Factors contributing to nurses’ resilience in caring for COVID-19 patients: an integrative review
, and | Sep 21, 2023
About this article
Article Category: Review
Published Online: Sep 21, 2023
Page range: 289 - 299
Received: Jul 14, 2022
Accepted: Dec 15, 2022
DOI: https://doi.org/10.2478/fon-2023-0032
Keywords
© 2023 Irma Iryanidar et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Figure 1.
Figure 2.
Data extraction.
| Author, year, country | Research purposes | Method | Sample/setting | Factors related to nurse resilience | Value/level |
|---|---|---|---|---|---|
| Abdullah et al., 2021, |
To explore the experiences of nurses caring for COVID-19 patients in Iraqi Kurdistan | Qualitative | 12 nurses caring for COVID-19 patients/one of the clinical units of two COVID-19 hospitals in Iraqi Kurdistan | Most nurses experience stress, anxiety, fear, and isolation. |
High |
| Anton et al., 2021, |
To identify sources of data that inform nurse decision-making regarding deteriorating patient admissions, and explore how COVID-19 has impacted nurse decision-making | Qualitative | 10 COVID-19 nurses from various nursing areas | Experienced nurses are able to make decisions faster, and prioritize work so that workloads can be managed properly. |
High |
| Balay-odao et al., 2021, |
Knowing the preparedness of hospitals in managing COVID-19 patients as well as the psychological burden and resilience among clinical nurses in overcoming the COVID-19 crisis in Saudi Arabia | Cross-sectional | 281 clinical nurses, Hospital Riyadh, Saudi Arabia | Positive characteristics that can increase resilience are age, years of experience, and level of trust in health care authorities. |
High |
| Chegini et al., 2021, |
To describe the experience of critical care nurses caring for COVID-19 patients | Qualitative | 15 nurses working in critical care units of Iranian general hospitals | Emotional support and psychological counseling play an important role in maintaining the optimal mental health of nurses during the COVID-19 crisis. Adequate PPE, effective communication, staff training and recruitment, proper work shifts, and financial as well as non-financial support are needed to reduce the negative impact on nurses. | High |
| Chen et al., 2021, |
Responding to the related need for the promotion of nursing workplace policies and reforms and investigating the employment of new nursing staff in Taiwan, China |
Cross-sectional | 333 novice nurses/online survey in Taiwan, China | Education level is positively correlated with the ability to provide services to patients and willingness to remain in their current position. | High |
| Chua et al., 2021, |
To investigate levels of preparedness and anxiety among nurses during the COVID-19 outbreak in Sabah, Malaysia |
Cross-sectional self-administered survey | 148 nurses from 2 hospitals in Sabah, Malaysia | Nurses who received support and were able to cope with psychological problems showed lower anxiety. | Average |
| Galletta et al., 2021, |
To analyze how perceived impact, pandemic preparedness, and anxiety were associated with mental health indicators (crying, rumination, and stress) in nurses | Cross-sectional | 894 nurses during the COVID-19 pandemic in Italy | The pandemic causes stress, and levels of this stress are higher in young nurses. |
High |
| González-Gil et al., 2021, |
To identify the safety-related, organizational, decision-making, communication, and psychosocio-emotional needs felt by critical care and emergency nurses in the Madrid region, Spain, during the acute phase of the epidemic. | Mixed-method | 557 critical care and emergency nurses from 26 public hospitals in Madrid used an online questionnaire. | Nurses in a vulnerable condition |
Average |
| Al Harthi et al., 2021, |
To explore strategies to improve disaster nursing in Saudi Arabia. | Cross-sectional | 800 nurses, Saudi Arabia | Support needs include: development of evaluation tools and legislation as specific nursing guidelines, providing PPE to nurses to minimize the risk of infection, encouraging nurses to respect their efforts to minimize their stress levels during disasters, ensuring the availability of PPE for nurses, providing psychological support to nurses when contact with their family and relatives is limited | |
| Hu et al., 2020, |
To examine mental health (fatigue, anxiety, depression, and fear) and related factors among frontline nurses caring for COVID-19 patients in Wuhan, China | Cross-sectional, descriptive, and large-scale correlation | 2014 frontline nurses from two hospitals in Wuhan, China | Fatigue, anxiety, and depression are negatively correlated with resilience. |
High |
| Kalateh Sadati et al., 2021, |
To investigate the perceptions and experiences of nurses in dealing with the COVID-19 outbreak | Qualitative | 24 nurses working in specialized COVID-19 treatment hospitals located across Arak, Kashan, and Qazvin, Iran, particularly Shiraz Hospital | Requires a commitment to sacrifice |
High |
| Labrague and De Los Santos, 2021, |
To ascertain the prevalence and predictors of coronaphobia in avant-garde hospitals and public health nurses | Cross-sectional | 736 nurses working in COVID-19 hospitals and health units in Region 8, Philippines | Coronophobia can be reduced by increasing the nurses’ personal resilience. |
High |
| Mubarak Al Baalharith and Mary Pappiya, 2021, |
To ascertain the level of knowledge about preparedness and effective response to COVID-19 among nurses working under the Ministry of Health Hospital in Najran, KSA | Cross-sectional | 594 nurses from 9 Ministry of Health Hospitals in Najran, KSA | Overall knowledge of COVID preparedness is sufficient. |
High |
| Park and Jung, 2021, |
To investigate nursing professionalism as a mediating factor in the relationship between resilience and work stress levels for nurses working in hospital long-term care units during the COVID-19 pandemic | Cross-sectional | 200 nurses from 7 hospitals in Seoul City | Nursing professionalism increases work resilience and reduces work stress. |
High |
| Rathnayake et al., 2021, |
To explore the experiences and challenges of nurses working with hospitalized patients with COVID-19 | Phenomenological qualitative | 14 nurses caring for COVID-19 patients at the General Hospital for COVID-19 patients in Sri Lanka | Willingness to work (as an obligation, seeking new experiences) |
High |
| Sharif Nia et al., 2021, |
To investigate the relationship between workload, quality of supervision, additional behavior of salary satisfaction, and nurses’ intention to care for patients with COVID-19 in Iran | Cross-sectional | 648 nurses caring for COVID-19 patients in hospitals affiliated with Mazandaran University of Medical Sciences | Hospital managers need to pay attention to nurse job satisfaction and organizational factors to ensure that they can cope with the challenges of the COVID-19 pandemic. Satisfaction with salary increases job satisfaction, and job satisfaction increases care intention. |
High |
| Schroeder et al., 2020, |
To explore the experiences of nurses caring for COVID-19 patients in urban academic medical centers during the early stages of the pandemic | Qualitative | 21 nurses caring for COVID-19 urban patients at an academic medical center in the Northeastern United States | Adapting to dynamic situations |
High |