Stress and quality of life of intensive care nurses during the COVID-19 pandemic: Self-efficacy and resilience as resources.
Nurs Crit Care
; 26(6): 493-500, 2021 11.
Article
in English
| MEDLINE | ID: covidwho-1354511
ABSTRACT
BACKGROUND:
Health care workers employed in the COVID-19 emergency are at a high risk of stress. AIMS ANDOBJECTIVES:
To explore the mediating roles of self-efficacy and resilience between stress and both physical and mental quality-of-life components in intensive care nurses during the COVID-19 pandemic.DESIGN:
Cross-sectional survey design.METHODS:
The stress subscale (depression, anxiety, and stress scale in Spanish Scale, DASS-21), the summary components (physical and mental) of health-related quality of life (SF-36), the general self-efficacy scale (GSES), and the resilience scale (RS-14) were administered in 308 intensive care nurses. Serial multiple mediator models were used.RESULTS:
There was a significant indirect effect of levels of perceived stress on both physical and mental health components through self-efficacy and resilience. Specifically, greater perception of self-efficacy was associated with a lower perception of stress and greater resilience, while higher resilience was associated with greater physical and mental health (B = -0.03; SE = 0.02; 95% confidence interval [CI] = [-0.07, -0.01]; B = -0.03, SE = 0.01, 95% CI = [-0.07, -0.01], respectively). It was observed that self-efficacy alone also mediates the relationship of the perception of stress on the components of physical and mental health (B = -0.07; SE = 0.05; 95% CI = [-0.18, -0.03]; B = -0.09; SE = 0.04; 95% CI = [-0.17, -0.24], respectively). However, resilience alone was not a significant mediator of these associations.CONCLUSIONS:
It can be concluded that stress is linked to the physical and mental health components related to quality of life through self-efficacy and resilience. RELEVANCE TO CLINICAL PRACTICE These psychological resources would allow the nursing staff to maintain a good quality of life despite high levels of stress. These findings have implications for future research in terms of both model testing and clinical application.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Resilience, Psychological
/
COVID-19
/
Nurses
Type of study:
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Humans
Language:
English
Journal:
Nurs Crit Care
Journal subject:
Nursing
/
Critical Care
Year:
2021
Document Type:
Article
Affiliation country:
Nicc.12690
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