used cross-sectional data on nurses/midwives (n = 950) and CHVs (n = 355). Cronbach's alpha and McDonald's omega were used to assess internal consistency. The one-factor structure of the scale was confirmed using confirmatory factor analysis (CFA). Gender and age invariance properties were evaluated using multi-group CFA. Item response theory was used to estimate discrimination and threshold parameters. Multivariable linear regression models were fitted to identify the factors associated with resilience.
The scale had acceptable internal consistency (Cronbach's alpha and McDonald's omega > 0.70), was unidimensional, and was gender and age-invariant for nurses/midwives and CHVs. The scale measured resilience with high precision across a wide range of resilience continuum. There were statistically significant differences in sociodemographic variables between nurses/midwives and CHVs. Stronger mental well-being, as measured by the WHO-5 item scale, higher work engagement, higher perceived social support, and the male gender were associated with higher resilience levels, while higher perceived stress and burnout were associated with lower resilience levels among nurses/midwives. Higher work experience and mental well-being were associated with higher resilience levels, while higher burnout was associated with lower resilience levels among CHVs.
The Swahili CD-RISC 10 scale demonstrates preliminary validity and reliability and may therefore be used to accurately measure resilience and assess the effectiveness of interventions aiming to improve resilience among nurses/midwives and CHVs in Tanzania. Sociodemographic and psychological measures may have different effects on resilience across different cadres, necessitating the development of cadre-specific interventions. More studies are required to validate the scale and confirm our findings across other Swahili-speaking countries and settings.
Not applicable.
尽管心理韧性在促进心理健康方面起着核心作用，但对于东非医护人员的心理韧性过程却知之甚少，部分原因是缺乏适用于我们这种情况的充分标准化且心理测量学上可靠的评估工具。本研究首次对坦桑尼亚护士/助产士和社区卫生志愿者（CHV）中斯瓦希里语版的康纳 - 戴维森心理韧性量表10（CD - RISC 10）进行了心理测量学评估，这可能为在这种环境下测量心理韧性的准确性提供依据。此外，我们还研究了与CD - RISC 10量表所测量的自我报告心理韧性相关的因素。
我们使用了护士/助产士（n = 950）和社区卫生志愿者（n = 355）的横断面数据。采用克朗巴哈α系数和麦克唐纳ω系数来评估内部一致性。使用验证性因素分析（CFA）来确认量表的单因素结构。使用多组CFA评估性别和年龄不变性属性。项目反应理论用于估计区分度和阈值参数。采用多变量线性回归模型来确定与心理韧性相关的因素。
该量表具有可接受的内部一致性（克朗巴哈α系数和麦克唐纳ω系数> 0.70），是单维的，并且对于护士/助产士和社区卫生志愿者而言，在性别和年龄上具有不变性。该量表在广泛的心理韧性连续体范围内都能高精度地测量心理韧性。护士/助产士和社区卫生志愿者在社会人口统计学变量方面存在统计学上的显著差异。用世界卫生组织-5项量表测量的更强的心理健康、更高的工作投入、更高的感知社会支持以及男性性别与更高的心理韧性水平相关，而更高的感知压力和倦怠与护士/助产士中较低的心理韧性水平相关。更高的工作经验和心理健康与社区卫生志愿者中更高的心理韧性水平相关，而更高的倦怠与较低的心理韧性水平相关。
斯瓦希里语版的CD - RISC 10量表显示出初步的有效性和可靠性，因此可用于准确测量心理韧性，并评估旨在提高坦桑尼亚护士/助产士和社区卫生志愿者心理韧性的干预措施的有效性。社会人口统计学和心理测量指标可能对不同群体的心理韧性有不同影响，因此需要制定针对不同群体的干预措施。需要更多研究来验证该量表，并在其他说斯瓦希里语的国家和环境中确认我们的研究结果。
不适用。
