Mixed study on the status quo and influencing factors of psychological resilience of in-service nurses in Hunan Province
10.3760/cma.j.cn115682-20200113-00183
- VernacularTitle:湖南省在职护士心理弹性现状及其影响因素的混合研究
- Author:
Zhen LI
1
;
Meilan QIN
;
Yuelan QIN
;
Bei GONG
;
Ke TANG
;
Zeya SHI
;
Qiongling ZHAO
;
Fang XIONG
;
Ping YUAN
;
Huan WAN
Author Information
1. 湖南省人民医院暨湖南师范大学附属第一医院护理部，长沙 410005
- Keywords:
Nurses;
Psychological resilience;
Quantitative study;
Qualitative study
- From:
Chinese Journal of Modern Nursing
2020;26(20):2711-2717
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current status and influencing factors of psychological resilience in in-service nurses in Hunan Province, and provide a certain reference for the development of nursing human resource management and occupational mental health.Methods:A mixed study method was adopted. Quantitative study: in August 2018, a total of 749 in-serve nurses from hospitals in Hunan Province were selected by convenient sampling and investigated with the general information questionnaire and Conner-Davidson Resilience Scale (CD-RISC) . SPSS 23.0 was used for statistical analysis. Qualitative study: totally 21 in-service nurses who participated in the quantitative study were randomly selected for semi-structured interviews. Based on the principle of data saturation, the subject analysis method was used to organize the data.Results:The total CD-RISC score of the 749 in-service nurses was (87.28±13.28) , higher than (65.40±13.90) of the domestic norm, and the difference was statistically significant ( P<0.01) ; the average score of each dimension in descending order was (3.69±0.55) for strength, (3.41±0.58) for toughness, and (3.34±0.60) for optimism. There were statistically significant differences between the total CD-RISC score of in-service nurses with different ages, educational levels, working years, type of affiliation, form of employment, and professional title ( F=7.295, 5.446, 6.915, 3.238, 4.342, 7.914; P<0.05) ; Multi-factor analysis showed that age and education level were the main influencing factors ( P<0.05) . Two themes were extracted from the qualitative study, namely internal factors and external factors. The internal factors included the lack of personal adaptability and mental health guidance awareness, while the external factors included differences in hospital management culture, and lack of psychological service institutions, professionals and trust. Conclusions:The psychological resilience of in-service nurses in Hunan Province is higher than that of domestic norms, and is affected by both internal and external factors. It is recommended to enhance the nurses' rights protection bill in future organization and management, attach importance to their on-the-job education and provide personalized psychological service channels for employees, and further strengthen the hospital's internal psychosocial service construction.
