Personal and work-related factors associated with nurse resilience: A systematic review
Nursing shortages have profoundly impacted hospitals and consequently increased financial expenditure, resulting in work overload, thus augmenting nurses’ stress and burnout levels. Studies have found that resilience helps nurses reduce the effects of stress and burnout. However, the factors associa...
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| Veröffentlicht in: | International journal of nursing studies 2019-05, Vol.93, p.129-140 |
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| creator | Yu, Fiona Raphael, Deborah Mackay, Lisa Smith, Melody King, Anna |
| description | Nursing shortages have profoundly impacted hospitals and consequently increased financial expenditure, resulting in work overload, thus augmenting nurses’ stress and burnout levels. Studies have found that resilience helps nurses reduce the effects of stress and burnout. However, the factors associated with nurse resilience are yet to be determined.
This systematic review aims to identify the associated personal and work-related factors of nurse resilience.
This systematic review has been registered in the international prospective register of systematic reviews (Registered Number: CRD 42018094080). Results are reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol.
The systematic search was undertaken between March and April 2018 in five databases: CINAHL Plus, MEDLINE (Ovid), PsycINFO, EMBASE, and Scopus. The searched terms combined in each database were: resilience, hardiness, work, employ, occupation, job, and nursing.
Full-text English articles published between 2000 and 2018 were included. Studies were also included if they involved: (1) nurses who provided direct patient care, (2) resilience and its associated factors, (3) an empirical quantitative study, and (4) a quality assessment grade of ‘good’ or ‘fair’. Two authors carried out the study eligibility and quality assessment independently. A narrative synthesis was utilised following the Job Demands-Resources model to identify the factors of job demands and resources, which were associated with nurse resilience.
A total of 38 articles met the criteria and were systematically reviewed and narratively synthesised. Various resilience scales utilised in these studies made it unfeasible to synthesise the evidence using a meta-analysis. Inconsistencies exist when examining personal and work-related factors. Job demands (stress, burnout, posttraumatic stress disorder, and workplace bullying) were negatively associated with resilience, while job resources (coping skills, self-efficacy, social support, job satisfaction, job retention, and general wellbeing) were positively related to resilience. Using a quality assessment tool, 23 studies were rated as ‘Good’, 15 were assessed as ‘Fair’, and 20 were found to have a risk of bias.
Understanding nurse resilience can proactively help nurses identify or prevent potential problems, thus fostering job resources and ultimately achieving personal and professional growth. Increased nurse resilience can help nurses redu |
| doi_str_mv | 10.1016/j.ijnurstu.2019.02.014 |
| format | Article |
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This systematic review aims to identify the associated personal and work-related factors of nurse resilience.
This systematic review has been registered in the international prospective register of systematic reviews (Registered Number: CRD 42018094080). Results are reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol.
The systematic search was undertaken between March and April 2018 in five databases: CINAHL Plus, MEDLINE (Ovid), PsycINFO, EMBASE, and Scopus. The searched terms combined in each database were: resilience, hardiness, work, employ, occupation, job, and nursing.
Full-text English articles published between 2000 and 2018 were included. Studies were also included if they involved: (1) nurses who provided direct patient care, (2) resilience and its associated factors, (3) an empirical quantitative study, and (4) a quality assessment grade of ‘good’ or ‘fair’. Two authors carried out the study eligibility and quality assessment independently. A narrative synthesis was utilised following the Job Demands-Resources model to identify the factors of job demands and resources, which were associated with nurse resilience.
A total of 38 articles met the criteria and were systematically reviewed and narratively synthesised. Various resilience scales utilised in these studies made it unfeasible to synthesise the evidence using a meta-analysis. Inconsistencies exist when examining personal and work-related factors. Job demands (stress, burnout, posttraumatic stress disorder, and workplace bullying) were negatively associated with resilience, while job resources (coping skills, self-efficacy, social support, job satisfaction, job retention, and general wellbeing) were positively related to resilience. Using a quality assessment tool, 23 studies were rated as ‘Good’, 15 were assessed as ‘Fair’, and 20 were found to have a risk of bias.
Understanding nurse resilience can proactively help nurses identify or prevent potential problems, thus fostering job resources and ultimately achieving personal and professional growth. Increased nurse resilience can help nurses reduce emotional exhaustion, increase work engagement, and enhance function when facing workplace challenges. This can assist nurses to establish strategies to deal with adversity and attenuate the effects of job demands. Further research is needed to explore nurse resilience and develop a consistent instrument for measuring resilience.</description><identifier>ISSN: 0020-7489</identifier><identifier>EISSN: 1873-491X</identifier><identifier>DOI: 10.1016/j.ijnurstu.2019.02.014</identifier><identifier>PMID: 30925279</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adaptation, Psychological ; Adversity ; Attitude of Health Personnel ; Bias ; Bullying ; Burnout ; Burnout, Professional - psychology ; Coping skills ; Coping strategies ; Evidence-based nursing ; Fatigue ; Hardiness ; Hospitals ; Humans ; Job characteristics ; Job demands ; Job resources ; Job Satisfaction ; Meta-analysis ; Nurse resilience ; Nurses ; Nursing ; Nursing Staff, Hospital - psychology ; Occupational stress ; Patients ; Personal factors ; Post traumatic stress disorder ; Quality assessment ; Resilience ; Resilience, Psychological ; Self-efficacy ; Shortages ; Social skills ; Social support ; Systematic review ; Work-related factors ; Workload</subject><ispartof>International journal of nursing studies, 2019-05, Vol.93, p.129-140</ispartof><rights>2019 Elsevier Ltd</rights><rights>Copyright © 2019 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Limited May 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-71cbc1759bb2cdbe7352b99642bd8581059b81c17c4cad6c8a9c5fae004033c33</citedby><cites>FETCH-LOGICAL-c396t-71cbc1759bb2cdbe7352b99642bd8581059b81c17c4cad6c8a9c5fae004033c33</cites><orcidid>0000-0002-3039-2995 ; 0000-0001-8747-3545</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0020748919300550$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,30976,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30925279$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yu, Fiona</creatorcontrib><creatorcontrib>Raphael, Deborah</creatorcontrib><creatorcontrib>Mackay, Lisa</creatorcontrib><creatorcontrib>Smith, Melody</creatorcontrib><creatorcontrib>King, Anna</creatorcontrib><title>Personal and work-related factors associated with nurse resilience: A systematic review</title><title>International journal of nursing studies</title><addtitle>Int J Nurs Stud</addtitle><description>Nursing shortages have profoundly impacted hospitals and consequently increased financial expenditure, resulting in work overload, thus augmenting nurses’ stress and burnout levels. Studies have found that resilience helps nurses reduce the effects of stress and burnout. However, the factors associated with nurse resilience are yet to be determined.
This systematic review aims to identify the associated personal and work-related factors of nurse resilience.
This systematic review has been registered in the international prospective register of systematic reviews (Registered Number: CRD 42018094080). Results are reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol.
The systematic search was undertaken between March and April 2018 in five databases: CINAHL Plus, MEDLINE (Ovid), PsycINFO, EMBASE, and Scopus. The searched terms combined in each database were: resilience, hardiness, work, employ, occupation, job, and nursing.
Full-text English articles published between 2000 and 2018 were included. Studies were also included if they involved: (1) nurses who provided direct patient care, (2) resilience and its associated factors, (3) an empirical quantitative study, and (4) a quality assessment grade of ‘good’ or ‘fair’. Two authors carried out the study eligibility and quality assessment independently. A narrative synthesis was utilised following the Job Demands-Resources model to identify the factors of job demands and resources, which were associated with nurse resilience.
A total of 38 articles met the criteria and were systematically reviewed and narratively synthesised. Various resilience scales utilised in these studies made it unfeasible to synthesise the evidence using a meta-analysis. Inconsistencies exist when examining personal and work-related factors. Job demands (stress, burnout, posttraumatic stress disorder, and workplace bullying) were negatively associated with resilience, while job resources (coping skills, self-efficacy, social support, job satisfaction, job retention, and general wellbeing) were positively related to resilience. Using a quality assessment tool, 23 studies were rated as ‘Good’, 15 were assessed as ‘Fair’, and 20 were found to have a risk of bias.
Understanding nurse resilience can proactively help nurses identify or prevent potential problems, thus fostering job resources and ultimately achieving personal and professional growth. Increased nurse resilience can help nurses reduce emotional exhaustion, increase work engagement, and enhance function when facing workplace challenges. This can assist nurses to establish strategies to deal with adversity and attenuate the effects of job demands. Further research is needed to explore nurse resilience and develop a consistent instrument for measuring resilience.</description><subject>Adaptation, Psychological</subject><subject>Adversity</subject><subject>Attitude of Health Personnel</subject><subject>Bias</subject><subject>Bullying</subject><subject>Burnout</subject><subject>Burnout, Professional - psychology</subject><subject>Coping skills</subject><subject>Coping strategies</subject><subject>Evidence-based nursing</subject><subject>Fatigue</subject><subject>Hardiness</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Job characteristics</subject><subject>Job demands</subject><subject>Job resources</subject><subject>Job Satisfaction</subject><subject>Meta-analysis</subject><subject>Nurse resilience</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Nursing Staff, Hospital - psychology</subject><subject>Occupational stress</subject><subject>Patients</subject><subject>Personal factors</subject><subject>Post traumatic stress disorder</subject><subject>Quality assessment</subject><subject>Resilience</subject><subject>Resilience, Psychological</subject><subject>Self-efficacy</subject><subject>Shortages</subject><subject>Social skills</subject><subject>Social support</subject><subject>Systematic review</subject><subject>Work-related factors</subject><subject>Workload</subject><issn>0020-7489</issn><issn>1873-491X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkE1P3DAQhi3Uqiy0fwFF6qWXhLHzYbunItQCElJ7KKI3y5nMCqfZmNoOK_59vSz0wKWnkWaed0bzMHbCoeLAu9OxcuO8hJiWSgDXFYgKeHPAVlzJumw0__WGrQAElLJR-pAdxTgCAFeg3rHDGrRohdQrdvuDQvSznQo7D8XWh99loMkmGoq1xeRDLGyMHt1Ta-vSXbE7S0Wg6CZHM9Ln4qyIjzHRxiaHefDgaPuevV3bKdKH53rMbr59_Xl-WV5_v7g6P7susdZdKiXHHrlsdd8LHHqSdSt6rbtG9INqFYc8UTwT2KAdOlRWY7u2BNBAXWNdH7NP-733wf9ZKCazcRFpmuxMfolGCACpoJM6ox9foaNfQn59RzWya7KRLlPdnsLgYwy0NvfBbWx4NBzMTr0ZzYt6s1NvQJisPgdPntcv_YaGf7EX1xn4sgco-8iOgon4JHBwgTCZwbv_3fgLc3qZVQ</recordid><startdate>201905</startdate><enddate>201905</enddate><creator>Yu, Fiona</creator><creator>Raphael, Deborah</creator><creator>Mackay, Lisa</creator><creator>Smith, Melody</creator><creator>King, Anna</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3039-2995</orcidid><orcidid>https://orcid.org/0000-0001-8747-3545</orcidid></search><sort><creationdate>201905</creationdate><title>Personal and work-related factors associated with nurse resilience: A systematic review</title><author>Yu, Fiona ; Raphael, Deborah ; Mackay, Lisa ; Smith, Melody ; King, Anna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-71cbc1759bb2cdbe7352b99642bd8581059b81c17c4cad6c8a9c5fae004033c33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adaptation, Psychological</topic><topic>Adversity</topic><topic>Attitude of Health Personnel</topic><topic>Bias</topic><topic>Bullying</topic><topic>Burnout</topic><topic>Burnout, Professional - psychology</topic><topic>Coping skills</topic><topic>Coping strategies</topic><topic>Evidence-based nursing</topic><topic>Fatigue</topic><topic>Hardiness</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Job characteristics</topic><topic>Job demands</topic><topic>Job resources</topic><topic>Job Satisfaction</topic><topic>Meta-analysis</topic><topic>Nurse resilience</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Nursing Staff, Hospital - psychology</topic><topic>Occupational stress</topic><topic>Patients</topic><topic>Personal factors</topic><topic>Post traumatic stress disorder</topic><topic>Quality assessment</topic><topic>Resilience</topic><topic>Resilience, Psychological</topic><topic>Self-efficacy</topic><topic>Shortages</topic><topic>Social skills</topic><topic>Social support</topic><topic>Systematic review</topic><topic>Work-related factors</topic><topic>Workload</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yu, Fiona</creatorcontrib><creatorcontrib>Raphael, Deborah</creatorcontrib><creatorcontrib>Mackay, Lisa</creatorcontrib><creatorcontrib>Smith, Melody</creatorcontrib><creatorcontrib>King, Anna</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of nursing studies</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yu, Fiona</au><au>Raphael, Deborah</au><au>Mackay, Lisa</au><au>Smith, Melody</au><au>King, Anna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Personal and work-related factors associated with nurse resilience: A systematic review</atitle><jtitle>International journal of nursing studies</jtitle><addtitle>Int J Nurs Stud</addtitle><date>2019-05</date><risdate>2019</risdate><volume>93</volume><spage>129</spage><epage>140</epage><pages>129-140</pages><issn>0020-7489</issn><eissn>1873-491X</eissn><abstract>Nursing shortages have profoundly impacted hospitals and consequently increased financial expenditure, resulting in work overload, thus augmenting nurses’ stress and burnout levels. Studies have found that resilience helps nurses reduce the effects of stress and burnout. However, the factors associated with nurse resilience are yet to be determined.
This systematic review aims to identify the associated personal and work-related factors of nurse resilience.
This systematic review has been registered in the international prospective register of systematic reviews (Registered Number: CRD 42018094080). Results are reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol.
The systematic search was undertaken between March and April 2018 in five databases: CINAHL Plus, MEDLINE (Ovid), PsycINFO, EMBASE, and Scopus. The searched terms combined in each database were: resilience, hardiness, work, employ, occupation, job, and nursing.
Full-text English articles published between 2000 and 2018 were included. Studies were also included if they involved: (1) nurses who provided direct patient care, (2) resilience and its associated factors, (3) an empirical quantitative study, and (4) a quality assessment grade of ‘good’ or ‘fair’. Two authors carried out the study eligibility and quality assessment independently. A narrative synthesis was utilised following the Job Demands-Resources model to identify the factors of job demands and resources, which were associated with nurse resilience.
A total of 38 articles met the criteria and were systematically reviewed and narratively synthesised. Various resilience scales utilised in these studies made it unfeasible to synthesise the evidence using a meta-analysis. Inconsistencies exist when examining personal and work-related factors. Job demands (stress, burnout, posttraumatic stress disorder, and workplace bullying) were negatively associated with resilience, while job resources (coping skills, self-efficacy, social support, job satisfaction, job retention, and general wellbeing) were positively related to resilience. Using a quality assessment tool, 23 studies were rated as ‘Good’, 15 were assessed as ‘Fair’, and 20 were found to have a risk of bias.
Understanding nurse resilience can proactively help nurses identify or prevent potential problems, thus fostering job resources and ultimately achieving personal and professional growth. Increased nurse resilience can help nurses reduce emotional exhaustion, increase work engagement, and enhance function when facing workplace challenges. This can assist nurses to establish strategies to deal with adversity and attenuate the effects of job demands. Further research is needed to explore nurse resilience and develop a consistent instrument for measuring resilience.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>30925279</pmid><doi>10.1016/j.ijnurstu.2019.02.014</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-3039-2995</orcidid><orcidid>https://orcid.org/0000-0001-8747-3545</orcidid></addata></record> |
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| ispartof | International journal of nursing studies, 2019-05, Vol.93, p.129-140 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adaptation, Psychological Adversity Attitude of Health Personnel Bias Bullying Burnout Burnout, Professional - psychology Coping skills Coping strategies Evidence-based nursing Fatigue Hardiness Hospitals Humans Job characteristics Job demands Job resources Job Satisfaction Meta-analysis Nurse resilience Nurses Nursing Nursing Staff, Hospital - psychology Occupational stress Patients Personal factors Post traumatic stress disorder Quality assessment Resilience Resilience, Psychological Self-efficacy Shortages Social skills Social support Systematic review Work-related factors Workload |
| title | Personal and work-related factors associated with nurse resilience: A systematic review |
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