Workplace Resilience and Stress Among Certified Nursing Assistants in Long-Term Care Institutions During the COVID-19 Pandemic
Abstract
Purpose:
To explore the relationship among resilience, stress, and demographic factors in certified nursing assistants (CNAs) who worked in long-term care institutions during the coronavirus disease 2019 pandemic.
Method:
A cross-sectional correlation-based research design was used. Data were collected using a demographic questionnaire, Connor-Davidson Resilience Scale, and Occupational Stress Scale. CNAs from 21 long-term care institutions in Taiwan were recruited.
Results:
This study included 118 female and 26 male CNAs (response rate = 80%). Mean age was 46.8 years. A moderately negative correlation was found between workplace resilience and stress. Overall, being a woman and parent were found to be significantly correlated with CNAs' resilience. Furthermore, resilience and shift work were important predictors of stress.
Conclusion:
We suggest that leadership and management pay more attention to CNAs' basic demographic background information. Furthermore, timely, relevant strategies can be provided to enhance resilience and reduce workplace stress. [Journal of Gerontological Nursing, 50(7), 19–26.]
- 2021). Demographic predictors of resilience among nurses during the COVID-19 pandemic. Work (Reading, Mass.), 68, 297–303.
10.3233/WOR-203376 PMID:33492260 > ( Crossref MedlineGoogle Scholar - 2018). Association between demographics and resilience: A cross-sectional study among nurses in Singapore. International Nursing Review, 65(3), 459–466.
10.1111/inr.12441 PMID:29517143 > ( Crossref MedlineGoogle Scholar - 2018). Factor analysis: Exploratory and confirmatory. In The reviewer's guide to quantitative methods in the social sciences (pp. 98–122). Routledge. > (Google Scholar
- 2021). Correlational study on occupational stress and the well-being of middle-aged and senior home-care providers in Taichung City. Journal of Gerontechnology and Service Management, 9(3), 292–313.
10.6283/JOCSG.202109_9(3).292 > ( CrossrefGoogle Scholar - 2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18(2), 76–82.
10.1002/da.10113 PMID:12964174 > ( Crossref MedlineGoogle Scholar - 2019). A systematic review and meta-analysis of the prevalence and associations of stress and burnout among staff in long-term care facilities for people with dementia. International Psychogeriatrics, 31(8), 1203–1216.
10.1017/S1041610218001606 PMID:30421691 > ( Crossref MedlineGoogle Scholar - 1981). Evaluating structural equation models with unobservable variables and measurement error. JMR, Journal of Marketing Research, 18(1), 39–50.
10.1177/002224378101800104 > ( CrossrefGoogle Scholar - 2014). Primer on partial least squares structural equation modeling (PLS-SEM). Sage. > (Google Scholar
- 2020). Essentials of business research methods (4th ed.). Routledge. > . (Google Scholar
- 2019). When to use and how to report the results of PLS-SEM. European Business Review, 31(1), 2–24.
10.1108/EBR-11-2018-0203 > ( CrossrefGoogle Scholar - 2020). Resilience in the work-place: A multilevel review and synthesis. Applied Psychology, 69(3), 913–959.
10.1111/apps.12191 > ( CrossrefGoogle Scholar - 2016). Nurses: A force for change: Improving health systems' resilience. https://www.thder.org.tr/uploads/files/icn-2016.pdf > . (Google Scholar
- 2021). Nurses' resilience in the face of coronavirus (COVID-19): An international view. Nursing & Health Sciences, 23(3), 646–657.
10.1111/nhs.12863 PMID:34169629 > ( Crossref MedlineGoogle Scholar - 2022). Mental health outcomes of perceived stress, anxiety, fear and insomnia, and the resilience among frontline nurses caring for critical COVID-19 patients in intensive care units. Indian Journal of Critical Care Medicine, 26(2), 174–178.
10.5005/jp-journals-10071-24119 PMID:35712741 > ( Crossref MedlineGoogle Scholar - 2020). A cross-sectional study on the level of job stress among nursing staff and its relation with demographic variables and their work pattern in a tertiary care teaching hospital in Surendranagar, Gujarat. Indian Journal of Community Health, 32(2), 404–410.
10.47203/IJCH.2020.v32i02.018 > ( CrossrefGoogle Scholar - 2023). Principles and practice of structural equation modeling.Guilford. > (Google Scholar
- 2021). Formal caregiver burden in nursing homes: An integrative review. Western Journal of Nursing Research, 43(9), 877–893.
10.1177/0193945920979691 PMID:33357000 > ( Crossref MedlineGoogle Scholar - 2021). Psychological resilience, coping behaviours and social support among health care workers during the COVID-19 pandemic: A systematic review of quantitative studies. Journal of Nursing Management, 29(7), 1893–1905.
10.1111/jonm.13336 PMID:33843087 > ( Crossref MedlineGoogle Scholar - 2024). Individual and organizational factors influencing well-being or burnout among healthcare assistants: A systematic review. International Journal of Nursing Studies Advances, 6, 100187.
10.1016/j.ijnsa.2024.100187 > ( Crossref MedlineGoogle Scholar - 2021). Stress and quality of life of intensive care nurses during the COVID-19 pandemic: Self-efficacy and resilience as resources. Nursing in Critical Care, 26(6), 493–500.
10.1111/nicc.12690 PMID:34387905 > ( Crossref MedlineGoogle Scholar - 2022). In their own words: The challenges experienced by certified nursing assistants and administrators during the COVID-19 pandemic. Journal of Applied Gerontology, 41(6), 1539–1546.
10.1177/07334648221081124 PMID:35343299 > ( Crossref MedlineGoogle Scholar - 2024). Predictors of mental health in healthcare workers during the COVID-19 pandemic: The role of experiential avoidance, emotion regulation and resilience. Journal of Advanced Nursing. Advance online publication.
10.1111/jan.16122 PMID:38382909 > . ( Crossref MedlineGoogle Scholar - 2021). Work stress and resiliency in nurse leaders. Nursing Management, 52(7), 42–47.
10.1097/01.NUMA.0000754100.49039.f9 PMID:34170876 > ( Crossref MedlineGoogle Scholar - 2021). Job stress and resilience in Iranian nurses during the COVID-19 pandemic: A case-control study. Work (Reading, Mass.), 70(4), 1011–1020.
10.3233/WOR-210476 PMID:34842214 > ( Crossref MedlineGoogle Scholar - 2022). The impact of traumatic stress, resilience, and threats to core values on nurses during a pandemic. The Journal of Nursing Administration, 52(10), 525–535.
10.1097/NNA.0000000000001194 PMID:36166631 > ( Crossref MedlineGoogle Scholar - 2019). A theoretical review of psychological resilience: Defining resilience and resilience research over the decades. Archives of Medicine and Health Sciences, 7(2), 233–239.
10.4103/amhs.amhs_119_19 > ( CrossrefGoogle Scholar - 2017). Reliability and validity of the Chinese version of the Connor-Davidson Resilience Scale. Rehabilitation Counseling, 8, 47–71.
10.30123/RC > ( CrossrefGoogle Scholar - 2022). The role of demographic factors, mindfulness and perceived stress in resilience among nurses: A cross sectional study. Journal of Nursing Management, 30(7), 3093–3101.
10.1111/jonm.13715 PMID:35695219 > ( Crossref MedlineGoogle Scholar - 2022). Demographic variables, perceived work stress, and job satisfaction as predictors of organizational commitment in nurses during the COVID-19 pandemic [article in Chinese]. Hu Li Za Zhi, 69(6), 33–44.
10.6224/JN.202212_69(6).06 PMID:36455912 > ( Crossref MedlineGoogle Scholar - 2021). The relationship between psychological resilience, burn-out, 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.
10.1111/ppc.12659 PMID:33103773 > ( Crossref MedlineGoogle Scholar - 2019). Personal and work-related factors associated with nurse resilience: A systematic review. International Journal of Nursing Studies, 93, 129–140.
10.1016/j.ijnurstu.2019.02.014 PMID:30925279 > ( Crossref MedlineGoogle Scholar - 2022). Gender differences in the experience of burnout and its correlates among Chinese psychiatric nurses during the COVID-19 pandemic: A large-sample nationwide survey. International Journal of Mental Health Nursing, 31(6), 1480–1491.
10.1111/inm.13052 PMID:35957615 > ( Crossref MedlineGoogle Scholar