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      Relationship between rumination and post-traumatic growth in mobile cabin hospital nurses: The mediating role of psychological resilience

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          • •

            We recruited nurses who worked in mobile cabin hospitals for COVID-19 patients.

          • •

            We studied their post-traumatic growth (PTG) using structural equation models.

          • •

            Deliberate rumination directly and indirectly promoted PTG.

          • •

            Psychological resilience mediated the effect of deliberate rumination on PTG.

          Abstract

          Psychological resilience helps individuals to actively respond to various emergencies, but its mediating role between the rumination and post-traumatic growth (PTG) of nurses remains unknown. Our study aimed to explore the extent to which psychological resilience mediates the association between rumination and PTG among nurses working in mobile cabin hospitals. This cross-sectional survey was conducted on 449 medical team members working in mobile cabin hospitals to support the prevention and control of coronavirus disease 2019 in Shanghai, China in 2022. Pearson correlation analysis was applied to assess the correlation between rumination, psychological resilience, and PTG. Structural equation models were used to examine the mediating role of psychological resilience between rumination and PTG. Our study results showed that deliberate rumination directly promoted psychological resilience and PTG and had positive effects on PTG through the mediating effect of psychological resilience. Invasive rumination had no direct effect on PTG. However, it had a negative effect on PTG through the mediating effect of psychological resilience. Together the results of this study indicate that the mediating effect of psychological resilience was significant in the association of rumination and PTG among mobile cabin hospital nurses, with a higher individual psychological resilience level helping nurses to achieve PTG. Therefore, targeted interventions should be implemented to improve nurses’ psychological resilience and guide their rapid growth.

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          The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study

          Qian Liu, Dan Luo, Joan Haase … (2020)
          Summary Background In the early stages of the outbreak of coronavirus disease 2019 (COVID-19) in Hubei, China, the local health-care system was overwhelmed. Physicians and nurses who had no infectious disease expertise were recruited to provide care to patients with COVID-19. To our knowledge, no studies on their experiences of combating COVID-19 have been published. We aimed to describe the experiences of these health-care providers in the early stages of the outbreak. Methods We did a qualitative study using an empirical phenomenological approach. Nurses and physicians were recruited from five COVID-19-designated hospitals in Hubei province using purposive and snowball sampling. They participated in semi-structured, in-depth interviews by telephone from Feb 10 to Feb 15, 2020. Interviews were transcribed verbatim and analysed using Haase's adaptation of Colaizzi's phenomenological method. Findings We recruited nine nurses and four physicians. Three theme categories emerged from data analysis. The first was “being fully responsible for patients' wellbeing—‘this is my duty’”. Health-care providers volunteered and tried their best to provide care for patients. Nurses had a crucial role in providing intensive care and assisting with activities of daily living. The second category was “challenges of working on COVID-19 wards”. Health-care providers were challenged by working in a totally new context, exhaustion due to heavy workloads and protective gear, the fear of becoming infected and infecting others, feeling powerless to handle patients' conditions, and managing relationships in this stressful situation. The third category was “resilience amid challenges”. Health-care providers identified many sources of social support and used self-management strategies to cope with the situation. They also achieved transcendence from this unique experience. Interpretation The intensive work drained health-care providers physically and emotionally. Health-care providers showed their resilience and the spirit of professional dedication to overcome difficulties. Comprehensive support should be provided to safeguard the wellbeing of health-care providers. Regular and intensive training for all health-care providers is necessary to promote preparedness and efficacy in crisis management. Funding National Key R&D Program of China, Project of Humanities and Social Sciences of the Ministry of Education in China.
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            FACTOR ANALYSIS AND PSYCHOMETRIC EVALUATION OF THE CONNOR-DAVIDSON RESILIENCE SCALE (CD-RISC) WITH CHINESE PEOPLE

            Xiaonan Yu, Jianxin Zhang (2007)
            This study examines the psychometric properties of the Chinese version of Connor and Davidson's Resilience Scale (CD-RISC; 2003), an American instrument originating from a posttraumatic stress disorder research program. Confirmatory factor analysis of the Chinese data failed to verify the original 5-factor structure of CD-RISC obtained in the USA, while exploratory factor analysis resulted in a 3-factor structure of resilience (labeled respectively as Tenacity, Strength, and Optimism). The reliability coefficient of the Chinese version of CD-RISC was 0.91. The validity of CD-RISC was also satisfying in terms of the actual data matching the expected correlation between resilience measure and the variables of selfesteem, life satisfaction, and personality trait factors of NEO-FFI. It is concluded that the construct of resilience and its measurement from the West can be helpful and applicable in understanding Chinese adaptive behaviors, however, the understanding of the construct may also need some modification according to Chinese culture.
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              A Large‐Scale Survey on Trauma, Burnout, and Posttraumatic Growth among Nurses during the COVID‐19 Pandemic

              Ruey Shyang Chen, Chao Sun, Jian-Jun Chen … (2020)
              Abstract A large‐scale survey study was conducted to assess trauma, burnout, posttraumatic growth, and associated factors for nurses in the COVID‐19 pandemic. The Trauma Screening Questionnaire, Maslach Burnout Inventory, and Posttraumatic Growth Inventory‐Short Form were utilized. Factors associated with trauma, burnout, and posttraumatic growth were analysed using logistic and multiple regressions. In total, 12 596 completed the survey, and 52.3% worked in COVID‐19 designated hospitals. At the survey’s conclusion in April, 13.3% reported trauma (Trauma ≥ 6), there were moderate degrees of emotional exhaustion, and 4,949 (39.3%) experienced posttraumatic growth. Traumatic response and emotional exhaustion were greater among (i) women (odds ratio [OR]: 1.48, 95% CI 1.12–1.97 P = 0.006; emotional exhaustion OR: 1.30, 95% CI 1.09–1.54, P = 0.003), (ii) critical care units (OR: 1.20, 95% CI 1.06–1.35, P = 0.004; emotional exhaustion OR: 1.23, 95% CI 1.12–1.33, P < 0.001) (iii) COVID‐19 designated hospital (OR: 1.24, 95% CI 1.11–1.38; P < 0.001; emotional exhaustion OR: 1.26, 95% CI 1.17–1.36; P < 0.001) and (iv) COVID‐19‐related departments (OR: 1.16, 95% CI 1.04–1.29, P = 0.006, emotional exhaustion only). To date, this is the first large‐scale study to report the rates of trauma and burnout for nurses during the COVID‐19 pandemic. The study indicates that nurses who identified as women, working in ICUs, COVID‐19 designated hospitals, and departments involved with treating COVID‐19 patients had higher scores in mental health outcomes. Future research can focus on the factors the study has identified that could lead to more effective prevention and treatment strategies for adverse health outcomes and better use of resources to promote positive outcomes.
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                Author and article information

                Contributors
                Hongmei Yi
                Journal
                Journal ID (nlm-ta): Prev Med Rep
                Title: Preventive Medicine Reports
                ISSN (Electronic): 2211-3355
                Publication date PMC-release: 27 May 2023
                Publication date Collection: August 2023
                Publication date (Electronic): 27 May 2023
                Volume: 34
                Electronic Location Identifier: 102266
                Affiliations
                [a ]Department of Gynecology, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China
                [b ]Department of Psychiatry, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China
                [c ]Emergency department, Tongnan District People’s Hospital of Chongqing, Chongqing, China
                [d ]Department of Obstetrics, Wansheng District People’s Hospital of Chongqing, Chongqing, China
                [e ]Department of Urology, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China
                Author notes
                [* ]Corresponding author. 304402293@ 123456qq.com
                Article
                Publisher Item ID: S2211-3355(23)00157-2 Publisher ID: 102266
                DOI: 10.1016/j.pmedr.2023.102266
                PMC ID: 10241969
                SO-VID: e8f0a80a-085b-4e2e-bfd6-fe8cd9519f04
                Copyright © © 2023 The Authors. Published by Elsevier Inc.
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date received : 25 March 2023
                Date revision received : 25 May 2023
                Date accepted : 26 May 2023
                Categories
                Subject: Regular Article

                Keywords: mobile cabin hospitals,nurses,psychological resilience,rumination,post-traumatic growth,mediation role analysis
                Data availability:
                Keywords: mobile cabin hospitals, nurses, psychological resilience, rumination, post-traumatic growth, mediation role analysis

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