Stress and quality of life of intensive care nurses during the COVID-19 pandemic: Self-efficacy and resilience as resources
Fecha
2021-07-13
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Wiley
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Abstract
Background
Health care workers employed in the COVID-19 emergency are at a high risk of stress.
Aims and objectives
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.
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Citación
Peñacoba, C., Catala, P., Velasco, L., Carmona‐Monge, F. J., Garcia‐Hedrera, F. J., & Gil‐Almagro, F. (2021). Stress and quality of life of intensive care nurses during the COVID‐19 pandemic: Self‐efficacy and resilience as resources. Nursing in critical care, 26(6), 493-500.