Abstract

In the continuous effort to minimize the devastating effects of coronavirus disease (COVID-19) and to curb the spread of the disease, hospital preparedness and resilience play significant roles in the psychological well-being of clinical nurses given that their work demands immediate action to adapt and adjust to stressors. Thus, this study investigates the hospital preparedness, psychological burden, and resilience of clinical nurses in addressing COVID-19 in Riyadh, Saudi Arabia. A total of 281 clinical nurses participated in the survey from April 2020 to June 2020. Results show that clinical nurses perceived a high self-assessed COVID-19 hospital preparedness (49.65, SD = 2.30); high self-assessed nurses' resilience (4.03, SD = 0.36); and most have normal levels of depression, anxiety, and stress. The variables were predicted to be statistically significant (F18,262 = 4.14, p = 0.001) and accounted for 16.8% of the variance in the nurses' perception of hospital preparedness (R2 = 0.221; adjusted R2 = 0.168). The regression analysis was statistically significant (F30,250 = 6.71, p = 0.001) and accounted for 38% of the variance in nurses' resilience (R2 = 0.446, Adjusted R2 = 0.380). The predictors of depression, anxiety, and stress show that the overall relationship was statistically significant at (F23,257 = 6.71, p < 0.001), (F23,257 = 6.675, p 0.000), and (F23,257 = 6.692, p 0.000) with 31.9% of the variance (R2 = 0.375, Adjusted R2 = 0.319), 31.8% of the variance (R2 = 0.374, Adjusted R2 = 0.318), and 31.9 % of the variance (R2 = 0.375, Adjusted R2 = 0.319), respectively. The findings of this study helps in improving the continuing education program, psychological support, and mental health program to ensure that the needs of clinical nurses are addressed during the outbreak of a disease.

Highlights

  • In December 2019, Wuhan, China reported the first case of the coronavirus disease (COVID-19) (1)

  • The Saudi government totally suspended Umrah, Mosques were closed, schools and universities shifted to online learning, travel ban was ordered to all affected countries, and quarantine became mandatory for passengers

  • This study aims to determine the predictors of hospital preparedness in managing COVID-19 patients and the psychological burden and resilience among clinical nurses in addressing the COVID-19 crisis in Saudi Arabia

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Summary

Introduction

In December 2019, Wuhan, China reported the first case of the coronavirus disease (COVID-19) (1). Saudi Arabi was among the first countries that implemented precautionary measures [e.g., stopping direct flights between Saudi Arabia and China (2); suspension of Umrah pilgrims; and banning of inbound travel from countries with active COVID-19 cases (3)] to prevent the entry of Hospital Preparedness, Psychological Burden, Nurses’ Resilience the disease. As of June 7, 2020, Saudi Arabia has an approximate total of 101,914 COVID-19 patients with 712 deaths (5). This number is expected to increase further if the disease remains uncontrolled. The increasing number of COVID-19 cases puts health professionals at risk for the disease. The unprecedented increase in the number of COVID-19 patients, person under investigation (PUI), and person under monitoring (PUM) necessitates a response from hospital management through the implementation of guidelines and procedures within a facility in coordination with the local authorities

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