Resilience, Burnout and Mental Health in Nurses: A Latent Mediation Model.

Background/Objectives: The burnout syndrome in nurses has been related to the development of mental health problems. On the contrary, resilience is related to adequately coping with stressful situations and better mental health. The objective was to analyze the relationship between resilience and mental health problems in nurses and estimate the proportion mediated by burnout in the association. Methods: In 2021, a total of 1165 Spanish nurses were selected through a stratified random sampling method. Participants anonymously filled in the Resilience Scale (RS-14), the Maslach Burnout Inventory Survey, and the General Health Questionnaire. To test the hypothesis proposed and explain the mediating effect of burnout empirically, structural equation modeling (SEM) was applied. A latent mediation model was computed. Results: Resilience was negatively related to burnout and mental health problems. The direct relationship between burnout and the latent health variable was positive. In addition, in view of the total effect of resilience on mental health problems and the magnitude of the indirect effect, we stated that the proportion of this effect mediated by burnout ranged from 0.486 to 0.870. Conclusions: This study reveals that fostering resilience in nurses directly and indirectly reduces burnout and improves their mental health. The implementation of resilience programs and supportive institutional policies is recommended to improve working conditions and the quality of patient care.

The "Mask Effect" of the Emotional Factor in Nurses' Adaptability to Change: Mental Health in a COVID-19 Setting.

During healthcare catastrophes, such as the current COVID-19 pandemic, nurses are exposed to highly stressful situations derived from their work and personal activity. Development of coping strategies for such situations can improve nurses' physical and mental health. This study analyzed nurses' adaptability to change, with attention to socio-demographic variables in a COVID-19 setting, and identified the repercussions on their health. This quantitative, observational and cross-sectional study had a sample of 351 nurses aged 22 to 64 with a mean age of 40.91 (SD = 10.98). The instruments used for the study were the ADAPTA-10 questionnaire and the General Health Questionnaire (GHQ-28). It was observed that age, sex, and having a stable partner significantly influenced scores on the emotional, cognitive-behavioral, and adaptation to change factors. Finally, the emotional factor mediated between positive COVID-19 in someone close and the presence of health problems. Understanding the elements that help adapt better to change and adversity enable effective interventions to be developed for improving emotional health of nurses, especially for those in whom there are positive cases of COVID-19 in their personal or work environment.

Mediating Role of Emotional Intelligence in the Relationship between Anxiety Sensitivity and Academic Burnout in Adolescents.

(1) Background: Increased stress and study overload during adolescence could be related to academic burnout. Anxiety sensitivity of students seems to affect burnout levels, while emotional intelligence enables emotion management under stressful conditions. The objective of this study is to analyze the roles of anxiety sensitivity and emotional intelligence in academic burnout. (2) Methods: In this quantitative cross-sectional study conducted in Spain, the sample comprised 1287 high school students aged 14 to 18 who filled out the Maslach Burnout Inventory-General Survey, the Spanish version adapted for high school students of the Anxiety Sensitivity Index-3, and Brief Emotional Intelligence Inventory. (3) Results: Anxiety sensitivity was significantly higher in cynicism and emotional exhaustion. Furthermore, the mediation analysis showed that high anxiety sensitivity directly affected student exhaustion, cynicism, and efficacy levels. These effects were mediated mainly through stress management but also through the effect of stress management on mood, both emotional intelligence factors. (4) Conclusions: The academic changes that occur during high school hinder engagement and performance. Promoting the development of emotional skills would enable young people to manage their emotions when they become overwhelming and diminish their lack of interest and exhaustion in the classroom.

Mood and Affective Balance of Spaniards Confined by COVID-19: A Cross-Sectional Study.

The aim of this study was to analyze the mood and affective balance of Spaniards in quarantine and determine the predictive role of sociodemographic variables and mood on the negative affective balance. This cross-sectional study was carried out with a sample of 1014 Spanish adults, 67.2% were women and 32.8% men. The age ranged from 17 to 76. The instruments used were the Mood Assessment Scale and the Affective Balance Scale, which were implemented as a CAWI survey (Computer Aided Web Interviewing). Results showed that age correlated negatively with Sadness-Depression, Anxiety, and Happiness. Women had more Sadness-Depression, Anxiety, and negative affect, while men showed more Happiness and higher positive affect. Thus, the risk of a negative affective balance during confinement was greater for women and those who showed an emotional state marked by sadness-depression and anxiety, while older age and higher scores in happiness were associated with lower risk. In conclusion, knowing which groups are at risk of emotional and affective alteration can facilitate the detection and prevention of later disorders, such as severe stress and posttraumatic stress disorder, avoiding their generalized presence, and becoming a new public health problem derived from COVID-19.

El objetivo de este trabajo fue analizar el estado de ánimo y el balance afectivo de los españoles en cuarentena y determinar el papel predictivo de las variables sociodemográficas y de los estados anímicos, sobre el balance afectivo negativo. Se trata de un estudio transversal, con una muestra de 1014 adultos españoles, siendo el 67.2% mujeres y el 32.8% restante, hombres. El rango de edad estuvo entre 18 y 76 años. Los instrumentos empleados fueron la Escala de Evaluación del Estado de Ánimo y la Escala de Equilibrio Afectivo, empleando para su implementación una encuesta CAWI (Computer Aided Web Interviewing). Los resultados mostraron que la edad correlaciona negativamente con la Tristeza-Depresión, la Ansiedad y Alegría. Las mujeres presentan mayor nivel de Tristeza-Depresión, Ansiedad y afecto negativo, mientras que los hombres presentan más Alegría y mayor nivel de afecto positivo. Por lo tanto, el riesgo de presentar un balance afectivo negativo durante el confinamiento es mayor entre mujeres y entre quienes manifiestan un estado emocional marcado por la tristeza-depresión y la ansiedad, mientras que tener mayor edad y mostrar puntuaciones elevadas en alegría se asocia con menor riesgo. En conclusión, conocer los grupos de riesgo en alteraciones emocionales y afectivas puede facilitar la detección y prevención de trastornos posteriores, como estrés agudo y trastorno de estrés postraumático, evitando la presencia generalizada, y que esto se convierta en un nuevo problema de Salud Pública derivado del COVID-19.

The repercussions of perceived threat from COVID-19 on the mental health of actively employed nurses.

In the confrontation with the COVID-19 pandemic, threat perceived by the nursing population, and its association with sociodemographic and contextual characteristics, must be measured and evaluated as well as their repercussions on their mental health. Therefore, the purpose of this study was to analyse the repercussion of perceived threat from COVID-19 on the mental health of actively employed nurses, considering a COVID-19 diagnosis, whether their own or of someone close to them. The sample was comprised of 351 nurses. Sociodemographic data were collected, and the Questionnaire on Perception of Threat from COVID-19 and the General Health Questionnaire were administered. The three demographic and contextual variables mentioned were related to mental health, mediated in some symptoms by perceived threat. These results provide important information for implementing measures or psychoeducational programs for nurses, essential in the present pandemic for improving psychological adaptation and reducing the effects on their mental health.

Moral Sensitivity, Empathy and Prosocial Behavior: Implications for Humanization of Nursing Care.

Humanization of nursing is related to certain social and moral variables. Moral sensitivity, empathy, and prosocial behavior help understand a situation and make decisions that benefit the patient. The objective of this study is to find out how these variables are related, and define the differences in moral sensitivity, empathy, and prosocial behavior in humanization of nursing. We also analyzed the mediating role of empathy in the relationship between moral sensitivity and prosocial behavior. The sample was made up of 330 Spanish nurses aged 22 to 56, who completed the HUMAS Scale and adapted versions of the Basic Empathy Scale, the Moral Sensitivity Questionnaire, and the Prosocial Behavior Scale. Descriptive analyses, bivariate correlations and multiple mediation models were calculated. The results found significantly different mean scores between all the groups in responsibility and moral strength, cognitive empathy, and prosocial behavior, and in moral burden, the differences were in the high-humanization-score group compared to the low-score group. Furthermore, the mediation models showed the mediating effect of cognitive empathy between the responsibility, strength, and moral burden factors on prosocial behavior, but not of affective empathy. The study concluded that humanization in nursing is closely related to moral sensitivity, cognitive empathy, and prosocial behavior. This facilitates a helping, caring, and understanding attitude toward patient needs, but without the affective flooding that affective empathy can lead to.

Sleep Quality and the Mediating Role of Stress Management on Eating by Nursing Personnel.

(1) Background: The work schedule of nursing personnel often involves double or continuous shifts and sources of stress derived from the work context, making it necessary to ensure their rest and eating habits contribute to a healthy lifestyle. The objective of this study was to analyze the mediating role of stress management on the effect that sleep quality has on uncontrolled and emotional eating by nursing professionals. The Three-Factor Eating Questionnaire-R18 was applied to measure uncontrolled and emotional eating, the Pittsburgh Sleep Quality Index as a measure of sleep quality, and the EQ-i-20M for the stress management component of emotional intelligence. (2) Methods: A sample of 1073 nurses aged 22 to 57 years was selected for this purpose. (3) Results: The main result of this study was that stress management was a mediator in the effect of sleep quality on uncontrolled and emotional eating. Furthermore, low scores for sleeping problems correlated with high scores for stress management. The results also revealed a strong negative association between stress management and uncontrolled and emotional eating. (4) Conclusions: The results are discussed from the perspective of promoting health at work as well as improving the psychosocial wellbeing of nursing professionals and increasing the quality of patient care.

Inteligencia emocional y salud en el envejecimiento: beneficios del programa PECI-PM

El entrenamiento de la inteligencia emocional en personas mayores, ha demostrado su efectividad en la mejora de la calidad de vida. El objetivo es analizar los beneficios en salud, de un programa de estimulación cognitiva e inteligencia emocional para personas mayores (PECI-PM). La muestra estuvo formada por 28 alumnos de la Universidad de Mayores de Almería, que completaron la primera fase del PECI-PM. Para la evaluación (pre-post) de la salud, se aplicó la versión española del SF-36. Los resultados mostraron puntuaciones significativamente más elevadas, tras la intervención, en las dimensiones de salud: Función Social, Dolor Corporal, Vitalidad y Función Social. La primera implementación del PECI-PM, revela efectos positivos del entrenamiento emocional sobre la percepción de la salud, en personas mayores.

Training emotional intelligence in the elderly, it has demonstrated its effectiveness in improving the quality of life. The aim is to analyze the health benefits of a program of cognitive stimulation and emotional intelligence for older people (PECI-PM). The sample consisted of 28 students of the University Senior Almeria, who completed the first phase of PECI-PM. For the (pre-post) assessment of health, the Spanish version of the SF-36 was applied. The results showed significantly higher scores after the intervention, the dimensions of health: social function, bodily pain, vitality and social function. The first implementation of the PECI-PM reveals positive effects of emotional training on perceived health in the elderly.

Repercusión del optimismo y de los Cinco Grandes factores de la personalidad sobre la salud de personas mayores / Impact of Optimism and the "Big Five" Personality Factors on Older Persons' Health

Este trabajo analiza la influencia del Optimismo Disposicional y los Cinco Grandes factores de la personalidad en la percepción de salud de los mayores, así como el análisis que optimistas y pesimistas realizan respecto a su salud. La muestra está formada de 498 personas mayores (M = 63.3 años y DE = 8.55). Los resultados ponen de manifiesto que las personas optimistas muestran mejor percepción de su salud y menores niveles de Disfunción Social y Depresión. El factor Neuroticismo influye en los Síntomas Somáticos, Ansiedad, Disfunción Social y Depresión y es un factor clave en la relación que se establece entre el Optimismo Disposicional y la subescala de Depresión. Por otra parte, el Optimismo, solo influye directamente en la subescala Disfunción Social.

This work studies the influence of Dispositional Optimism and the "Big Five" personality factors on older peoples' self-rated health and it examines optimists' and pessimists' analyses of their own health. The sample is made up of 498 older people (M = 63.3 years and SD = 8.55). The results reveal that optimists have a better perception of their health and lower levels of social dysfunction and depression. The Neuroticism factor affects to the Somatic Symptoms, Anxiety, Social Dysfunction, and Depression; and is a key factor in the relation established between Dispositional Optimism and the subscale of Depression. However, Optimism only directly affects the subscale Social Dysfunction.

Estudio y análisis de conductas violentas en Educación Secundaria en España / Study and analysis of violent behavior in Scondary Education in Spain

El objetivo de este estudio, es comparar la prevalencia de determinadas conductas violentas en los mismos niveles educativos durante dos estudios transversales: el primero, realizado en el curso académico 2004-2005, y el segundo, tres años más tarde, durante el periodo 2007-2008. Para ello, se ha analizado una muestra total de 1.475 sujetos de edades comprendidas entre los 14 y 16 años. Los resultados muestran, que se produce un descenso significativo en la prevalencia de prácticamente todas las conductas violentas analizadas, tales como: insultos, peleas, etc., durante los años académicos mencionados anteriormente. Por otra parte, las mujeres son las que más sufren la agresión verbal indirecta y, por el contrario, los hombres son los que más ejercen este tipo de conducta.

The goal of this study was to compare prevalence of certain violent behaviors at the same educational level in two cross-sectional studies; the first one, carried out during the 2004-2005 academic course, and the second one three years later, during the 2007-2008 academic course. For this purpose, a total sample of 1.475 subjects, between 14 and 16 years of age, was analyzed. The results show that there is a significant decrease in the prevalence of almost all the violent behaviors analyzed, such as: insults, fights, etc., during the above-mentioned academic courses. However, the females suffer more indirect verbal aggression and, in contrast, the males perform this kind of behavior more frequently.