RESILIENCE AND WELL-BEING AMONG NURSES IN SELECTED HOSPITALS, KATHMANDU

Abstract

Introduction: In Nepal, there is a research gap regarding the Well-Being (WB) and resilience of nursing employees, despite their critical role in health care. This study aims to fill this gap by investigating the levels of resilience and WB among nurses. Researchers selected a private hospital in Basuandara, Kathmandu. The study also explored the socio-demographic factors associated with these outcomes. The field provided variables and insights into the challenges faced by the nursing profession in Nepal and an informed-targeted intervention to support their WB. Methods: A descriptive-analytical study was conducted at three hospitals in Kathmandu to assess nurses' resilience and WB. A sample of 200 nurses was selected using convenience sampling. Self-administered surveys with validated tools (CD-RISC 10 and WHO-5) were used. Data analysis involved SPSS, employing descriptive statistics, and regression, Ethical clearance and confidentiality were ensured. Results: The results of the study showed that 38.5% of the participants have low resilience, indicating potential areas of concern. Simultaneously, 38.5% reported a low level of WB. The analysis also identified significant associations between resilience and work experiences, as well as WB and factors such as age, type of job, and work experiences. These findings highlighted the importance of considering these variables when implementing interventions to enhance resilience and WB among nurses. Conclusion: In conclusion, this study found that a significant proportion of nurses in selected hospitals in Basuandhara, Kathmandu, had a low level of resilience and wellbeing. Treated intervention is necessary. Further research should include larger standards with objective measures for a comprehensive understanding of nursing WB.

Keywords

• Hospital
• Nurses
• Resilience
• Well-Being

References

1. Adhikari, et.al(2023). Impact of Social Media Use on Academic Performance and Well-Being among the Secondary Level Students in Selected Schools in Nepal. 19(June);DOI: 10.56580/GEOMEDI31
2. Ang, et.al.,(2018). Association between demographics and resilience – a cross-sectional study among nurses in Singapore. International Nursing Review, 65(3), 459–466. https://doi.org/10.1111/inr.12441
3. Badu, et.al.,. (2020). Workplace stress and resilience in the Australian nursing workforce: A comprehensive integrative review. International Journal of Mental Health Nursing, 29(1), 5–34. https://doi.org/10.1111/inm.12662.
4. Burke, et.al.,. (2011). Hospital culture, work satisfaction and psychological well-being among nurses in Turkish hospitals. Europe’s Journal of Psychology, 7(4), 624–639.
5. Chow,et.al., (2018). Resilience and well-being of university nursing students in Hong Kong : a cross- sectional study. 1–8. https://doi.org/10.1186/s12909-018-1119-0
6. Chow, et.al., (2018). Resilience and well-being of university nursing students in Hong Kong: A cross-sectional study. BMC Medical Education, 18(1), 1–8. https://doi.org/10.1186/s12909-018-1119-0
7. Christian, et.al.,. (2015). Provided by the author(s) and University College Dublin Library in accordance with publisher policies. Please cite the published version when available. Psychology of Sport & Exercise, 16(1), 3–14.
8. Corbin, et.al.,(2021). Wellbeing as a policy framework for health promotion and sustainable development. Health Promotion International, 36, I64–I69. https://doi.org/10.1093/heapro/daab066

9. Development, Sustainable, & Report, Goals. (2022). Achieving well-being.Development, Sustainable, Report, Goals, & States, Member. (2022). Achieving well-being.
10. Hassmiller, et.al., (2022). The Future of Nursing 2020–2030: Charting a path to achieve health equity. In Nursing Outlook (Vol. 70, Issue 6). https://doi.org/10.1016/j.outlook.2022.05.01
11. Hogan, et.al.,. (2015). Consulting with Citizens in the Design of Wellbeing Measures and Policies: Lessons from a Systems Science Application. Social Indicators Research, 123(3), 857–877. https://doi.org/10.1007/s11205-014-0764-x
12. ILO, et.al, (2002). Workplace violence in the health sector country case studies research ınstruments survey questionnaire English, Joint Programme on Workplace Violence in The Health Sector.
13. Kannappan, et.al. (2021). Perceived Stress and Resilience among Nurses Working in a Selected Hospital at Mangalore. Journal of Health and Allied Sciences NU. https://doi.org/10.1055/s-0041-1736455.
14. Khanal,et.al.,(2023). The Moderating Role of Emotional Intelligence in the Effect of a Toxic Working Environment on Employee Well-Being Journal of Humanities and Social Sciences Research. January; https://www.researchgate.net/publication/372444298_The_Moderating_Role_of_Emotional_Intelligence_in_the_Effect_of_a_Toxic_Working_Environment_on_Employee_Well-Being.
15. Konnur, et.al (2022). Empathy level among the Nursing Workforce in the selected Health Institutes in Kathmandu consuming Toronto Empathy Scale. Modern Issues of Medicine and Management, 24(2), 1–10. https://doi.org/10.56580/geomedi12.
16. Labrague, et.al.,. (2020). Since January 2020 Elsevier has created a COVID-19 resource center with free information in English and Mandarin on the novel coronavirus COVID- 19 . The COVID-19 resource center is hosted on Elsevier Connect , the company ’ s public news and information . January.
17. Lee, et.al, (2019). Impact of Coping Strategies on Nurses’ Well-Being and Practice. Journal of Nursing Scholarship, 51(2), 195–204. https://doi.org/10.1111/jnu.12467
18. Li, et.al., (2021). Factors associated with the psychological well-being among front-line nurses exposed to COVID-2019 in China: A predictive study. Journal of Nursing Management, 29(2), 240–249. https://doi.org/10.1111/jonm.13146
19. Llop-Gironés, et.al., (2021). Employment and working conditions of nurses: where and how health inequalities have increased during the COVID-19 pandemic? Human Resources for Health, 19(1), 1–12. https://doi.org/10.1186/s12960-021-00651-7
20. Mak, et.al.,. (2011). Resilience: Enhancing well-being through the positive cognitive triad. Journal of Counseling Psychology, 58(4), 610–617. https://doi.org/10.1037/a0025195
21. McCann, et.al., (2013). Resilience in the health professions: A review of recent literature. International Journal of Wellbeing, 3(1), 60–81. https://doi.org/10.5502/ijw.v3i1.4
22. Mind. (n.d.). Guide for employees: Wellness Action Plans (WAPs): How to support your mental health at work. Paladino,et.al., (2023). JOURNAL OF HEALTHCARE MANAGEMENT AND LEADERSHIP ( JOHMAL ) From The Establishment of The Professional Figure. April. https://doi.org/10.35345/johmal.1241652.
23. Park, et.al., (2021). Effects of the resilience of nurses in long-term care hospitals during on job stress covid-19 pandemic: Mediating effects of nursing professionalism. International Journal of Environmental Research and Public Health, 18(19). https://doi.org/10.3390/ijerph181910327.
24. Pandey et.al.,(2022). The Effect of Toxic Workplace Environments on Employee Engagement: Mediating Roles of Employee’s Wellbeing and Organization Support. Journal of Humanities and Social Sciences Research, 4(2), 66–74. https://doi.org/10.37534/bp.jhssr.2022.v4.n2.id1168.p66
25. Pudasaini, et.al., (2022). Challenges and Opportunities for Nurse Managers Working in Nepal ’ s Level II and III COVID Hospitals;https://www.researchgate.net/publication/366781302_Challenges_and_Opportunities_for_Nurse_Managers_Working_in_Nepal's_Level_II_and_III_COVID_Hospitals.
26. Sharma, et.al.,. (2018). Measurement properties of the Nepali version of the Connor Davidson resilience scales in individuals with chronic pain. Health and Quality of Life Outcomes, 16(1), 1–11. https://doi.org/10.1186/s12955-018-0884-0.
27. Simons, et.al., (2021). A critical review of the definition of ‘wellbeing’ for doctors and their patients in a post Covid-19 era. International Journal of Social Psychiatry, 67(8), 984–991. https://doi.org/10.1177/00207640211032259
28. Sumner, et.al.,. (2021). Grace Under Pressure: Resilience, Burnout, and Wellbeing in Frontline Workers in the United Kingdom and Republic of Ireland During the SARS-CoV-2 Pandemic. Frontiers in Psychology, 11(January). https://doi.org/10.3389/fpsyg.2020.576229
29. Thapa et.al.,(2023). Exploring the Relationship between Self-Management Skills and Demographic Factors among Managers in Kathmandu-based Organizations. April. https://doi.org/10.56580/GEOMEDI24
30. Thapa et.al. (2021). Emotional Intelligence among the Health Care Providers Working in a Tertiary Level Hospital. Modern Issues of Medicine and Management, December. https://doi.org/10.52340/mid.2021.640.
31. Thapa, et.al (2023). Impact of Demographic Factors on Emotional Intelligence in Selected Organizations in the Kathmandu Valley. International Journal of Management and Administration, January. https://doi.org/10.29064/ijma.1197541
32. Thapa et.al(2023). Impact of Emotional Intelligence on Transformational Leadership in Selected Academic Institutions in Kathmandu, Nepal. International Multidisciplinary Research Journal, 4(4). https://doi.org/10.54476/ioer-imrj/595660.
33. Thapa, et.al,(2023). Examining the Impact of Emotional Intelligence on Employee Well- Being and Examining the Impact of Emotional Intelligence on Employee Well- Being and Employee Engagement in the Digital Era. April, 2–9.; https://www.researchgate.net/publication/370158731_Examining_the_Impact_of_Emotional_Intelligence_on_Employee_Well-_Being_and_Employee_Engagement_in_the_Digital_Era.
34. Thapa et.al.,(2023). The Role of Resilience in Relationship between Burnout and Well- being among Healthcare Workers during COVID-19 Pandemic https://www.researchgate.net/publication/372160039_The_Role_of_Resilience_in_Relationship_between_Burnout_and_Well-_being_among_Healthcare_Workers_during_COVID-19_Pandemic.
35. Timalsina, et.al.,2021). Resilience and its associated factors among older disaster survivors. Geriatric Nursing, 42(6), 1264–1274. https://doi.org/10.1016/j.gerinurse.2021.08.008.
36. Tugade, et.al.,. (2007). Regulation of positive emotions: Emotion regulation strategies that promote resilience. Journal of Happiness Studies, 8(3), 311–333. https://doi.org/10.1007/s10902-006-9015-4.
37. Walpita, et.al., (2020). High resilience leads to better work performance in nurses: Evidence from South Asia. Journal of Nursing Management, 28(2), 342–350. https://doi.org/10.1111/jonm.12930.
38. World Health Organization. (2021). Global strategic directions for nursing and midwifery 2021-2025. In Jama (Vol. 292, Issue 24).
39. World Health Organization (WHO). (2020). The State of the world’s nursing 2020: Investing in education, jobs and leadership [sede Web]. Ginebra-Suiza: WHO; 2020 [actualizado en 2020; acceso en octubre de 2020]. 1–16. https://apps.who.int/iris/bitstream/handle/10665/331673/9789240003293-eng.pdf.
40. Yörük, et.al.,(2021). The relationship between psychological resilience, burnout, stress, and sociodemographic factors with depression in nurses and midwives during the COVID-19 pandemic: A cross-sectional study in Turkey. Perspectives in Psychiatric Care, 57(1), 390–398. https://doi.org/10.1111/ppc.12659