Relationship between clinical nurses' coping styles and burnout：The mediating role of psychological resilience

Abstract

Abstract: Objective To understand the current state of burnout among clinical nurses and to explore the relationship between coping styles and burnout,and the separate mediating role of psychological resilience between them. Methods Form January to March 2024,a questionnaire survey was conducted using convenience sampling method among clinical nursing staff of 23 general hospitals selected from 17 cities in China. The data were analysed. Results A total of 862 clinical nurses were included,valid questionnaire return rate was 87.25%. The burnout score of clinical nurses was （54.33±20.07）points,the total score of positive coping was （22.56±7.78）points,the total score of negative coping was （18.62±4.62）points,and the total score of psychological resilience was （60.94±17.13）points. Pearson's correlation analysis found that positive coping was favorably connected with clinical nurses' psychological resilience（r=0.525,P<0.01） and negatively correlated with burnout（r=-0.427,P<0.01）,negative coping of clinical nurses was negatively correlated with psychological resilience（r=-0.121,P<0.05） and positively correlated with burnout（r=0.225,P<0.05）. Positive coping could negatively predict clinical nurses burnout（β=-0.427,s_x =0.045,P<0.01）,negative coping could positively predict clinical nurses' burnout（β=0.371,s_x =0.045,P<0.01）. Psychological resilience partially mediated the relationship between positive coping and burnout,with an indirect effect value of -0.176,accounting for 41.22% of the total effect. Negative coping could not only directly predict burnout（direct effect value of 0.142）,but also indirectly influence burnout through the mediating role of psychological resilience（mediating effect value of 0.119）,accounting for 54.41% and 45.59% of the total effect,respectively. Conclusions Clinical nurses suffer from moderate burnout,and coping styles may not only directly affect burnout,but also indirectly through the mediating role of psychological resilience. Inducing positive coping styles in clinical nurses may be beneficial in increasing psychological resilience,then indirectly reducing burnout,and increasing work efficiency.

Key words: Burnout, Coping styles, Mediation analysis, Clinical nurses, Psychological resilience

CLC Number:

R181.3⁺1

WEI Tao, XING Xiaoli, XU Bu, GAN Yan, LIU Jingjing, RONG Xiangxia. Relationship between clinical nurses' coping styles and burnout：The mediating role of psychological resilience. [J]OCCUPATION AND HEALTH, 2025, 41(7): 865-869.

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