Serafin Lena, Wesołowska-Górniak Katarzyna, Malewska Angeli, Kruszewska Karolina, Kujawa Justyna, Czarkowska-Pączek Bożena
Department of Clinical Nursing, Health Sciences Faculty, Medical University of Wasaw, Ciołka Street 27, 01-445 Warsaw, Poland.
Pediatric Hospital of the Medical University of Warsaw, Żwirki i Wigury Street 63a, 02-091 Warsaw, Poland.
Int J Nurs Stud. 2025 Sep;169:105143. doi: 10.1016/j.ijnurstu.2025.105143. Epub 2025 Jun 9.
Given the global nursing shortage and the increasing prevalence of workplace stressors, resilience has emerged as a crucial factor influencing job satisfaction, preventing burnout, and ensuring high-quality patient care. While previous research has established a connection between resilience and various occupational outcomes, the mediating effect of health-promoting behaviors-such as physical activity, diet, and sleep-remains largely unexplored, underscoring the need for further investigation in this area. Therefore, the objective of this study is to examine the effect of chosen lifestyle aspects on the connection between resilience and job satisfaction among nurses.
A cross-sectional correlational study was conducted among 508 active professional Polish nurses. The study utilized Polish adaptations of the following assessment tools: (1) Minnesota Satisfaction Questionnaire, (2) Brief Resilience Coping Scale, (3) The International Physical Activity Questionnaire, (4) Athens Insomnia Scale, (5) The Healthy Lifestyle and Personal Control Questionnaire and (6) a demographic section characterized the socio-geographical aspects of the study group. Data were analyzed using descriptive statistics, Pearson's correlation, and mediation and moderation analyses performed with Hayes' PROCESS macro for SPSS.
The study identified sleep quality and social support as significant mediators in the relationship between resilience and job satisfaction. Higher resilience correlated with increased job satisfaction, with sleep quality partially mediating this effect. Social support also played a mediating effect, reinforcing the positive impact of resilience on both intrinsic and extrinsic job satisfaction. Additionally, work experience moderated the relationship between resilience and job satisfaction. The effect was strongest among early-career nurses and diminished with years of experience.
The study highlights the complex interplay between resilience, job satisfaction, and lifestyle factors, emphasizing the significant mediating effects of sleep quality and social support. Additionally, work experience emerged as a key moderator, with resilience having a stronger impact on job satisfaction among early-career nurses, underscoring the need for tailored interventions at different career stages. Importantly, the findings suggest that fostering resilience-related resources should not rely solely on training interventions, but also include promoting healthy lifestyle behaviors by enhancing sleep quality and strengthening social support networks.
鉴于全球护理人员短缺以及工作场所压力源的日益普遍，心理韧性已成为影响工作满意度、预防职业倦怠以及确保高质量患者护理的关键因素。虽然先前的研究已经确立了心理韧性与各种职业成果之间的联系，但促进健康行为（如体育活动、饮食和睡眠）的中介作用在很大程度上仍未得到探索，这凸显了在该领域进一步研究的必要性。因此，本研究的目的是检验所选生活方式因素对护士心理韧性与工作满意度之间联系的影响。
对508名在职波兰专业护士进行了一项横断面相关性研究。该研究采用了以下评估工具的波兰语改编版：（1）明尼苏达满意度问卷，（2）简短心理韧性应对量表，（3）国际体育活动问卷，（4）雅典失眠量表，（5）健康生活方式与个人控制问卷，以及（6）一个人口统计学部分描述了研究组的社会地理方面。使用描述性统计、皮尔逊相关性分析以及使用海耶斯的SPSS PROCESS宏进行的中介和调节分析对数据进行了分析。
该研究确定睡眠质量和社会支持是心理韧性与工作满意度之间关系的重要中介因素。心理韧性越高，工作满意度越高，睡眠质量部分中介了这种影响。社会支持也起到了中介作用，加强了心理韧性对内在和外在工作满意度的积极影响。此外，工作经验调节了心理韧性与工作满意度之间的关系。这种影响在早期职业护士中最强，并随着工作年限的增加而减弱。
该研究强调了心理韧性、工作满意度和生活方式因素之间复杂的相互作用，强调了睡眠质量和社会支持的重要中介作用。此外，工作经验成为一个关键的调节因素，心理韧性对早期职业护士的工作满意度影响更强，这凸显了在不同职业阶段进行针对性干预的必要性。重要的是，研究结果表明，培养与心理韧性相关的资源不应仅仅依赖于培训干预，还应包括通过提高睡眠质量和加强社会支持网络来促进健康的生活方式行为。
