Factors Affecting the Resilience of Nurses in the COVID-19 Crisis: A Mixed Method Study from West of Iran

Jamil sadeghifar; Hassan Rashidi; Khalil Momeni; Seyyed Mahmoud  Mirahmadi; Ardeshir Ahmadi

doi:10.18502/jebhpme.v7i4.15478

Jamil sadeghifar Department of Health Economics and Management, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran
Hassan Rashidi Department of Management, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
Khalil Momeni Department of Health Economics and Management, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran
Seyyed Mahmoud Mirahmadi Khorasgan Branch, Islamic Azad University, Isfahan, Iran
Ardeshir Ahmadi Valiasr Dareh Shahr Hospital, Ilam University of Medical Sciences, Ilam, Iran

DOI: https://doi.org/10.18502/jebhpme.v7i4.15478

Keywords: Resilience, Nurse, Hospital, Pandemic, COVID-19

Abstract

Background: The widespread outbreak of the COVID-19 virus has resulted in an increase in hospitalizations and mortality in healthcare centers, directly affecting healthcare personnel, especially nurses. Resilience stands for one of the key non-cognitive skills that can ensure nurses’ optimal performance during crises. Hence, the present research was aimed at identifying the status of factors affecting resilience among nurses involved in the COVID-19 crisis at Shohada Hospital in Dehloran (Iran).

Methods: This mixed-method study (qualitative-quantitative) was conducted in 2021 (Solar year 1400). Respectively in qualitative and quantitative parts, the research sample consisted of 18 academic members and executive managers in the healthcare sector and 118 nurses at Shahid Dehloran Hospital in Ilam province (Iran). Data collection was performed using semi-structured interviews and questionnaires. Qualitative data analysis was conducted using MAXQDA₂₀₂₀ software, and quantitative data analysis was performed using confirmatory factor analysis, AMOS 26, and SPSS 26.

Results: The factors influencing the resilience of nurses were categorized into three main themes: personal factors (motivation, stress, personal life, Becoming obsessed, balance in personal life, resilience in personal life challenges), organizational factors (mental and psychological health, organizational leaders’ responsiveness), and environmental factors (lack of cooperation, lack of facilities and equipment). According to the results, among personal factors, motivation (R=0.88), among organizational factors, mental and psychological health (R=0.83), and among environmental factors, the lack of facilities has the most significant effect on nurses’ resilience (R=0.75).

Conclusion: The findings highlight the considerable and significant impact of personal, organizational, and environmental factors on enhancing nurses’ resilience. Based on the research results, the proposed conceptual model can serve as a suitable mechanism for hospital managers to enhance the healthcare staff’s resilience.