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Resilience, Social Support, Loneliness and Quality of Life during COVID-19 Pandemic: A Structural Equation Model.
Pineda, Chelsea Nicole; Naz, Moira Pauline; Ortiz, Annedel; Ouano, Ella Louisse; Padua, Nathaniel Pierce; Paronable, Jaime Jr; Pelayo, Janella Mae; Regalado, Minette Coleen; Torres, Gian Carlo S.
  • Pineda CN; College of Nursing, University of Santo Tomas, España, Manila 1015, Philippines. Electronic address: chelseapineda.cnp@gmail.com.
  • Naz MP; College of Nursing, University of Santo Tomas, España, Manila 1015, Philippines. Electronic address: moirapauline.naz@gmail.com.
  • Ortiz A; College of Nursing, University of Santo Tomas, España, Manila 1015, Philippines. Electronic address: annedel.ortiz99@gmail.com.po.
  • Ouano EL; College of Nursing, University of Santo Tomas, España, Manila 1015, Philippines. Electronic address: ellaouano@gmail.com.
  • Padua NP; College of Nursing, University of Santo Tomas, España, Manila 1015, Philippines. Electronic address: nathanielpadua0409@gmail.com.
  • Paronable JJ; College of Nursing, University of Santo Tomas, España, Manila 1015, Philippines. Electronic address: paronablej@gmail.com.
  • Pelayo JM; College of Nursing, University of Santo Tomas, España, Manila 1015, Philippines. Electronic address: janellapelayo.jp@gmail.com.
  • Regalado MC; College of Nursing, University of Santo Tomas, España, Manila 1015, Philippines. Electronic address: regaladominette@gmail.com.
  • Torres GCS; College of Nursing, University of Santo Tomas, España, Manila 1015, Philippines. Electronic address: gstorres@ust.edu.ph.
Nurse Educ Pract ; 64: 103419, 2022 Oct.
Article in English | MEDLINE | ID: covidwho-1937036
ABSTRACT

AIM:

To determine the parsimonious model of the interrelationships of personal resilience, social support, loneliness and quality of life (QoL) and to identify the mediating effect of loneliness among nursing students amidst the pandemic.

BACKGROUND:

The coronavirus 2019 (COVID-19) pandemic led to control measures which increased loneliness among students due to disrupted social connections and sudden shift to virtual learning. During these changes, resilience and social support can significantly influence how learners deal with pandemic-related stresses thus, minimizing loneliness and enhancing QoL. Although studies posited the influence of resilience and social support with loneliness and QoL, these were conducted prior the COVID-19 pandemic wherein loneliness and feelings of isolation play a crucial part.

DESIGN:

Correlational, theory testing using covariance-based structural equation modeling

METHODS:

A total of 550 nursing students from a comprehensive university in Manila, Philippines were recruited from September to October 2021 and answered four standardized, validated scales.

RESULTS:

A good and parsimonious model (x2/df = 2.84, RMSEA = 0.058, GFI = 0.999, CFI = 0.999, PNFI = 0.048) highlighted the mediating effect of loneliness between social support, personal resilience and QoL. While personal resilience positively influenced the physical and psychological domains of QoL, social support positively affected the social relationships and environmental domains. Loneliness was a strong, negative predictor of the psychological and social domains of QoL and had a moderate, negative effect on the physical domain. Personal resilience also mediated the influence of social support on loneliness and QoL.

CONCLUSION:

Social support and personal resilience positively affected QoL, while loneliness had a negative effect. Through the mediation of loneliness, the effects of social support on QoL decreases. However, the mediation of resilience further decreases loneliness and improves QoL. The presented model assists nurse educators and administrators in developing strategies to enhance social support, resilience and QoL among students while mitigating the negative effects loneliness during the pandemic. TWEETABLE ABSTRACT Loneliness and Resilience are mediators of student nurses' quality of life during COVID-19 pandemic. Social support is the common predictor.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Resilience, Psychological / COVID-19 Type of study: Observational study / Prognostic study / Qualitative research Limits: Humans Country/Region as subject: Asia Language: English Journal: Nurse Educ Pract Journal subject: Education / Nursing Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Resilience, Psychological / COVID-19 Type of study: Observational study / Prognostic study / Qualitative research Limits: Humans Country/Region as subject: Asia Language: English Journal: Nurse Educ Pract Journal subject: Education / Nursing Year: 2022 Document Type: Article