Objectives: This study aimed to measure the resilience level of non-medical personnel of the University of the Philippines Manila – Philippine General Hospital (UP-PGH) and determine whether this was associated with sociodemographic factors such as gender, length of service and job position. Methodology: A cross-sectional study that included non-medical personnel using convenience sampling via email was done. Data was obtained through the 14-item Resilience Scale (RS-14) as well as a sociodemographic factors questionnaire. Descriptive and non-parametric correlational analysis of data was used. Results: One hundred twenty five of the 153 respondents (81.70%) garnered a resilience score of 74-98 or moderate to high resilience level, while 28 or 18.30% had a resilience score corresponding to very low and on the low end. The mean resilience score was 81.8, corresponding to a moderate resilience level. More women than men had a resilience level of moderate to high. Respondents with greater than 5 years of work experience within the hospital had higher resilience levels than those who were less experienced. Moderate to high resilience levels were found in more administrative than non-administrative personnel. No significant association was found between resilience level and the factors analyzed. In terms of Resilience Core Characteristics, all comparisons between demographic factors of interest and Self-reliance, Purpose, Equanimity, Perseverance and Authenticity yielded insignificant results except for Self-reliance versus length of service, which showed a weak but significant relationship. Exploratory factor analysis found that the unidimensionality of the RS-14 Scale (US Version) still applied when administered to Filipinos in this particular population. Conclusion Majority of the non- medical personnel of the UP -PGH had moderate level of resilience. There was a lack of significant association between resilience level and demographic characteristics like age, length of service, and position in the study sample. In terms of Resilience Core Characteristics, comparison between length of service and self -reliance showed a weak but significant relationship.
Resilience, Psychological ; COVID -19

Background and Objective: Primary care nurses serve as the gatekeeper of the health system. They could be psychologically affected in times of health crisis such as the COVID-19 pandemic. This study aimed to assess their perceived anxiety, depression, and resilience while working in the rural health units in Samar Province. Methods: A cross-sectional design was employed involving 188 primary care nurses who were working in rural health units (RHUs) in Samar province. They were selected through stratified random sampling technique. Anxiety and depression levels were assessed using the 21-item Depression Anxiety Stress Scale (DASS-21). Resilience level was assessed using 18-item Resilience Scale. Pearson’s r moment correlation and logistic regression analysis were used to determine associated factors with mental health. Results: Twenty (20) nurses experienced anxiety and five of them reported depression. Work experience is associated with depression [Exp(B) = 3.753; 95% CI (1.121 – 12.563)]. Overall, nurses reported high resilience level. Anxiety and depression are significantly and negatively associated with resilience. Conclusions Primary care nurses experience depression and anxiety during COVID-19 pandemic. Work experience is associated to their levels of depression. Moreover, nurses reported high levels of resilience. The higher the levels of anxiety and depression, the lower is their resilience.
anxiety ; depression ; resilience, psychological

BACKGROUND AND OBJECTIVE

Primary care nurses serve as the gatekeeper of the health system. They could be psychologically affected in times of health crisis such as the COVID-19 pandemic. This study aimed to assess their perceived anxiety, depression, and resilience while working in the rural health units in Samar Province.

A cross-sectional design was employed involving 188 primary care nurses who were working in rural health units (RHUs) in Samar province. They were selected through stratified random sampling technique. Anxiety and depression levels were assessed using the 21-item Depression Anxiety Stress Scale (DASS-21). Resilience level was assessed using 18-item Resilience Scale. Pearson’s r moment correlation and logistic regression analysis were used to determine associated factors with mental health.

Twenty (20) nurses experienced anxiety and five of them reported depression. Work experience is associated with depression [Exp(B) = 3.753; 95% CI (1.121 – 12.563)]. Overall, nurses reported high resilience level. Anxiety and depression are significantly and negatively associated with resilience.

Primary care nurses experience depression and anxiety during COVID-19 pandemic. Work experience is associated to their levels of depression. Moreover, nurses reported high levels of resilience. The higher the levels of anxiety and depression, the lower is their resilience.

PURPOSE: Resilience relates to coping with stressful hospital environment. The purpose of this study was to identify the types of resilience skills of clinical nurses for surviving in a hospital setting. METHODS: The Q methodology was used as it helps analyze the participants' subjective perspective on each item. Participants were 32 registered nurses who sorted 38 selected Q statements that were then plotted on a normal distribution using a 9-point scale. The subjective perspectives on the resilience of clinical nurses were analyzed using the PC-QUANAL program. RESULTS: This study revealed four types of resilience in clinical nurses, accounting for 65.2% of the variance: Type I: Reality-harmonic type; Type II: Own will type; Type III: Professionalism-oriented type; and Type IV: Relation-oriented type. CONCLUSION: The present findings suggest the need to develop interventions for improving clinical nurses' resilience according to their types. Following further investigation of nurses' resilience, it may be necessary for organizations to develop several resilience strategies.
Humans ; Methods ; Nurses ; Resilience, Psychological

PURPOSE: The purpose of this study is to construct and test a structural equation model of posttraumatic growth (PTG) of earthquake victims based on Tedeschi and Calhoun's model (2004). METHODS: Data were collected from 195 earthquake victims living in K. City. The exogenous variables include distress perception, resilience, and social support, and the endogenous variables include intrusive rumination, deliberate rumination, and posttraumatic growth. For data analysis, descriptive statistics, factor analysis, and structural equation modeling were performed. RESULTS: The modified model showed a good fitness to the data. Moreover, 6 of the 9 paths of the final model were statistically significant, which include PTG affected by deliberate rumination (β=.58, p<.001), resilience (γ=.18, p=.001), and distress perception (γ=.20, p=.002). These predictors explain 51.8% of variance in posttraumatic growth. CONCLUSION: Based on the results of this study, it is necessary to develop and disseminate preventive intervention programs to increase the resilience of earthquake-prone communities. In addition, after exposure to a community-scale traumatic event such as earthquake, we should provide social supports to alleviate distress perception and transition from intrusive rumination to deliberate rumination so that we can seek new meaning from the earthquake and facilitate posttraumatic growth.
Earthquakes ; Resilience, Psychological ; Statistics as Topic

Background: This research aimed to examine the association between resilience and lifestyle in line with H.M. King Bhumibol Aduyadej’s sufficiency economy philosophy (SEP) among university students studying in restive insurgent areas of Southern Thailand. Methods: Data were collected on a single occasion between 8 August 2018 and 8 October 2018, at Prince of Songkla University, Pattani campus, located in the restive areas of Southern Thailand. A total of 443 university students were assessed using the 20-item Thai Resilience Quotient screening test, and 35-item questionnaire for lifestyle following H.M. King Bhumibol Aduyadej’s SEP. Data were analyzed by using R software package for descriptive analysis, Chi-square and logistic regression. Results: Of the 443 university students who participated in the survey, most participants were Thai, female and Muslim (94.1%, 80.3% and 75.5%, respectively). Most of them perceived that they lived sufficiently, following H.M. King Bhumibol Aduyadej’s SEP, together with normal or higher than normal level of resilience (67.9% and 64.8%, respectively). The association between resillience in total to perception of lifestyle, in line with H.M. King Bhumibol Aduyadej’s SEP , was statistically significant. Resilience was categorized by domains of emotional stability, willpower and coping skill (all p-values<0.001). Sufficient living according to the late king’s SEP was found to be 3.42 times higher than in students who lived non sufficiently (95%CI=2.24, 5.22). Conclusion Resilience and self-perceived lifestyle according to H.M. King Bhumibol Aduyadej’s SEP were found to have a statistically significant association among university students who studied in restive insurgent areas of South Thailand.
Resilience, Psychological ; Armed Conflicts ; Thailand

PURPOSE: This study was conducted to investigate the relationship among grit, academic resilience, and psychological well-being among nursing students. METHODS: The participants were 271 nursing students, enrolled in C university. Data were collected from September 5 to 30, 2016 and analyzed using descriptive analysis, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression with the SPSS/WIN 21.0 program. RESULTS: The mean scores for academic resilience were above average. The mean score for grit and psychological well-being presented an appropriate level. Psychological well-being in nursing students was significantly correlated with academic resilience (r=.65, p<.001) and grit (r=.52, p<.001). The significant predictors of psychological well-being for nursing students were academic resilience (β=.47, p<.001), grit (β=.26, p<.001), and major satisfaction (β=.20, p<.001) which explained 53.1% of the variance in psychological well-being. CONCLUSION: The results indicate that it is necessary to develop grit and academic resilience enhancement programs to improve the psychological well-being of nursing students.
Humans ; Nursing* ; Resilience, Psychological ; Students, Nursing*

OBJECTIVE: This study examined the mediating role of internet addiction in the association between psychological resilience and depressive symptoms. METHODS: 837 Korean university students completed a survey with items of demographic information, Connor-Davidson Resilience Scale (CD-RISC), Internet Addiction Test (IAT), and Patient Health Questionnaire (PHQ-9) in 2015. The complex associations among psychological resilience, internet addiction, and depressive symptoms were delineated using structural equation models. RESULTS: In the most parsimonious model, the total effect and indirect effect of resilience on depressive symptoms via internet addiction, were statistically significant. The goodness of fit of the measurement model was satisfactory with fit indices, normed fit index (NFI) of 0.990, non-normed fit index (NNFI) of 0.997, comparative fit index (CFI) of 0.998, root mean square error (RMSEA) of 0.018 (90%CI=0.001–0.034); and Akaike Information Criterion (AIC) of -21.049. CONCLUSION: The association between psychological resilience and depressive symptoms was mediated by internet addiction in Korean university students. Enhancement of resilience programs could help prevent internet addiction and reduce the related depression risks.
Depression* ; Humans ; Internet* ; Negotiating* ; Resilience, Psychological

INTRODUCTION: Increased healthcare demands due to the COVID-19 pandemic have overwhelmed nurses worldwide. Resilience of nurses has been impacted due to many factors (e.g., longer work shifts) causing psychological distress. The study aimed to determine the correlation of burnout, compassion fatigue, and moral injury with resilience among nurses assigned in COVID-19 wards. METHODS: Virtual survey tools were sent to nurses of a public hospital to obtain data. Data were analyzed using JAMOVI and SPSS. RESULTS: Levels of burnout showed moderate burnout in personal burnout (f=44) (65.7%); Moderate burnout in work-telated burnout (f=36) (53.7%); no/low level of burnout in client-related burnout (f=48) (71.6%). Level of compassion fatigue showed job burnout (f=59) (88.1%). Level of moral injury indicated “requiring clinical attention” (f=52) (77.6%). Level of resilience showed medium resilience (f=45) (67.2%). Correlation between burnout and resilience yielded negligible negative correlations between personal burnout and resilience (r=-0.160, p=0.031), work-related burnout and resilience (r=-0.222, p=0.008), and client-related burnout and resilience (r=-0.120, p=0.741). Correlation yielded weak negative correlations between compassion fatigue and resilience (r=-0.254, p=0.038) and between moral injury and resilience (r=-0.318, p=0.009). The linear regression showed no significant correlations between personal burnout and resilience (p=0.063), work-related burnout and resilience (p=0.070), client-related burnout and resilience (p=0.331), compassion fatigue and resilience (p=0.080), moral injury and resilience (p=0.227). CONCLUSION The findings showed significant correlations between personal burnout and resilience, work- related burnout and resilience, compassion fatigue and resilience, and moral injury and resilience. There were no significant correlations between client-related burnout and resilience. Multiple linear regression indicated burnout, compassion fatigue, and moral injury are not predictive factors for resilience.
Resilience ; burnout ; compassion fatigue ; moral injury

PURPOSE: This study aimed to investigate the influence of resilience and symptom experience on quality of life. METHODS: Seventy five patients in an active treatment stage were recruited from 2 hospitals between October and December 2010. A survey including perceived health status, physical functional status, the symptom experience index, resilience, and the functional assessment of cancer therapy-colorectal (FACT-C) was completed. RESULTS: The level of FACT-C was 86.61 (+/-18.91), which was higher than for patients with colostomy, but lower than for patients in a rehabilitation stage. Participants without physical functional limitations showed higher level of both resilience and quality of life. Participants with bad health status showed a lower level of both resilience and quality of life and higher level of symptom experience. The quality of life was related to the level of resilience (beta=.373), symptom experience (beta=-.292), and perceived health status (beta=-3.961). CONCLUSION: Proactive nursing approaches to manage symptoms and to improve perceived health status would enhance the quality of life of colorectal cancer patients. Furthermore, various strategies to strengthen the level of resilience should be developed.
Colorectal Neoplasms ; Colostomy ; Humans ; Quality of Life ; Resilience, Psychological