Abstract
Background: Nurses are vital resources for every country. Their mental health and psychological wellbeing are crucial not only for continuous and safe patients care, but also for control of any outbreak. Resilience can be described as the ability to get better after difficult life experiences or overcome change or disasters. So, it is important to help nurses for building their resilience. Objective: the study aimed to evaluate the effect of resilience intervention on nurses' psychological problems, and their resilience during time of coronavirus pandemic. Setting: the present study was conducted at two settings in Tanta city, Egypt: Psychiatry, Neurology,&, Neurosurgery center that is affiliated to Tanta University, and Al-Minshawy General Hospital that is affiliated to Ministry of Health and Population. Subjects: 70 nurses who are caring for patients with corona virus. They were selected by using convenience sampling design. Tools: three tools were used to collect the necessary data:Socio-Demographic Questionnaire developed by researchers, Four Dimensional System Questionnaire (4DSQ) was developed by Terluin .B (2012), and Connor - Davidson Resilience Scale (CD-RISC) was developed by Connor &Davidson (2003) .The participants divided into small groups and attended eight sessions of resilience intervention through zoom cloud meetings. Results: there was a statistically significant improvement in nurses' resilience & psychological problems after the intervention, Also, a statistical significant negative correlation was found between resilience and all psychological problems. Conclusion: resilience intervention is proved to be effective in improving nurses’ resilience and psychological health. Recommendations: Continuous training intervention that targeting and enhancing resilience are important to be planned and implemented to improve psychological wellbeing among frontline nurses who are caring with patients infected with corona virus.
Highlights
The novel corona virus disease (COVID 19) outbreak emerged in Wuhan in December 2019, and on 30 January was declared a public health emergency of international concern by the world health organization (1)
While action to maintain the psychological and emotional health of them needs to start these health care providers will need long-term intervention to fully recover from this experience (5) .Resilience may reduce the probability of psychological disorders, such as anxiety, depression, and post-traumatic stress disorder (PTSD)
Brooks et al, 2020, indicated that the possible stress-related reactions among nursing staff in response to the corona virus pandemic may include difficulties in concentration, reduced productivity, irritability, anxiety, somatization, depression,sleep disorders, and interpersonal problems (39). This consisted with Liu et al, (2020) (7) stated that the frontline healthcare providers who are caring for patients with COVID-19 have a greatest risks of mental health problems, such as anxiety, depression, insomnia, and stress, and agreement with the previous study by Bai et al, (2004) stated that nursing staff were more liable to exhaustion, detachment from others, anxiety when dealing with patients, irritability, insomnia, poor concentration, and deteriorating work performance (40)
Summary
The novel corona virus disease (COVID 19) outbreak emerged in Wuhan in December 2019, and on 30 January was declared a public health emergency of international concern by the world health organization (1). Based on the evidence for risk of psychological problems among nurses who are working in the frontline against CVID-19, Primary concern is protecting the psychological well- being by fostering nurses' mental resilience to cope with difficult situations and to enable them to continue to perform their duties (5,10) Resilience is a process of adjusting well in the time of trauma, tragedy, threat, adversity, or even significant sources of stress(11). Social support has been shown to promote psychological wellness, protect cognitive decline and contribute to physical health (30) These components of resilience were expected to work together to provide higher levels of resilience among nurses who exposed to higher stressful situations(29). Recommendations: Continuous training intervention that targeting and enhancing resilience are important to be planned and implemented to improve psychological wellbeing among frontline nurses who are caring with patients infected with corona virus
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