KMID : 0869920220280020193
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Journal of Korean Academy Society of Nursing Education 2022 Volume.28 No. 2 p.193 ~ p.203
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Mediating effect of resilience between post-traumatic stress and emotional exhaustion in nurses during the COVID-19 pandemic
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Jeong Ju-Hee
Song Yeoung-Suk
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Abstract
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Purpose: This study explored the mediating role of resilience between post-traumatic stress and emotional exhaustion in nurses during the COVID-19 pandemic.
Methods: The data were collected from 193 nurses working at a hospital in Daegu from October 16 to 30, 2020, in the middle of the COVID-19 pandemic. Participants conducted self-reported surveys of post-traumatic stress (Impact of Event Scale-Revised Korean version), emotional exhaustion (Maslach Burnout Inventory), and resilience (Korean Resilience Quotient Test). The data were analyzed using descriptive statistics, frequency, t-tests, Mann-Whitney U tests, Kruskal-Wallis tests, Pearson correlation coefficients, and multiple regression. Mediation analysis was performed using the Baron and Kenny method and Sobel test.
Results: The mean scores for post-traumatic stress, resilience, and emotional exhaustion were 16.18¡¾16.18, 183.41¡¾18.29, and 32.64¡¾9.66, respectively. A higher level of post-traumatic stress was associated with lower resilience (r=-.20, p=.004) and with higher emotional exhaustion (r=.33, p<.001). A higher level of resilience was associated with lower emotional exhaustion (r=-.35, p<.001). The resilience was confirmed to have a partial mediating effect in the relationship between post-traumatic stress and emotional exhaustion, verified by the Sobel test (Z=2.31, p=.02).
Conclusion: Resilience had a partial mediating effect in the relationship between post-traumatic stress and emotional exhaustion. Thus, nurses should develop individual strengths to reduce emotional exhaustion, and managers should also make efforts to increase the nurses¡¯ resilience. It is also necessary to develop and apply a program to strengthen nurses¡¯ resilience.
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KEYWORD
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Burnout, COVID-19, Nurses, Post-traumatic stress disorder, Psychological resilience
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