Skip to main content
Journal of Gerontological Nursing, 2024;50(7):19–26

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.]

  • Afshari D., Nourollahi-Darabad M., & Chinisaz N. (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
  • Ang S. Y., Uthaman T., Ayre T. C., Mordiffi S. Z., Ang E., & Lopez V. (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
  • Bandalos D. L., & Finney S. J. (2018). Factor analysis: Exploratory and confirmatory. In The reviewer's guide to quantitative methods in the social sciences (pp. 98–122). Routledge.

    > Google Scholar
  • Chen T.-C., & Lin C.-Y. (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
  • Connor K. M., & Davidson J. R. (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
  • Costello H., Walsh S., Cooper C., & Livingston G. (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
  • Fornell C., & Larcker D. F. (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
  • Hair J. F., Hult G. T. M., Ringle C. M., & Sarstedt M. A. (2014). Primer on partial least squares structural equation modeling (PLS-SEM). Sage.

    > Google Scholar
  • Hair J. F., Page M., & Brunsveld N. (2020). Essentials of business research methods (4th ed.). Routledge.

    > Google Scholar
  • Hair J. F., Risher J. J., Sarstedt M., & Ringle C. M. (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
  • Hartmann S., Weiss M., Newman A., & Hoegl M. (2020). Resilience in the work-place: A multilevel review and synthesis. Applied Psychology, 69(3), 913–959. 10.1111/apps.12191

    > CrossrefGoogle Scholar
  • International Council of Nurses. (2016). Nurses: A force for change: Improving health systems' resilience. https://www.thder.org.tr/uploads/files/icn-2016.pdf

    > Google Scholar
  • Jo S., Kurt S., Bennett J. A., Mayer K., Pituch K. A., Simpson V., Skibiski J., Takagi E., Karaaslan M. M., Ozluk B., & Reifsnider E. (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
  • Jose S., Cyriac M. C., Dhandapani M., Mehra A., & Sharma N. (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
  • Joshi K. J., Sochaliya K. M., & Kartha G. P. (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
  • Kline R. B. (2023). Principles and practice of structural equation modeling.Guilford.

    > Google Scholar
  • Kunkle R., Chaperon C., & Berger A. M. (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
  • Labrague L. J. (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
  • Norful A. A., Brewer K. C., Cahir K. M., & Dierkes A. (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
  • Peñacoba C., Catala P., Velasco L., Carmona-Monge F. J., Garcia-Hedrera F. J., & Gil-Almagro F. (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
  • Reinhardt J. P., Franzosa E., Mak W., & Burack O. (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
  • Rodríguez-Rey R., Guerra Corral M., Collazo-Castiñeira P., Collado S., Caro-Carretero R., Cantizano A., & Garrido-Hernansaiz H. (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
  • Rosa-Besa R. D., Graboso R., Banal M. S., Malpass A., & Moyer G. (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
  • Shirali G. A., Amiri A., Chanani K. T., Silavi M., Mohipoor S., & Rashnuodi P. (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
  • Swavely D., Romig B., Weissinger G., Holtz H., Alderfer M., Lynn L., Adil T., & Rushton C. H. (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
  • Vella S.-L. C., & Pai N. B. (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
  • Wang S.-H., Wang T.-J., Hsu S.-T., & Wang M.-H. (2017). Reliability and validity of the Chinese version of the Connor-Davidson Resilience Scale. Rehabilitation Counseling, 8, 47–71. 10.30123/RC

    > CrossrefGoogle Scholar
  • Wu Y. P., Ahorsu D. K., Chen J. S., Lee C. H., Lin C. Y., & Griffiths M. D. (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
  • Yang P. H., & Tseng Y. H. (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
  • Yörük S., & Güler D. (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
  • Yu F., Raphael D., Mackay L., Smith M., & King A. (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
  • Zhang L., Li M., Yang Y., Xia L., Min K., Liu T., Liu Y., Kaslow N. J., Liu D. Y., Tang Y., Jiang F., & Liu H. (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

We use cookies on this site to enhance your user experience. For a complete overview of all the cookies used, please see our privacy policy.

×