A latent profile analysis of psychological resilience associated with work fatigue among Chinese nurses.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
  • Author(s): Xu D;Xu D; Zhang N; Zhang N; Bu X; Bu X; Xu Z; Xu Z
  • Source:
    Research in nursing & health [Res Nurs Health] 2024 Jun; Vol. 47 (3), pp. 335-343. Date of Electronic Publication: 2024 Jan 13.
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Wiley Country of Publication: United States NLM ID: 7806136 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1098-240X (Electronic) Linking ISSN: 01606891 NLM ISO Abbreviation: Res Nurs Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: New York, Wiley.
    • Subject Terms:
    • Abstract:
      Nurses' psychological resilience has been studied using a variable-centered rather than a person-centered approach, impeding a comprehensive understanding of the holistic expression of these different forms of psychological resilience. This study aimed to examine the characteristics of psychological resilience in a sample of Chinese nurses during COVID-19 using latent profile analysis (LPA) and the relationships between these unique profiles and nurses' work fatigue. A total of 471 Chinese nurses were recruited from three hospitals in Hebei Province between June and July 2020. The participant samples were investigated with the psychological resilience scale and the work fatigue inventory. LPA showed that a three-profile model of psychological resilience best fit this study. The resulting profiles were low psychological resilience, medium psychological resilience, and high psychological resilience. Notably, there were significant differences in nurses' work fatigue among different profiles of psychological resilience. The study provided a new view of nurses' psychological resilience, which may be used to effectively reduce nurses' work fatigue and evaluate nursing work status comprehensively.
      (© 2024 Wiley Periodicals LLC.)
    • References:
      Alameddine, M., Clinton, M., Bou‐Karroum, K., Richa, N., & Doumit, M. A. A. (2021). Factors associated with the resilience of nurses during the COVID‐19 pandemic. Worldviews on Evidence‐Based Nursing, 18(6), 320–331. https://doi.org/10.1111/wvn.12544.
      Alharbi, J., Jackson, D., & Usher, K. (2020). Personal characteristics, coping strategies, and resilience impact on compassion fatigue in critical care nurses: A cross‐sectional study. Nursing & Health Sciences, 22(1), 20–27. https://doi.org/10.1111/nhs.12650.
      Cao, X., & Chen, L. (2021). Relationships between resilience, empathy, compassion fatigue, work engagement and turnover intention in haemodialysis nurses: A cross‐sectional study. Journal of Nursing Management, 29(5), 1054–1063. https://doi.org/10.1111/jonm.13243.
      Caramello, V., Gariglio, V., Di Salvo, G., Maina, G., & Boccuzzi, A. (2023). Longitudinal assessment of mental health consequences of the COVID‐19 pandemic long‐term exposure on health care workers from a north west Italian hospital. Disaster Medicine and Public Health Preparedness, 17, e378. https://doi.org/10.1017/dmp.2023.42.
      Chen, B., & Liu, J. (2007). Mechanical properties of polymer‐modified concretes containing expanded polystyrene beads. Construction and Building Materials, 21(5), 7–11. https://doi.org/10.1016/j.conbuildmat.2005.08.001.
      Chen, X., Li, Q., Xu, F., & Han, B. (2021). The mediating role of resilience between work‐family conflict and career development among Chinese nurses: A cross‐sectional study. Journal of Nursing Management, 29(6), 1733–1741. https://doi.org/10.1111/jonm.13323.
      Dong, C., Wu, Q., Pan, Y., Yan, Q., Xu, R., & Zhang, R. (2021). Family resilience and its association with psychosocial adjustment of children with chronic illness: A latent profile analysis. Journal of Pediatric Nursing, 60, e6–e12. https://doi.org/10.1016/j.pedn.2021.02.010.
      Feng, D., Su, S., Wang, L., & Liu, F. (2018). The protective role of self‐esteem, perceived social support and job satisfaction against psychological distress among Chinese nurses. Journal of Nursing Management, 26(4), 366–372. https://doi.org/10.1111/jonm.12523.
      Frone, M. R., & Blais, A.‐R. (2019). Work fatigue in a non‐deployed military setting: Assessment, prevalence, predictors, and outcomes. International Journal of Environmental Research and Public Health, 16(16), 2892. https://doi.org/10.3390/ijerph16162892.
      Frone, M. R., & Tidwell, M.‐C. O. (2015). The meaning and measurement of work fatigue: Development and evaluation of the Three‐Dimensional Work Fatigue Inventory (3D‐WFI). Journal of Occupational Health Psychology, 20(3), 273–288. https://doi.org/10.1037/a0038700.
      Gabriel, A. S., Daniels, M. A., Diefendorff, J. M., & Greguras, G. J. (2015). Emotional labor actors: A latent profile analysis of emotional labor strategies. Journal of Applied Psychology, 100(3), 863–879. https://doi.org/10.1037/a0037408.
      Han, J. H., & Roh, Y. S. (2020). Teamwork, psychological safety, and patient safety competency among emergency nurses. International Emergency Nursing, 51, 100892. https://doi.org/10.1016/j.ienj.2020.100892.
      Holton, S., Wynter, K., Considine, J., Street, M., Hutchinson, A., Khaw, D., Stephenson, P., Hutchinson, A. M., Ockerby, C., Nankervis, K., Crowe, S., Trueman, M., Sweeney, S., Bruce, S., & Rasmussen, B. (2023). Psychosocial impact of the COVID‐19 pandemic on Australian nurses and midwives: A cross‐sectional study. Australian Journal of Advanced Nursing, 40(1), 30–40. https://doi.org/10.37464/2023.401.638.
      Hoşgör, H., & Yaman, M. (2022). Investigation of the relationship between psychological resilience and job performance in Turkish nurses during the Covid‐19 pandemic in terms of descriptive characteristics. Journal of Nursing Management, 30(1), 44–52. https://doi.org/10.1111/jonm.13477.
      International Council of Nurses. (2021). 2021 the international year of the health and care worker and the COVID‐19 Pandemic. https://www.icn.ch/node/1493.
      Jamebozorgi, M. H., Karamoozian, A., Bardsiri, T. I., & Sheikhbardsiri, H. (2022). Nurses burnout, resilience, and its association with socio‐demographic factors during COVID‐19 pandemic. Frontiers in Psychiatry, 12:803506. https://doi.org/10.3389/fpsyt.2021.803506.
      Janousch, C., Anyan, F., Morote, R., & Hjemdal, O. (2022). Resilience patterns of Swiss adolescents before and during the COVID‐19 pandemic: A latent transition analysis. International Journal of Adolescence and Youth, 27(1), 294–314. https://doi.org/10.1080/02673843.2022.2091938.
      Jiménez‐Fernández, R., Corral‐Liria, I., Trevissón‐Redondo, B., Lopez‐Lopez, D., Losa‐Iglesias, M., & Becerro‐de‐Bengoa‐Vallejo, R. (2022). Burnout, resilience and psychological flexibility in frontline nurses during the acute phase of the covid‐19 pandemic (2020) in Madrid‐Spain. Journal of Nursing Management, 30, 2549–2556. https://doi.org/10.1111/jonm.13778.
      Krebs, A., Shamayleh, R., & Habic, E. (2015). The road to resilience. The Military Engineer, 107(696), 59–60. https://doi.org/10.2307/26354508.
      Kunzler, A. M., Chmitorz, A., Röthke, N., Staginnus, M., Schäfer, S. K., Stoffers‐Winterling, J., & Lieb, K. (2022). Interventions to foster resilience in nursing staff: A systematic review and meta‐analyses of pre‐pandemic evidence. International Journal of Nursing Studies, 134, 104312. https://doi.org/10.1016/j.ijnurstu.2022.104312.
      Labrague, L. J., & de los Santos, J. A. A. (2021). Resilience as a mediator between compassion fatigue, nurses' work outcomes, and quality of care during the COVID‐19 pandemic. Applied Nursing Research, 61, 151476. https://doi.org/10.1016/j.apnr.2021.151476.
      Lanza, S. T., Tan, X., & Bray, B. C. (2013). Latent class analysis with distal outcomes: A flexible model‐based approach. Structural equation modeling: a multidisciplinary journal, 20(1), 1–26. https://doi.org/10.1080/10705511.2013.742377.
      Liu, L., Wu, D., Wang, L., Qu, Y., & Wu, H. (2020). Effort‐reward imbalance, resilience and perceived organizational support: A moderated mediation model of fatigue in Chinese nurses. Risk Management and Healthcare Policy, 13, 893–901. https://doi.org/10.2147/RMHP.S259339.
      Mensinger, J. L., Brom, H., Havens, D. S., Costello, A., D'Annunzio, C., Durning, J. D., Bradley, P. K., Copel, L., Maldonado, L., Smeltzer, S., Yost, J., & Kaufmann, P. (2022). Psychological responses of hospital‐based nurses working during the COVID‐19 pandemic in the United States: A cross‐sectional study. Applied Nursing Research, 63, 151517. https://doi.org/10.1016/j.apnr.2021.151517.
      Murat, M., Köse, S., & Savaşer, S. (2021). Determination of stress, depression and burnout levels of front‐line nurses during the COVID‐19 pandemic. International Journal of Mental Health Nursing, 30(2), 533–543. https://doi.org/10.1111/inm.12818.
      Ni, P., Chen, J., & Liu, N. (2010). The sample size estimation in quantitative nursing research. Chinese Journal of Nursing, 45(4), 378–380. https://doi.org/10.3761/j.issn.0254-1769.2010.04.037.
      Nishihara, T., Yoshihara, K., Ohashi, A., Kuroiwa, M., & Sudo, N. (2023). Differences in the presentation of COVID‐19‐related psychosocial stress and general psychological distress and the relation between the number of care days and these symptoms among Japanese ward staff working exclusively with COVID‐19 and support staff. BioPsychoSocial Medicine, 17(1), 17. https://doi.org/10.1186/s13030-023-00272-7.
      Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Structural Equation Modeling: A Multidisciplinary Journal, 14(4), 535–569. https://doi.org/10.1080/10705510701575396.
      Öksüz, E., Demiralp, M., Mersin, S., Tüzer, H., Aksu, M., & Sarıkoc, G. (2019). Resilience in nurses in terms of perceived social support, job satisfaction and certain variables. Journal of Nursing Management, 27(2), 423–432. https://doi.org/10.1111/jonm.12703.
      Pallesen, K. S., McCormack, B., Kjerholt, M., Borre, L. Z., Rosted, E., & Hølge‐Hazelton, B. (2022). An investigation of the level of burnout and resilience among hospital based nurse managers after COVID 19—A cross‐sectional questionnaire‐based study. Journal of Nursing Management, 30(8), 4107–4115. https://doi.org/10.1111/jonm.13868.
      Parizad, N., Soheili, A., Powers, K., Mohebbi, I., Moghbeli, G., & Hosseingolipour, K. (2022). Level of resilience in nurses working at COVID‐19 referral centers in Iran. Nursing Forum, 57(3), 344–351. https://doi.org/10.1111/nuf.12685.
      Park, K., & Jang, A. (2022). Factors affecting the resilience of new nurses in their working environment. International Journal of Environmental Research and Public Health, 19(9), 5158. https://doi.org/10.3390/ijerph19095158.
      Phillips, C. (2020). Relationships between workload perception, burnout, and intent to leave among medical‐surgical nurses. International Journal of Evidence‐Based Healthcare, 18(2), 265–273. https://doi.org/10.1097/XEB.0000000000000220.
      Piotrowski, A., Sygit‐Kowalkowska, E., Boe, O., & Rawat, S. (2022). Resilience, occupational stress, job satisfaction, and intention to leave the organization among nurses and midwives during the COVID‐19 pandemic. International Journal of Environmental Research and Public Health, 19(11), 6826. https://doi.org/10.3390/ijerph19116826.
      Qiu, T., Yang, Y., Liu, C., Tian, F., Gu, Z., Yang, S., Wu, W., & Wu, H. (2020). The association between resilience, perceived organizational support and fatigue among Chinese doctors: A cross‐sectional study. Journal of Affective Disorders, 265, 85–90. https://doi.org/10.1016/j.jad.2020.01.056.
      Saragih, I. D., Tonapa, S. I., Saragih, I. S., Advani, S., Batubara, S. O., Suarilah, I., & Lin, C. J. (2021). Global prevalence of mental health problems among healthcare workers during the Covid‐19 pandemic: A systematic review and meta‐analysis. International Journal of Nursing Studies, 121, 104002. https://doi.org/10.1016/j.ijnurstu.2021.104002.
      She, Z., Li, B., Li, Q., London, M., & Yang, B. (2019). The double‐edged sword of coaching: Relationships between managers' coaching and their feelings of personal accomplishment and role overload. Human Resource Development Quarterly, 30(2), 245–266. https://doi.org/10.1002/hrdq.21342.
      Siami, S., Gorji, M., & Martin, A. (2023). Psychosocial safety climate and supportive leadership as vital enhancers of personal hope and resilience during the COVID‐19 pandemic. Stress and Health, 39(2), 404–413. https://doi.org/10.1002/smi.3192.
      Xiao, J., Liu, L., Peng, Y., Wen, Y., Lv, X., Liang, L., Fan, Y., Chen, J., Chen, Y., Hu, H., Peng, W., Wang, H., & Luo, W. (2023). Anxiety, depression, and insomnia among nurses during the full liberalization of COVID‐19: A multicenter cross‐sectional analysis of the high‐income region in China. Frontiers in Public Health, 11, 1179755. https://doi.org/10.3389/fpubh.2023.1179755.
      Yan, J., Wu, C., Du, Y., He, S., Shang, L., & Lang, H. (2022). Occupational stress and the quality of life of nurses in infectious disease departments in China: the mediating role of psychological resilience. Frontiers in Psychology, 13, 817639. https://doi.org/10.3389/fpsyg.2022.817639.
      Zhan, Y., Zhao, S., Yuan, J., Liu, H., Liu, Y., Gui, L., Zheng, H., Zhou, Y., Qiu, L., Chen, J., Yu, J., & Li, S. (2020). Prevalence and influencing factors on fatigue of first‐line nurses combating with COVID‐19 in China: A descriptive cross‐sectional study. Current Medical Science, 40(4), 625–635. https://doi.org/10.1007/s11596-020-2226-9.
      Zhang, N., Li, J., Xu, Z., & Gong, Z. (2020). A latent profile analysis of nurses' moral sensitivity. Nursing Ethics, 27(3), 855–867. https://doi.org/10.1177/0969733019876298.
      Zhang, N., Li, M., Gong, Z., & Xu, D. (2019). Effects of ethical leadership on nurses' service behaviors. Nursing Ethics, 26(6), 1861–1872. https://doi.org/10.1177/0969733018787220.
      Zhang, N., Xu, D., Bu, X., & Xu, Z. (2023). Latent profiles of ethical climate and nurses' service behavior. Nursing Ethics, 30, 626–641. https://doi.org/10.1177/09697330231160008.
      Zhang, N., Xu, D., Li, J., & Gong, Z. (2021). Effect of perceived organizational support on fatigue of Chinese nurses during the COVID‐19 pandemic: resilience as a mediator. International Journal of Mental Health Promotion, 23(2), 243–254. http://www.techscience.com/IJMHP/v23n2/42429.
      Zhang, N., Xu, D., Li, J., & Xu, Z. (2022). Effects of role overload, work engagement and perceived organisational support on nurses' job performance during the COVID‐19 pandemic. Journal of Nursing Management, 30(4), 901–912. https://doi.org/10.1111/jonm.13598.
      Zhao, Y., & Hu, J. (2023). Psychological distress in emergency department nurses at women's and children's hospitals during the COVID‐19 epidemic: A cross‐sectional study. Medical Science Monitor, 29:e940175. https://doi.org/10.12659/MSM.940175.
      Zhou, J., Zhang, J., & Xuan, X. (2020). The curvilinear relationship between career calling and work fatigue: A moderated mediating model. Frontiers in Psychology, 11, 583604. https://doi.org/10.3389/fpsyg.2020.583604.
    • Grant Information:
      71901031 National Natural Science Foundation of China Project; 71801120 National Natural Science Foundation of China Project; 2021RW031 Shandong Provincial Youth Innovation Science and Technology Support Program
    • Contributed Indexing:
      Keywords: latent profile analysis; nurses; psychological resilience; work fatigue
    • Publication Date:
      Date Created: 20240113 Date Completed: 20240422 Latest Revision: 20240422
    • Publication Date:
      20240422
    • Accession Number:
      10.1002/nur.22371
    • Accession Number:
      38217472