In light of the ERI exacerbated by health emergencies, stabilizing the working conditions of primary healthcare professionals and ensuring the consistent operation of the public health system has become a focal point of research. This study was designed to investigate the mechanisms by which ERI affects job performance among primary healthcare professionals in the context of health emergencies, as well as the mediating role of perceived social support and resilience. Participants were recruited from 54 primary healthcare institutions, with a total of 1,050 primary healthcare professionals included in the study. Data were collected using the Effort-Reward Imbalance Scale, Perceived Social Support Scale, Individual Resilience Scale, and Job Performance Scale to assess key variables. Hayes' serial mediation model was applied to examine the interrelationships between these variables. The effects of the Effort-Reward-Imbalance and Job Performance were negatively correlated (P < 0.01). ERI influences job performance through three pathways: the mediating role of perceived social support, the mediating role of individual resilience, and the chain mediating role of both perceived social support and individual resilience. Perceived social support and individual resilience moderates the association between Effort-Reward-Imbalance and job performance among primary healthcare professionals.

This study aimed to examine the relationships between second-victim experience, resilience, and nurses' turnover intention.

The second-victim experience significantly affects nurses' psychological well-being in healthcare settings, leading to serious consequences. These psychological impacts can compromise patient care, clinical judgment, and confidence, ultimately jeopardizing patient safety and the quality of care. Support from organizations and colleagues is vital to alleviate the negative effects of these experiences. Addressing these factors can help develop targeted interventions to prevent adverse outcomes from second-victim experiences.

This cross-sectional correlational descriptive study collected data from secondary- and tertiary-care hospitals across 13 regions of Saudi Arabia, with 117 nurses participating. The Second-Victim Experience and Support Tool, Turnover Intention Scale, and Connor-Davidson Resilience Scale 25 were utilized to assess secondary-victim experiences, resilience, and turnover intention.

Local nurses reported higher second-victim experiences (M = 2.83, SD ± .42, p = .004) and turnover intention (M = 2.83, SD ±  .42, p = .012) but lower resilience scores (M = 12.43, SD ± 4.6, p = .03) compared with expatriate nurses. A significant positive correlation existed between second-victim-related distress and turnover intention. Conversely, a significant negative correlation existed between most second-victim-related variables (physical and psychological distress), supervisor support, and resilience. The regression model was significant (F [1, 115] = 73.13, p < .001, R2 = .389), with second-victim experience (β = 1.822, p < .001) significantly predicting turnover intention.

This study highlights the physical and psychological distress experienced by nurses, their turnover intentions, and resilience in response to second-victim experiences.

Health organizations should implement programs that assist nurses with overcoming trauma post adverse events and enhancing resilience, which may reduce their turnover intention in the profession.

Job burnout is one of the most pressing issues facing new cohorts of nurses worldwide, including Generation Z (Gen Z) nurses. Numerous reports have confirmed the relative importance of implementing a favorable work environment to reduce job burnout and improve work satisfaction in nurses; however, no studies have examined these relationships among Gen Z nurses.

The aim of this study was to examine the direct and indirect effects of job burnout on work satisfaction in Gen Z nurses, with a particular focus on the mediating role of the nurse work environment, specifically within acute care settings.

A descriptive research design was used to gather data. A total of 232 Gen Z nurses across different acute care hospitals in 11 governorates in Oman were surveyed using three standardized scales.

Gen Z nurses (N = 177) experienced high levels of burnout and reported moderate levels of work satisfaction (M = 2.74, SD = 0.82). A modest but statistically significant inverse relationship was found between burnout and work satisfaction (β = -0.245, p < 0.001; 95% CI [-0.029, -0.009]). Further, the nurse practice environment showed evidence of partial mediation in this relationship (β = -0.206, p = 0.002; 95% CI [-0.026, -0.006]), suggesting that the quality of the work environment may influence how burnout affects satisfaction.

The study's results highlight the importance of creating a favorable work environment as a potential strategy to mitigate job burnout and enhance work satisfaction among Gen Z nurses, particularly in acute care settings. Nurse managers should foster a supportive work environment through flexible policies, leadership, training, and a strong wellness culture that prioritizes the well-being of staff. Additionally, nursing education should focus on resilience-building and stress management to prepare Gen Z nurses for complex workplaces, ultimately reducing burnout and enhancing job satisfaction.

The COVID-19 pandemic profoundly impacted global health, with disproportionate consequences for healthcare workers (HCWs). Religious beliefs and practices may improve psychological resilience by fostering community, providing purpose and giving meaning to hardships. Yet, how religiosity impacts HCWs during a time of crisis is unclear. We therefore performed a cross-sectional study to investigate how religiosity contributes to resilience among HCWs who were routinely exposed to high levels of stress during the pandemic, through a physiological measure (the Auditory Sustained Attention Test; ASAT) and psychological self-reports. Forty-two HCWs were recruited from COVID-19 units and 44 HCWs from general internal medicine units during June and July 2022. COVID-19 HCWs showed significantly elevated emotional and attentional dysregulation with the ASAT, as measured by acoustic startle and prepulse inhibition, that was undetectable with self-reports. Furthermore, after dividing the HCWs into a 'high' and 'low' religiosity group, those in the 'low' group showed higher emotional and attentional dysregulation with the ASAT. Findings suggest that the ASAT has greater sensitivity at detecting emotional and attentional dysregulations than self-reports. Moderate or high religiosity may lead to better performance on the ASAT which could suggest greater resilience to mental health problems in the face of a crisis.

Discrimination against ethnic minority nursing staff is a serious concern in healthcare and the COVID-19 pandemic has brought it to the forefront. The purpose of this survey study was to investigate the predictive relationship among discrimination experiences, resource availability, health and work outcomes among ethnic minority nursing staff during the COVID-19 pandemic.

A survey was conducted among ethnic minority nursing staff in Canada during the COVID-19 pandemic. Respondents were asked to report their experiences of discrimination, perceived social support, resilience, health-related quality of life (HRQoL) and teamwork value using previously validated instruments. Sequential regression analysis was conducted to address the study aim.

The respondents reported that discrimination occurred both in the workplace and on public transit and could take various forms, from verbal harassment to physical assault. Discrimination experience and resource availability, including resilience and social support, were predictive of HRQoL.

Managers and administrators are urged to promote diversity and inclusion in the workplace and provide resources to support resilience and social support of ethnic minority nursing staff.

The findings suggested that discrimination and racism manifest subtly in various forms and occur everywhere. The study contributes to the limited level of understanding of the vulnerable populations framework in the context of ethnic minority nursing staff and workplace outcomes. It also provides evidence about the impacts of discrimination on ethnic minority nursing staff during the second year of the COVID-19 pandemic.

Healthcare professionals (HCPs) are essential for maintaining our healthcare system but are at risk for developing mental health issues due to chronic occupational stress. This can lead to a vicious cycle with extended sick leave, increased workloads for colleagues, and strain on the healthcare system. Therefore, preventive interventions aiming at enhancing resilience - the maintenance of mental health despite stress - are essential. Yet, identifying the most impactful resilience factors has been challenging. To explore the relationships between resilience factors, stress, mental health, and work-related outcomes, we conducted regularized partial correlation network analyses focusing on self-care and self-compassion. Cross-sectional data from HCPs in Germany were collected from June-July 2023. Analyses of 212 HCPs (age 41.63 [21-68] years; 81.60% women) revealed self-compassion as the most important factor across all networks, while the importance of self-care showed through individual connections to crucial factors like mental health problems and work-life balance. Work engagement, contrary to burnout, was closely interrelated with resilience factors. In conclusion, despite accounting for established evidence-based resilience factors, self-compassion and self-care seem crucial in the context of stress and mental health in HCPs. More research is needed to validate the causal importance of self-care and self-compassion.

Understanding organizational mechanisms that protect the mental health of the healthcare workforce during pandemics and epidemics is critical to support decision-making related to worker health and safety. This systematic review aimed to identify organizational-level factors, strategies or interventions that support the mental health of healthcare workers during pandemics or epidemics.

A comprehensive search was used, including online databases, a grey literature review, and handsearching of reference lists. Studies were eligible for inclusion if they described implementing or testing organizational-level factors, strategies or interventions to support healthcare workers' mental health during pandemics or epidemics. There were no limitations by language, publication status, or publication date. Two reviewers independently conducted screening, data extraction, data analysis and quality appraisal, with conflicts resolved through discussion or third-party arbitration. Data analysis was guided by the Job Demands-Resources Model. A narrative synthesis is presented, given the high degree of heterogeneity across studies.

A total of 10,805 articles from database searches and 190 records from other sources were screened. The final review included 86 articles. Studies were of low (n = 11), moderate (n = 39), and high quality (n = 36). Regarding job demands, 40 studies explored high work pressure or heavy workload factors, with the majority investigating working hours (n = 32). Increased working hours may be associated with an increased risk of diverse mental health outcomes. Regarding job resources, leadership factors, strategies (support, appreciation, responsiveness; n = 19) and leadership interventions (n = 3) may be associated with decreased burnout, anxiety, stress, and increased well-being. The availability and adequacy of personal protective equipment (n = 20) may be associated with decreased burnout, anxiety, depression, and stress. Mixed findings were reported on associations between diverse mental health outcomes and training and education (n = 28) or peer support (n = 3). Results should be interpreted cautiously given the high heterogeneity among factors, strategies, and interventions assessed and outcomes measured.

Organizational-level mechanisms can critically influence the mental health of healthcare workers' during pandemics and epidemics. More focused attention is needed to explore and act on the integral role of leadership and the availability of protective equipment to support healthcare workers' mental health.

The aim of this scoping review was to provide an overview and classification of existing studies on strategies and measures to reduce the workload of nuclear industry main control room operators and emergency response organization personnel to support their wellbeing and functional capacity during crises. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) statement guidelines were followed. All the 49 studies included involved main control room operators. No studies were found on emergency response organizations. Forty studies addressed technical systems, interfaces and/or algorithms, 11 addressed guides, procedures and protocols, and three addressed training as workload management measures. Yet, only 11 studies evaluated the workload empirically. In conclusion, a large number of studies on technically oriented support measures, protocols and procedures was found. The empirical evidence on the effects of workload management measures was scarce. Further research is needed to truly evaluate the effects of these workload management strategies and measures on employees' workload, wellbeing, and functional capacity. Also, more research is needed on other measures such as management models, working hour arrangements, and social and psychological support measures. Further, the workload management of emergency response organization personnel should also be studied.

BackgroundDuring the COVID-19 pandemic, Tunisian doctors were faced with unprecedented challenges and had to work in hospitals under strain to meet the health requirements.ObjectivesThe objectives of this study were to assess the experience of Tunisian doctors during the pandemic and to analyze the difficulties encountered and the factors that helped them to adapt to this situation.MethodsWe conducted a cross-sectional, comparative, multicenter, descriptive study over a seven-month period from June 1 to December 31, 2022. We included physicians who had worked in COVID-19 services. For data collection, we used a questionnaire developed on 'Google Forms' and distributed mainly by e-mail.ResultsThe number of participants included was 381, with a predominance of women (74%). The average age was 35.6 ± 9 years old. Thirty-seven percent of doctors felt that managing the pandemic was difficult. The three most common difficulties encountered were psychological impact (75.1%), compliance with confinement (68.2%) and case notification on the platform (54.7%). The main protective factors were scientific information on the disease (91.9%), family support (90.6%) and support from colleagues (84%). In multivariate analysis, the factors significantly associated with the difficult management of the pandemic were the number of personal infections with SARS-CoV-2 (p = 0.03), the occurrence of deaths in the family circle (p = 0.009), and work in hospitalization units for patients with COVID-19 (p = 0.039).ConclusionThe COVID-19 pandemic had a significant impact on doctors' personal and professional lives, with psychological challenges and institutional demands being the most prominent difficulties. Protective factors such as access to scientific information, family support, and collegial solidarity played a crucial role in helping doctors adapt to this unprecedented situation.

 Coronavirus disease 2019 (COVID-19) has severely impacted nursing services, with thousands of ICU nurses infected with potentially fatal respiratory infections. Saudi Arabian studies suggest psychological implications, with loneliness and social isolation linked to higher depression and anxiety levels. Pandemic preparedness should focus on workforce protection and mental well-being promotion.

 This study aimed to understand the experiences of critical care nurses in Saudi Arabia who contracted COVID-19, with the goal of formulating recommendations to empower them, increase resilience, and help the profession thrive post-pandemic.

 This study used an exploratory, descriptive, and contextual approach, conducting unstructured interviews with 11 Critical Care Unit (CCU) Registered Nurse (RN) who contracted COVID-19, and analysing the data using Colaizzi's seven-step method.

 Three themes emerged from the data: (1) physical isolation led to loneliness and psychological separation, lacking emotional support and freedom of choice; (2) reintegration into the work environment increased stress and loneliness and (3) Coronavirus disease 2019 exposure provided essential insight into patient care and increased awareness of adaptive skills. These themes highlight the challenges participants faced during the pandemic.

 This research study indicated the experiences of ICU nurses who contracted COVID-19, revealing feelings of loneliness, depression and stress. Despite reintegration into their work environment, these feelings persist.Contribution: The study indicates that nurses in social isolation or quarantine also require open communication, social interaction, personal autonomy and emotional support to boost their resilience and mental health, and to increase their job satisfaction.

The aim of this scoping review is to map the concept of resilience and its measurement along with co-occurring theoretical constructs within nursing research using the COVID-19 pandemic as a critical date range for the current evidence.

Resilience has a wide variety of definitions in research literature and is often measured through its co-occurring theoretical constructs. Nurse resilience is a key element in interventions targeting nurse well-being and has been tied to burnout and mental health. Resilience is influential in workforce stabilization and impactful to nurse retention both within a facility and within the field of nursing. This is significant given the worldwide nursing shortage and attrition from the field.

This review will consider published and unpublished studies that investigate resilience and co-occurring theoretical constructs in nurses, excluding students. Studies published in English or Spanish will be considered for inclusion without restriction to setting or geographic location. All instruments that measure resilience will be considered for inclusion and mapped in conjunction with the co-occurring constructs.

Database searches from January 10, 2020, onwards will include CINAHL (EBSCOhost), MEDLINE (Ovid), Embase (Ovid), PsycINFO (Ovid), Scopus, and LILACS. Unpublished studies and gray literature will be searched in ProQuest Dissertations and Theses (ProQuest). The JBI methodology for scoping reviews will be followed. Extracted data will include publication details (authors, titles, year of publication), resilience measurement instruments, co-occurring theoretical constructs, participants, context, and concept. Extracted data will be presented in charts and tables supported by a narrative summary.

Open Science Framework https://osf.io/n2uge/.

The present study sought to understand how participants in r/hemorrhoid used three coping strategies to improve their health and wellbeing. Drawing upon Shame Resilience Theory (SRT), the typology of social support, and the classification of humor styles, a theory-driven approach to qualitative analysis resulted in the identification of the following themes: Belongingness (building authentic connections with others), Affirmation (asserting the value of own experiences), Safety (feeling able to express emotions and needs), and Efficacy (exchanging information and advice for recovery). The study presents a coping model (BASE) that can inform research on communication patterns in contexts beyond other health conditions. Practical implications are derived from users' psychological distress and their reliance on diagnostics and treatment advice from peers, offering directions for supporting individuals with hemorrhoids.

Chronic disease self-management is a critical concern in public health, in which perceived social support plays an important role. However, the underlying pathways and mechanisms linking perceived social support to chronic disease self-management remained unclear. This study investigated whether psychological resilience and health empowerment mediated the relationship between perceived social support and the effectiveness of chronic disease self-management.

A total of 368 older inpatients with chronic non-communicable diseases were recruited from three grade-A tertiary hospitals in Changsha City, China, using a convenience sampling method between January and June 2023. Data were collected using the General Information Questionnaire, the Chronic Disease Self-Management Scale, the Perceived Social Support Scale, the Connor-Davidson Resilience Scale, and the Health Empowerment Scale. Descriptive demographic analysis and Pearson correlation analysis were conducted using SPSS 26.0, and model 6 in the macro program Process 4.1 was employed to test the chain mediation effect.

Most older inpatients were aged 60-69 years (52.2%), followed by those aged 70-79 years (30.7%). Regression analysis revealed that perceived social support, psychological resilience, and health empowerment collectively explained 45.7% of the variance in chronic disease self-management. Mediation analysis demonstrated that perceived social support not only had a direct positive impact on chronic disease self-management (effect = 0.141, 95% CI: LL = 0.041, UL = 0.241), but also indirectly affected chronic disease self-management through three significant mediating pathways: the independent mediating effect of psychological resilience (effect = 0.102, 95% CI: LL = 0.061, UL = 0.155), the independent mediating effect of health empowerment (effect = 0.042, 95% CI: LL = 0.010, UL = 0.080), and the chain mediating effect between psychological resilience and health empowerment (effect = 0.024, 95% CI: LL = 0.006, UL = 0.047).

Perceived social support influenced chronic disease self-management directly and indirectly through psychological resilience and health empowerment. These findings offered practical guidance for developing more effective intervention strategies aimed at improving chronic disease self-management among older inpatients.

The intention to leave the health profession has been studied as one of the consequences of the work and emotional overload experienced by nurses during the pandemic. However, few studies have focused on ICU nurses. The studies on intention to leave the profession focus on working conditions and symptomatology, without analyzing the personal characteristics involved.

To explore the evolution of the intention to leave the profession in ICU nurses (with respect to hospitalization nurses). In addition, to analyse the possible differences in anxiety, burnout and psychosocial variables (self-efficacy, resilience, cognitive fusion) between nurses who intend to quit and those who do not.

Observational, descriptive, longitudinal, prospective study with three data collection periods. Non-probabilistic convenience sampling was performed.

Six months after the end of the confinement period in Spain, higher dropout percentages were observed in ICU (49.2%) than in hospitalization (33.3%) (p = .07). One year later, the percentages of intention to leave tend to be equal (50.8% in ICU and 43.9% in hospitalization) (p = .438). With respect to the differential profile of ICU nurses who intend to leave the profession (compared to those who do not), higher scores were observed in anxiety (p = .037), emotional exhaustion (p < .001), decreased personal fulfilment (p = .031) and cognitive fusion (p = .023).

A high percentage of ICU nurses show intention to leave the profession, and associations were found with the anxiety experienced at the beginning of the pandemic, with high emotional exhaustion and low personal fulfilment. It is important to highlight in our study the relationship between intention to leave the profession and personal variables such as cognitive fusion.

Nurses have been exposed to great tension in the COVID-19 pandemic. The present study aims to investigate the impact of the teachings of the Quran on the stress, anxiety, depression, and resilience of nurses caring for COVID-19 patients. This is a quasi-experimental study on 70 nurses at Larestan and Gerash hospitals. The intervention was implemented in ten 30-min online and offline sessions through mobile phone-based applications. The standard resilience scale and DASS-21 were completed by the two study groups immediately before and one month after the intervention. The posttest total stress mean scores of the experimental and the control group were 5.77 ± 4.67 and 17.71 ± 3.22, respectively, showing a statistically significant difference between the two groups after the intervention (p-value < 0.05). Similarly, there was a statistically significant difference (p-value < 0.05) between the experimental and the control group' posttest total resilience mean scores (71.17 ± 15.16 and 36.05 ± 0.5, respectively). Accordingly, educational programs based on the teachings of the Quran are recommended as an effective way to improve resilience and decrease anxiety in nurses.

Objective: To assess and examine how the COVID-19 pandemic may have impacted the mental health of a sample of health professions students (HPS) using an explanatory sequential mixed-methods design. Participants: Participants included 41 HPS enrolled in a co-curricular interprofessional education (IPE) program. Measurements: Measures included the CES-D scale, PSS scale, and the GAD scale. Qualitative description was used to explore the experiences of these HPS. Results: The HPS explained that fear of acquiring COVID-19, transmitting the virus to loved ones, and dying as a result of the disease negatively influenced their mental health. The HPS revealed that there were some beneficial outcomes resulting from the pandemic, including the strengthening of family bonds and the cultivation of resiliency. Conclusions: The pandemic has had a negative impact on the mental health of these HPS. It is essential that these students receive support for their mental health in order to provide optimal care to the population they serve.

Non-suicidal self-injury (NSSI) is a prevalent and concerning behavior among adolescents worldwide, particularly in China. This study aimed to investigate the relationships between social support, cognitive flexibility, and NSSI, and to examine the potential mediating role of cognitive flexibility in the association between social support and NSSI among adolescents.

A multicenter cross-sectional study was conducted with 2,109 adolescents (aged 12-18 years, mean age 15.00 ± 1.65 years, 52.3% female) recruited from 14 psychiatric hospitals/outpatient clinics. Participants completed self-report measures of social support and NSSI, along with a cognitive flexibility assessment using the Wisconsin Card Sorting Test. Structural equation modeling was employed to test the hypothesized mediation model.

Social support was negatively associated with NSSI frequency (β = -0.11, p < 0.001) and positively related to cognitive flexibility (β = 0.09, p < 0.001). The mediation effect of cognitive flexibility was statistically significant [β = -0.01, 95% CI (-0.01, -0.01)] accounting for 8.33% of the total effect of social support on NSSI. Multi-group analysis revealed that the association between social support and cognitive flexibility was stronger in females (β = 0.11, p < 0.001) compared to males (β = 0.02, p > 0.05).

This multicenter study provides evidence for the protective roles of social support and cognitive flexibility against NSSI in adolescents. The findings suggest that cognitive flexibility partially mediates the relationship between social support and NSSI, with notable gender differences. These results highlight the importance of enhancing both social support and cognitive flexibility in interventions aimed at reducing NSSI among adolescents.

The study examines how ice and snow sports participation, fitness, perceived social support, and access to winter sports facilities affect health outcomes in China. Understanding winter sports' health benefits is essential for improving public health in colder parts of China, where their popularity is rising.

A sample of 875 Chinese from various regions was used to examine variable relationships using structural equation modeling (SEM) and route analysis.

Health outcomes, fitness, winter sports facilities, and ice and snow sports participation were positively associated. A significant correlation (β = 0.22, p < 0.001) was established between ice and snow sports participation and physical fitness, highlighting the impact of winter sports on health. Perceived social support for winter sports improves cold weather tolerance (β = 0.27, p < 0.001), emphasizing the role of social networks in resilience. The correlation between physical fitness and access to winter sports facilities (β = 0.31, p < 0.001) highlights the importance of physical talents in winter sports participation. Positive associations between physical fitness (β = 0.25, p < 0.001) and winter sports social support (β = 0.19, p < 0.001) suggest favorable health and well-being impacts. Physical fitness moderates the health benefits of ice and snow sports participation (β = 0.12, p < 0.05), whereas perceived social support for winter sports mediates the effect (β = 0.09, p < 0.05).

The findings emphasize the importance of supporting ice and snow activities and providing infrastructure to promote health. Physical fitness and improved health outcomes on social support can improve winter sports benefits. Public health initiatives may leverage this information to encourage active living and enhance health.

Public health crises like the COVID-19 pandemic have posed unprecedented challenges to both physical and mental health. To better understand related social support conversations on online support groups, and how the topics of these conversations are associated with producing conversation and with authors' mental health status, we analyzed 65,004 posts and comments on the subreddit r/COVID19_support using structural topic modeling. Among the 22 valid topics identified, those that attracted more user engagement addressed uncertainty about prospective situations, national and international news, sending condolences regarding loss, and the dangerous impact of the pandemic. More importantly, topics related to giving esteem (e.g. sending encouragement to boost others' self-efficacy, expressing appreciation) and emotional support (e.g. sending regards and condolences) were consistently and negatively associated with authors' anxiety and mental illness during the pandemic. In the same vein, providing informational support by updating situations related to the health impact and political, media, and working environment during the pandemic were also associated with reduced anxiety and mental illness. Theoretical and practical implications are discussed.

During the COVID-19 pandemic in Shanghai, medical workers were more vulnerable to psychological problems. This two-phase cross-sectional survey was conducted by online questionnaires to investigate the symptoms of depression, anxiety, stress, post-traumatic stress disorder (PTSD), and fatigue in healthcare workers during the outbreak of COVID-19 and after the resumption of work and production in Shanghai. The questionnaire included the Depression Anxiety Stress Scale-21 (DASS-21), the Impact of Event Scale-Revised (IES-R), and the Fatigue Assessment Instrument (FAI). In Phase I (n=2192), the prevalence of depression, anxiety, stress, and PTSD symptoms among medical staff was 45.48, 41.93, 20.35, and 75.55%. In Phase II (n=1031), after work resumed in Shanghai, the prevalence was 19.79, 21.44, 28.23, and 12.22%, respectively. Fatigue had a mean score of 121.23±45.776 in Phase I and 144.73±44.141 in Phase II. Binary logistic regression identified risk factors associated with this psychological status: personal and familial chronic disease history; occupation, including doctor, nurse, or administrative staff; working in the fever clinic, infectious disease department, emergency or intensive care unit, hemodialysis room, or clinical laboratory; work experience of 3-6 years or 7-10 years; and involvement in nucleic acid sampling team. Medical staff self-reported comparatively high rates of depression, anxiety, stress, and, especially, PTSD symptoms during the COVID-19 pandemic in Shanghai. Our study indicated that after work resumption in Shanghai, it appeared that the overall mental health of medical staff improved somewhat. Nevertheless, the high level of fatigue exhibited still cannot be ignored.

This study investigates the relationship between nurses' disaster preparedness, the factors influencing it, and nurses' psychological resilience.

The International Council of Nursing considers disaster preparedness and response to be essential qualifications for nurses. Nurses' resilience levels have a significant impact on their professional behavior under challenging circumstances, such as disasters, resulting in improved patient care and satisfaction.

This cross-sectional study involved 400 nurses employed at secondary and tertiary healthcare institutions in a city in Turkey. Data were collected through face-to-face interviews using a descriptive questionnaire, the nurses' perception of disaster preparedness scale (NP-DPS), and the Connor-Davidson resilience scale (CD-RISC).

Participants' average age was 32.29 ± 7.12 years, and 75.3% were female. The average total score on the NP-DPS was 78.64 ± 9.47, with notably lower scores observed in the intervention subscale. Nurses with higher education levels, prior disaster training and experience, a sense of preparedness for disasters, and a passion for their profession had significantly higher average scores (p < 0.05). The results indicate that the nurses' psychological resilience was at a moderate level, and disaster preparedness was identified as the most significant predictor (R2 = 0.214, p ≤ 0.001).

Nurses' disaster preparedness is influenced by their education level, disaster training, previous volunteer experience in disasters, passion for the profession, and psychological resilience. Healthcare administrators can enhance nurses' disaster preparedness by providing targeted support and resources.

The results highlight the need for national policies that integrate nurses' professional competencies and resilience for effective disaster responses and emphasize the importance of disaster preparedness training programs for nurses. Managers play a crucial role in implementing these national and international policies.

To explore the association between the leadership styles and resilience of anesthetists in leadership roles.

This prospective study of all anesthetists in leadership roles within a university teaching hospital in Melbourne, Australia, employed three validated, anonymous questionnaires (Multifactor Leadership Questionnaire, Authentic Leadership Questionnaire, and the Resilience Scale). Questionnaire data were summarized using descriptive statistics and presented as counts and proportions. Spearman's rank correlation was used to evaluate quantitative continuous variables to identify linear relationships.

Of the 14 anesthetists in leadership roles, 14 completed all three questionnaires (response rate 100%). Ten participants (71.5%) displayed behaviors consistent with transformational leadership. Three participants (21.4%) displayed behaviors typically associated with transactional leadership, and one (7.1%) exhibited characteristics consistent with passive-avoidant leadership. Anesthetists with transformational leadership styles exhibited significantly higher resilience scores than those with transactional or passive-avoidant leadership styles. Those with transformational leadership qualities also had increased job satisfaction overall.

Anesthetists who exhibit transformational and authentic leadership are likely to be more resilient than those with transactional or passive-avoidant leadership styles. Higher levels of resilience were also associated with greater role effectiveness and experiencing greater levels of job satisfaction.

Medical students are educated through two dichotomous curriculums, the formal, planned curriculum and the hidden curriculum unintentionally taught through socialization within the culture of medicine. As a consequence of shared trauma amongst the physician workforce during the COVID-19 pandemic, moral injury (MoI) and compassion fatigue (CoF) have become prevalent within the health care system, including palliative care medicine, with echoing ramifications on the observing trainee population. Thus, it is imperative to determine risk factors, protective factors and targeted interventions to offset MoI and CoF within the health care workforce and trainee population. Methods of strengthening personal and institutional resilience are vital to developing long-term structural change replacing the hidden curriculum of MoI and CoF with one of resilience and support. As palliative care providers are especially vulnerable to MoI and CoF, this article will examine the impact of the COVID-19 pandemic on MoI, CoF, and resilience within the hidden curriculum through the lens of palliative care.

To analyze the sociostructural determinants associated with mental health problems during the lockdown period among populations residing in Brazil, Chile, Ecuador, Mexico, Peru, and Spain who lived with minors or dependents, approached from a gender perspective.

A cross-sectional study was conducted in six participating countries via an adapted, self-managed online survey. People living with minors and/or dependents were selected. Multivariate logistic regression models were estimated to assess the associations between sociostructural variables and mental health problems (anxiety (GAD-7) and/or depression (PHQ-9)). The analyses were stratified by sex and country.

Out of a total of 39,006 people, 18,040 reported living with minors and/or dependents (73% women). In all countries, women reported worse mental health, with Spain having a lower prevalence. The risks of mental health problems in women in most countries are associated with poor housing conditions and performing care work. University education was associated with a protective factor. For men, risks were related to being younger, worsening working conditions and concerns about living together at home.

Women in Latin America who lived with dependents had worse outcomes than those in Spain did. It is necessary to develop intersectoral and social determinants strategies to prevent, protect and support the mental health of those who live with dependents and minors.

Recent studies indicate that nurses experienced high levels of occupational burnout and insomnia during and after the pandemic and highlight resilience as a crucial competence for overcoming adversity. The aim of this study was to assess occupational burnout, insomnia, and psychological resilience and to explore their interrelations among Greek nurses 14 months after the official ending of the pandemic which was declared in May 2023. The study was conducted online in July 2024 and included 380 nurses currently working in Greek hospitals, who completed the Copenhagen Burnout Inventory (CBI), the Athens Insomnia Scale (AIS), and the Brief Resilience Scale (BRS). Overall, 56.1% of the nurses exhibited insomnia symptoms and 46.8% displayed signs of occupational burnout. Low resilience scores were observed in 26.3%. Multiple regression analysis indicated that CBI explained 34.4% of the variance in the AIS scores, while an additional 3% was explained by the BRS. Mediation analysis revealed that resilience operates protectively as a negative mediator in the relationship between burnout and insomnia. In conclusion, one year after the end of the pandemic the levels of occupational burnout and insomnia among nurses remain high, whereas psychological resilience seems to be retained at moderate levels. Consequently, there is an urgent need to regularly monitor for risk of burnout and insomnia and to implement resilience-building strategies for nurses to combat burnout and improve insomnia symptoms.

Healthcare organizations experience difficult challenges as a result of nursing staff turnover. This is because it not only interrupts continuity of service but also its financial implications.

The purpose of the study was to find out the effects of work engagement on nurses' intentions to leave their jobs while considering resilience as a mediating factor.

The study used a descriptive-analytical design using a survey questionnaire on nurses working in different healthcare settings. The Utrecht Work Engagement Scale, the Brief Resilience Scale, and the Turnover Intention Scale were among the validated scales that were employed. The hypothesized relations were tested using descriptive and mediation analyses at a significance of <0.05.

Though the turnover intention (n = 3.83 ± 1.42) and the level of work engagement (n = 4.03 ± 1.32) among nurses were high, their level of resilience of nurses was average (n = 2.48, SD: 0.63). Resilience had a negative association with turnover intention (β =  - 0.5699, p < .0001), and there was also a significant negative association between work engagement and turnover intentions among nurses with resilience mediating the relationship (β = -0.0367, p < .05).

Disengaged nurses are more likely to leave their jobs. Moreover, resilience acts as a mechanism through which work engagement influences turnover intentions. The study emphasizes the need to encourage work engagement among nurses to lessen intentions to leave the profession. Among factors that can improve work engagement and resilience to reduce turnover include conducting regular engagement assessments, fostering positive workplace cultures, employing flexible scheduling practices, and offering resources for personal and professional development.

To investigates the current status of mindfulness in patients with Wilson's disease (WD) and to explore the effects of psychological resilience, perceived social support, and acceptance of illness on their mindfulness. By using the convenient sampling method, 136 patients with WD were selected from May 2019 to January 2023 in 12 tertiary hospitals in Chengdu. General information questionnaire, five facet mindfulness scale, resilience scale, acceptance of illness and perceived social support scale were used to conduct the investigation. Structural equation model was used to analyze the data. The score of mindfulness of patients with WD was (128.63 ± 22.62), and there were statistically significant differences in different courses of disease, clinical classification, and hospitalization times (P < 0.05). Perceived social support (β = 0.18, P < 0.01) and psychological resilience (β = 0.36, P < 0.05) directly affected mindfulness, perceived social support (β = 0.21, P < 0.01), and acceptance of illness (β = 0.11, P < 0.05) indirectly affected mindfulness through psychological resilience. Patients with WD have moderate levels of mindfulness, psychological resilience, perceived social support and acceptance of illness directly or indirectly affect their mindfulness. Nursing staff can help patients improve their mental defense ability, actively seek more social support, dialectical view, and accept the disease to improve their level of mindfulness to promote physical and mental health.

Medical professionals who are engaged in palliative care commonly experience negative emotions resulting from the pain and grief experienced by patients and family members, which results in enormous psychological pressure for professionals, and the risk related to job burnout is significantly greater.

We aimed to explore the factors influencing job burnout and resilience among palliative care professionals.

We conducted a qualitative study using semistructured interviews and purposeful sampling methods. Face-to-face interviews were carried out from September 2023-April 2024 in the palliative care ward of one of the top three hospitals in a province of China. A total of 22 palliative care professionals were interviewed. The interview data were coded and relevant topics were extracted and summarized from two perspectives: factors influencing job burnout among palliative care professionals and resilience to job burnout. Data analysis was guided by Colaizzi's seven-step method.

This study identified personal, work, institutional, and social factors affecting job burnout among palliative care professionals in China. Personal factors include the original intention of engaging in palliative care, psychological qualities, and ways of coping with stress. Work factors include work intensity and environment and the characteristics and nature of palliative care work. Institutional and social factors include promotion mechanisms, wages and benefits, government policy support and professional recognition, as well as cultural conflicts from traditional China. The factors that affect resilience include personal internal factors and external factors. Personal internal factors come from good self-regulation and emotional balance, while external factors come from an increasingly sophisticated social support system and effective intervention measures to cope with job burnout.

Our research found that many factors affect the job burnout and resilience of palliative care professionals. Promoting the construction of a professional team in palliative medicine, rational allocation of human resources, improving the welfare benefits of professionals, enhancing their social status, safeguarding their legitimate rights and interests, establishing effective emotional and social support systems, and implementing effective intervention measures in cultural contexts are all effective ways to reduce work fatigue and enhance resilience. Future research needs to investigate intervention measures to address or prevent burnout.

Biological disasters pose a growing challenge in the 21st century, significantly impacting global society. Taiwan has experienced such disasters, resulting in long-term consequences like loss of life, trauma, economic decline, and societal disruptions. Post-disaster, mental health issues such as fear, anxiety, depression, post-traumatic stress disorder (PTSD), and stress surge, accompanied by increased suicide rates. The Coronavirus disease 2019 (COVID-19) (also called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)) pandemic, recognized as a biological disaster, triggered lockdowns and quarantines in Taiwan, causing lifestyle changes, economic recession, and so on. These shifts may elevate uncertainty about the future, intensifying mental stress and leading to a rise in various mental illnesses. This article reviews mental health studies conducted in Taiwan during the pandemic, emphasizing the need to integrate this research for future preparedness and interventions regarding the mental health impacts of biological disasters, including COVID-19. Further research is essential to explore long-term effects, interventions, and generalizability.

This study aimed to investigate the resilience, stress levels, coping styles, and the impact of related factors among nurses working in primary healthcare during the COVID-19 pandemic. Designed as a cross-sectional study, the research included 86 volunteer nurses employed in primary healthcare institutions in Bitlis provincial center and its districts in Turkey. Data were collected between March and June 2022 using a sociodemographic information form, the Resilience Scale for Adults, and the Ways of Coping Questionnaire. The results showed that the mean scores of the resilience and stress-coping scales were significantly influenced by the educational and economic status of the nurses. A positive but weak correlation was observed between resilience and the self-confidence and optimistic approach subscales of the Ways of Coping Questionnaire. In contrast, a negative but weak correlation was found between resilience and the helpless and submissive approach subscales. The study revealed an association between resilience levels and stress-coping styles among nurses. Nurses with higher levels of education and income demonstrated greater resilience, while those with lower levels of education and income tended to use passive coping styles. The study recommends intervention programs to increase nurses' psychological resilience and promote effective stress-coping methods. Further research is suggested across professions, institutions, cities, and countries to explore differences in primary care during the COVID-19 pandemic.

During the first wave of the COVID-19 pandemic, final-year nursing students in our country volunteered to join the healthcare workforce, and the challenges they faced were considerable.

To explore the factors that foster resilience among final-year nursing students that joined the healthcare workforce during the first wave of the COVID-19 pandemic.

Descriptive qualitative study with thematic analysis.

Newly graduated nurses who had volunteered to join the health workforce during the first wave of the COVID-19 pandemic as final-year bachelor of nursing students.

Twenty-two semi-structured interviews were conducted during January and February 2021. Interviews were conducted by nursing students as part of their final-year dissertation with the supervision of a researcher with experience on qualitative data collection methods. Thematic analysis of interview transcripts was performed using Weft QDA 1.0.1.

The analysis revealed two main themes that described newly graduated nurses views regarding the factors that had enabled them to develop resilience when working on the frontline as final-year nursing students: (1) factors that helped them cope with adversity related with the identification and use of personal resources, feeling supported from others and professional recognition; and (2) factors that promoted learning such as guided reflection and the opportunity to share peer experiences.

The identification and use of personal resources, recognition and support from others, guided reflection and sharing peer experiences appear to be the key factors in helping nursing students develop resilience in the face of challenging situations. Promoting these factors in the context of nurse education programmes will help to ensure that future professionals are better prepared to deal with the challenges that nurses face in clinical practice in their early career.

Science recognizes the anxieties, depression, stress, and "turbulences" that women face in doctoral studies, but women's mental health in this context is still little addressed, even though it is a critical aspect for the well-being, persistence, and success of women doctoral candidates, who continue to be underrepresented in many professional fields.

The study aims to evaluate the relationship between academic motivation, psychological capital, and university academic performance (UAP) and to identify factors of female mental health success.

A cross-sectional, mixed-methods study was conducted with a sample of 108 female doctoral students from a university in Lima, during the first quarter of 2024.

In the quantitative phase, three standardized scales were administered to assess academic motivation, psychological capital, and university academic performance (UAP). In the qualitative phase, interviews were conducted to gather relevant information on mental health.

The findings emphasize five important points: (1) levels and the relationship between psychological capital, academic motivation, and performance, (2) motivational behavior according to study cycles, (3) risk and protection profiles, (4) protective functions, and (5) mental health success factors. The results indicate that 36% of the women have a low level of psychological capital, 34% have a medium level of academic motivation, and 37% have a high level of UAP, likewise "Intrinsic Motivation toward Accomplishment" is the positive core where most of these women converge. Significant differences were found between the study cycles with academic motivation and "University Academic Performance," and a significant gap between these variables. The risk profile (which limits performance) and the protective profile which allows high performance are determined; this positive profile is identified by women who present a high level of "Self-efficacy." The study demonstrates that "Psychological Capital" and "Academic Motivation" along with the dimensions of "Self-efficacy" and "Intrinsic Motivation to Experience Stimulation" serve protective functions. Fourteen success factors for women's mental health were identified and organized into four main approaches: Optimism, Hope, Resilience, and Self-efficacy.

Limitations and future projections are discussed. The practical implications include implementing psychological support programs, fostering intrinsic motivation, integrating psychological assessments, establishing support networks, and making tailored curricular adjustments.

This article focuses on findings of a qualitative research study that looked at experiences of Filipino healthcare workers in Canada during the COVID-19 pandemic. The purpose is to contribute to the growing body of literature on mental health among racialized frontline healthcare workers in Canada by investigating factors that affect mental health and barriers associated with accessing services and supports among Filipino healthcare workers in Ontario, Canada. The study employed a cross-sectional qualitative descriptive design to identify strategies that Filipino frontline healthcare workers use to effectively cope with mental health issues, work stress, and structural and economic barriers to their well-being. The study conducted in-depth semi-structured and open-ended interviews with 15 female Filipino healthcare workers. Findings indicate that social support received from colleagues, managers, families, and friends, through forms of assistance and protection, are crucial for dealing with various mental health stressors in the workplace during healthcare crises. Participants indicated that adequate social support help frontline healthcare professionals effectively manage stressful events, including the COVID-19 pandemic.

Aims: The purpose of this study was to investigate the relationship between nurses' perceived organizational support, work well-being, and medical narrative ability. Background: With the proposed bio-psycho-social medical model, nurses' medical narrative ability is closely related to patients' health problems and quality of life. Nurses' perceived organizational support and work well-being can improve nurses' empathy and reflection ability to a certain extent and promote patients' rehabilitation. However, the relationship between nurses' perceived organizational support, work well-being, and medical narrative ability is unclear. Methods: A total of 1831 nurses from 8 hospitals in China were surveyed using an online questionnaire that included nurses' sociodemographic, perceived organizational support, work well-being, and medical narrative ability. IBM SPSS 27.0 was used for Pearson's correlation analysis, one-way ANOVA, t-test, and mediation effect analysis using Model 4 in PROCESS (5000 resamples). Results: The total mean score of perceived organizational support (46.68 ± 11.00), work well-being (53.09 ± 10.81), and medical narrative ability (154.48 ± 22.93) among nurses was found to be moderate. The relationship between perceived organizational support, work well-being, and medical narrative ability was significant, with correlation coefficients ranging from 0.348 to 0.685 (p < 0.01). The relationship between perceived organizational support and medical narrative ability is partially mediated by work well-being. The intermediate effect accounted for 52.36% of the total effect. Conclusion: This study found that nurses' work well-being mediated the relationship between perceived organizational support and medical narrative ability. Implications for Nursing Management: This study evaluated nurses' medical narrative ability and explored the relationship between nurses' perceived organizational support, work well-being, and medical narrative ability. The results of this study can help nursing managers and educators to take appropriate measures to intervene nurses' perceived organizational support and work well-being, so as to improve nurses' medical narrative ability and optimize nursing quality.

Premature dropout from psychotherapy can harm patients and increase mental health costs. This study identified predictors of dropout in brief online psychotherapy for essential workers during the COVID-19 pandemic. This was a secondary analysis of a randomized trial on 4-week CBT or IPT protocols. Participants provided sociodemographic data and completed the Patient-Reported Outcomes Measurement Information System and Burnout Assessment Tool Short-Form. Predictors were analyzed in three blocks: sociodemographic, clinical, and therapist characteristics using bivariable and multivariable analyses. The sample included 804 individuals who attended at least the first session of either CBT (n = 403) or IPT (n = 401). A total of 17.2% (n = 138) of the participants dropped out during the protocol. Significant predictors of dropout included having children (IRR = 1.48; 95% CI: 1.07-2.05; p = 0.016), residing in specific regions of Brazil (Northeast IRR = 1.44; 95% CI:1.04-2.00; p = 0.02 and Midwest IRR = 1.73; 95%CI: 1.13-2.64; p = 0.01), therapist male sex (IRR = 2.04; 95% CI: 1.47-2.83; p = < 0.001), second wave of Covid-19 (IRR = 1.54; 95% CI: 1.01-2.34; p = 0.04) and low life satisfaction (IRR = 1.63; 95% CI: 1.06-2.50; p = 0.02). Our findings underscore the necessity for culturally tailored strategies, support for those with children, and targeted therapy for individuals with low life satisfaction. Implementation of these strategies may reduce dropout rates and improve treatment outcomes for essential workers in crisis.

In many workplaces, the coronavirus disease 2019 pandemic changed work arrangements, but there is scarce longitudinal evidence on whether psychosocial work environment and employee well-being were affected.

To examine the psychosocial work environment and employee well-being before, during and after the pandemic in relation to pandemic-induced changes (working from home, change to other tasks and team reorganization).

Survey data from a cohort of 20 944 public sector employees in Finland were collected before (2016-2018), during (2020) and after the pandemic (2022). Multilevel linear and logistic regression was used to examine group differences between the before-during and during-after periods of the pandemic.

Working from home was associated with a small but favourable change in worktime control, organizational justice and social capital (scale 1-5) during the pandemic and after the pandemic (marginal mean difference ranging from 0.02 to 0.09 with 95% confidence intervals [CIs] from 0.01 to 0.10). There was a post-pandemic increase in work time control, even among participants with a transfer into other tasks (0.11, 95% CI 0.07, 0.14) or team reorganization (0.06, 95% CI 0.02, 0.10). The decline in self-rated work ability (scale 0-10) before and during the pandemic was greater in those transferred into other tasks (-0.10, 95% CI -0.13, -0.06) than in those not (-0.05, 95% CI -0.06, -0.04).

Working from home during the pandemic was accompanied by small favourable changes in the psychosocial work environment during the pandemic, whereas transition to different tasks was associated with a decline in self-rated work ability.

In the face of a global nursing shortage, nursing interns are crucial to sustaining the healthcare workforce. However, these interns encounter significant challenges in career decision-making, often exacerbated by the impostor phenomenon, which impedes their capacity to make informed choices. Despite its importance, little research has been reported on the specific conditions and contributing factors that affect nursing interns' career decision-making processes.

To understand the current status of nursing interns' impostor phenomenon, psychological resilience, and career decision-making difficulties, and to validate the mediating role of psychological resilience between impostor phenomenon and career decision-making difficulties using structural equation modeling.

Five hundred eighty-two nursing interns from four tertiary hospitals in Wuhan City, Hubei Province of China were selected by stratified random sampling. Data were collected with the Clance Impostor Phenomenon Scale, Career Decision-Making Difficulties Questionnaire, and the 10-item Connor-Davidson Resilience Scale through an online survey. Mediation effect tests were conducted using SPSS 26.0 and PROCESS software.

(1) The score for career decision-making difficulties was 99.34 (SD = 21.78), the score for impostor phenomenon was 57.58 (SD = 12.13), and the score of psychological resilience was 32.11 (SD = 8.50); (2) Psychological resilience had a significant negative correlation with career decision-making difficulties (r = -0.724, p < 0.01), and impostor phenomenon had a significant negative correlation with psychological resilience (r = -0.608, p < 0.01), and had a significant positive correlation with career decision-making difficulties (r = 0.700, p < 0.01). Psychological resilience played a partial mediating role between impostor phenomenon and career decision-making difficulties (p < 0.01), with the mediating effect (Effect Value = 0.518, Bootstrap 95% CI: 0.430, 0.610) accounting for 41.27% of the total effect.

Career decision-making difficulties are common among nursing interns. Effective strategies should address the impostor phenomenon and promote psychological resilience to enhance self-awareness and create a supportive environment.

The coronavirus disease (COVID-19) pandemic led to social isolation and widespread lockdown, resulting in loneliness and lack of emotional support, which have been associated with adverse mental health outcomes. This study aims to explore the relationship of loneliness and emotional support with depression and substance use among young adults and their parents during the COVID-19 pandemic.

A cohort of 1227 participants was recruited from three ongoing cohort studies in the metropolitan area of New York City, USA. Data was collected through telephone interviews using preset questionnaires during wave 1 (March-August 2020), wave 2 (September 2020-February 2021) and wave 3 (March-August 2021) of the COVID-19 pandemic. Logistic regression models were used to test the association between loneliness and emotional support, and the mental health outcomes; depression and substance use, with adjustments made for age, gender, race, employment status, living conditions, and marital status. Additionally, the effect modification of respondent type and living alone or with others was examined.

At wave 1, loneliness showed a significant positive association with depressive symptoms (OR: 2.56, 95%CI: 2.19-3.00, P = < 0.001) and an increase in substance use, such as smoking tobacco using cigarettes, pipes, or cigar (OR: 1.59, 95%CI: 1.24-2.04, P = < 0.001), alcohol consumption (OR: 1.23, 95%CI: 1.07-1.42, P = 0.003), and marijuana/other substances (OR: 1.57, 95%CI: 1.26-1.96, P = < 0.001). Conversely, emotional support showed a significant negative association with depressive symptoms (OR: 0.71, 95%CI: 0.62-0.81, P = < 0.001) but a non-significant association with increase in tobacco smoking using vapes and e-cigarettes, alcohol consumption and marijuana and other substances. However, a significant negative association was observed between emotional support, and increased tobacco smoking using cigarettes, pipes, or cigar (OR: 0.73, 95%CI: 0.58-0.93, P = 0.011). The associations of loneliness and emotional support with mental health outcomes were stronger at wave 2 compared to wave 1. The modifier effects of respondent type and living condition were non-significant.

This study indicates that increased loneliness is associated with a higher likelihood of depression and substance use, while higher emotional support is linked to a reduced likelihood of depressive symptoms during the COVID-19 pandemic.

To examine the association of disaster literacy with collectivism, social support, psychological resilience and self-efficacy among nurses and analyze the influencing mechanisms among these factors.

Nurses' disaster literacy is important for future preparation. However, there is a paucity of research in this field.

From January to August 2023, we recruited 1573 nurses in 15 hospitals in Zhejiang province, China using convenient sampling. Based on Social-Ecological Model, questionnaires regarding collectivism, social support, psychological resilience, self-efficacy and disaster literacy were distributed via online platform. Data were analyzed using structural equation model to examine the relationships between the study variables.

Nurses had a medium level of disaster literacy with the lowest score in critical literacy. Nurses' collectivism not only had positive direct effect on disaster literacy, but also had indirect pathways from social support, psychological resilience and self-efficacy to influence the level of disaster literacy.

Multilevel factors including collectivism, social support, psychological resilience and self-efficacy were associated with disaster literacy. Understanding the influencing mechanism would inform effective interventions.

Our findings illustrate the importance for nurse managers, administrators and authorities to work together to develop and implement effective nursing curriculum and training programs to improve nurses' disaster literacy for future preparation.

Hospital staff frequently encounter high-stress situations, emergencies, and disasters, which profoundly impact their well-being and resilience. The aim of the study was to examine associations between perceived threats, well-being, individual resilience, and resilience at work among staff of a general hospital, following the unexpected Hamas assault on Israel on October 7, 2023, and during the Israel-Gaza conflict.

This cross-sectional study was conducted at a central Israeli public hospital, a level-two trauma center, surveying 434 staff members. Validated questionnaires were used to assess perceived threats, well-being, individual and work resilience, alongside demographic and professional characteristics. Data was collected via Qualtrics and paper questionnaires. Descriptive statistics, Pearson's correlation, T-tests, ANOVA, Chi-square, and linear regression models were used to analyze relationships, differences, and key factors associated with well-being, personal resilience, and work resilience.

Key findings revealed that higher resilience at work and well-being are linked to greater individual resilience, while higher threat perception negatively affected well-being. Israeli-born individuals and those identifying as Jewish showed higher resilience. Men reported higher well-being than women, and physicians demonstrated higher well-being compared to nurses. Resilience at work was higher among administrative staff compared to nurses, with employment in the emergency department showing a significant negative relationship with resilience at work.

The study revealed significant predictors of well-being, individual resilience, and workplace resilience among hospital staff in conflict situations. The immediate threat of war was perceived as most significant, highlighting the dynamic nature of threat perceptions. Prolonged emergencies can severely impact well-being, necessitating timely support. The findings emphasize the importance of integrated programs that enhance individual well-being and foster resilience in both personal and professional domains. Significant gender differences and the positive role of religiosity in resilience underscore the need for targeted interventions and systemic organizational changes to better support healthcare workers during crises. These insights highlight the importance of a comprehensive approach for cultivating a robust and resilient medical staff capable of effectively managing future crises.

To investigate how post-traumatic growth (PTG) and moral sensitivity influence service behaviour among healthcare workers (HCWs) in mainland China post-COVID-19, with a focus on the mediating role of moral sensitivity.

Cross- sectional survey design.

This study was conducted in 27 provinces across mainland China, from 16 March to 2 April 2023.

1,193 HCWs, including 378 physicians and 815 nurses, were selected using convenience and snowball sampling methods.

The survey included the Post-traumatic Growth Inventory-Chinese version (PTGI-C), the Moral Sensitivity Questionnaire-Revised Chinese Version (MSQ-R-CV) and a service behaviour scale. Structural equation modelling was employed to analyse the data, focusing on the associations between PTG, moral sensitivity, and service behaviours.

The study found significant associations between PTG and moral sensitivity (r=0.49, p<0.01), with both factors positively influencing HCWs' service behaviours. Specifically, PTG had a direct effect on service behaviours (β=0.172, p<0.01) and an indirect effect through moral sensitivity (β=0.333, p<0.01), with moral sensitivity mediating 65.8% of PTG's impact on service behaviours. The model explained 56.0% of the variance in service behaviours, indicating a substantial influence of these psychological factors on professional conduct.

The findings highlight the significant role of PTG and moral sensitivity in shaping the service behaviours of HCWs in the aftermath of the COVID-19 pandemic. The study suggests that enhancing PTG and moral sensitivity through targeted interventions could improve HCWs' service delivery and resilience, emphasising the importance of incorporating psychological and ethical training into healthcare practices to prepare for future public health crises.

To elucidate strategies for improving organisational adaptation during public health emergencies from the perspectives of nurse managers.

This study utilised a qualitative approach, incorporating complex adaptive system theory within a phenomenological tradition.

Semi-structured interviews were conducted from May 2022 to June 2022. Participants included core members of the Shanghai Public Health Emergency Teams-Nursing from 12 tertiary hospitals in Shanghai, all of whom had substantial experience as nurse leaders impacting health systems. Data obtained were coded and analysed using interpretative phenomenological analysis.

Seventeen frontline nurse managers participated, leading to the emergence of three key themes related to complex organisational adaptation: seeking institutional support for environmental adaptation, building intrateam support for structural adaptation and activating individual support for behavioural adaptation. A conceptual framework of organisational adaptation was proposed, displaying the interconnections among these themes.

The study provides valuable insights into managing nursing teams involved in public health emergency preparedness and response as an adaptive system. Identified managerial strategies offer guidance to ensure effective organisational assembly and optimal utilisation of the nursing workforce within the healthcare system.

Recognising the crucial role of nurses in managerial positions, who leverage leadership, adaptability and decision-making skills to coordinate frontline teams, is vital for effective public health emergency response. Their involvement in administrative roles underscores the importance of nursing perspectives in strategic planning, organisational adaptation and enhancing health system resilience during crises.

The organisational adaptation strategies effectively adopted by nurse managers provide a reference for international scholars seeking to enhance the function and performance of nursing staff in healthcare system during public health emergencies.

Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.

No Patient or Public Contributions.