Research progress on psychological resilience of nurses in the workplace

Abstract

Abstract:

Nurses are confronted with various stressors in their work. The stress in nursing work leads to high rates of burnout，depression，anxiety and turnover among nurses. Psychological resilience，as an individual protective factor and coping ability，plays a significant role in regulating and maintaining the physical and mental health of nurses. Research on nurses' psychological resilience in China began to gradually unfold after 2010 and has shown a rapid growth trend since 2019. Studying nurses' psychological resilience must be combined with their professional characteristics and working environment，and the resilience in the workplace is also known as career resilience. Researchers in psychology and organizational behavior have shifted their focus from individual resilience to the study of group and team resilience，and have recognized the necessity of studying resilience at the team level. The research on nurses' psychological resilience in the workplace and the importance of nurses' team psychological resilience have received increasing attention and achieved many research results. This article aims to provide a review of the concept and current research status of nurses' psychological resilience，career resilience/resilience and research progress on nurses' psychological resilience models and measurement tools，in order to provide references for the education and training of nurses' psychological resilience and the formulation of intervention plans，thereby reducing nurse turnover and promoting their mental health.

Key words: Nurses, Resilience, Career resilience, Model, scale, Workplace

CLC Number:

R181.3+1

WANG Ning, GENG Jing, GAO Jing, DU Jingjing. Research progress on psychological resilience of nurses in the workplace. [J]OCCUPATION AND HEALTH, 2026, 42(19): 2717-2721.

Figures/Tables 2

References 42

[1]	ORGANIZATION W H. State of the world's nursing 2020:Investing in education,jobs and leadership[EB/OL].(2020-01-01)[2025-05-15].https://apps.who.int/iris/handle/10665/331677.
[2]	ABUALRUZ H, HAYAJNEH F. Effectiveness of a theory-based resiliency iintervention for nnurses[J]. J Contin Educ Nurs, 2023, 54(12):581-588. DOI URL
[3]	COOPER A L, BROWN J A, REES C S. Nurse resilience:A concept analysis[J]. Int J Mental Health Nu, 2020, 29(4):553-575.
[4]	CHESAK S S, BHAGRA A, SCHROEDER D R, et al. Enhancing resilience among new nurses:Feasibility and efficacy of a pilot intervention[J]. Ochsner J, 2015, 15(1):38-44.
[5]	FOSTER K, CUZZILLO C, FURNESS T. Strengthening mental health nurses' resilience through a workplace resilience programme:A qualitative inquiry[J]. J Psychiatr Ment Health Nurs, 2018, 25:1-11. DOI URL
[6]	CLEARY M, JACKSON D, HUNGERFORD C L. Mental health nursing in Australia:Resilience as a means of sustaining the specialty[J]. Issues Ment Health N, 2014, 35(1):33-40.
[7]	刘俏玲, 张莉, 张秀玲, 等. 我国护士心理弹性相关研究的文献计量学分析[J]. 职业与健康, 2023, 39(6):826-831.
[8]	赵华殿. 国内护士心理弹性研究文献计量学分析[J]. 循证护理, 2023, 9(17):1-5.
[9]	ROBERTSON H D, ELLIOTT A M, BURTON C, et al. Resilience of primary healthcare professionals:A systematic review[J]. Br J Gen Pract, 2016, 66:e423-e433. DOI URL
[10]	FOSTER K, ROCHE M, DELGADO C, et al. Resilience and mental health nursing:An integrative review of international literature[J]. Int J Ment Health Nu, 2019, 28(1):71-85.
[11]	YU F, RAPHAEL D, MACKAY L, et al. Personal and work-related factors associated with nurse resilience:A systematic review[J]. Int J Nurs Stud, 2019, 93:129-140. DOI URL
[12]	BUI M V, MCINNES E, ENNIS G, et al. Resilience and mental health nursing:An integrative review of updated evidence[J]. Int J Ment Health Nu, 2023, 32(4):1055-1071.
[13]	PARK S, CHOI M, KIM S. Validation of the resilience scale for nurses(RSN)[J]. Arch Psychiat Nurs, 2019, 33(4):434-439. DOI URL
[14]	许珂. 护士心理弹性状况特点及影响因素的量性与质性研究[D]. 重庆: 第三军医大学, 2017.
[15]	王凤. 情绪释放疗法对临床护士心理韧性的干预研究[D]. 新乡: 新乡医学院, 2023.
[16]	韩鹏, 田梅梅, 姜金霞. 护士抗逆力现状与干预策略研究进展[J]. 护理学杂志, 2021, 36(15):98-101.
[17]	MACFARLANE J. Positive psychology:Resilience and its role within mental health nursing[J]. Brit J Ment Health Nu, 2021, 10(1):1-14.
[18]	LONDON M. Toward a theory of career motivation[J]. Acad Manag Rev, 1983, 8(4):620-630. DOI URL
[19]	蒋莹莹, 许勤, 蒋玲, 等. 护士职业心理韧性的概念分析[J]. 护士进修杂志, 2024, 39(4):356-362.
[20]	王延彤, 许敏. 我国护士职业韧性的研究现状及培养方法[J]. 中国卫生产业, 2018, 31(22):96-97.
[21]	ASHBY S E, RYAN S, GRAY M, et al. Factors that influence the professional resilience of occupational therapists in mental health practice[J]. Aust Occup Ther J, 2013, 60(2):110-119. DOI PMID
[22]	ANDERSEN S, MINTZ-BINDER R, SWEATT L, et al. Building nurse resilience in the workplace[J]. Appl Nurs Res, 2021, 59:1-6.
[23]	刘书凝. 职业认同及专业自我概念对临床护士职业韧性影响的路径分析[D]. 呼和浩特: 内蒙古医科大学, 2024.
[24]	SHARMA S, SHARMA S K. Team resilience:Scale development and validation[J]. Vision, 2016, 20(1):37-53.
[25]	MORGAN P B, FLETCHER D, SARKAR M. Defining and characterizing team resilience in elite sport[J]. Psychol Sport Exercise, 2013, 14(4):549-559. DOI URL
[26]	陈唐瑜, 胡三莲, 韦小梅, 等. 护士团队抗逆力的研究进展[J]. 职业与健康, 2024, 40(3):414-418.
[27]	STRALEN S, SCHLINKERT C, EIKENHORST L, et al. Exploring individual and team resilience among dutch hospital nurses:A survey study[J]. J Adv Nurs, 2025, 81(10):6432-6440. DOI URL
[28]	SU Y, WANG L, CHEN T, et al. Development and validation of the nurse team resilience scale(NTRS) in the context of public health emergencies[J]. BMC Nurs, 2023, 22(1):1-9. DOI
[29]	REES C S, BREEN L J, CUSACK L, et al. Understanding individual resilience in the workplace:The international collaboration of workforce resilience model[J]. Front Psychol, 2015, 6(73):1-7.
[30]	REES C S, HERITAGE B, OSSEIRAN-MOISSON R, et al. Canwe predict burnout among student nurses?An exploration of the ICWR-1 Model of individual psychologicalresilience[J]. Front Psychol, 2016, 7:1-11.
[31]	HERITAGE B, REES C S, OSSEIRAN-MOISSON R, et al. A re-examination of the individual differences approach that explains occupational resilience and psychological adjustment among nurses[J]. J Nurs Manage, 2019, 27(7):1391-1399. DOI PMID
[32]	CUSACK L, SMITH M, HEGNEY D, et al. Exploring environmental factors in nursing workplaces that promote psychological resilience:Constructing a unified theoreticalmodel[J]. Front Psychol, 2016, 7:1-8.
[33]	TURNER S B, KAYLOR S D. Neuman systems model as a conceptual framework for nurse resilience[J]. Nurs Sci Quart, 2015, 28(3):213-217. DOI PMID
[34]	李现红, 申艳, 咸亚静, 等. 低年资护士护理专业韧性发展模型:一项扎根理论研究[J]. 中国护理管理, 2022, 22(2):172-179.
[35]	IHARA H, OGATA H, INUZUKA A, et al. Development and psychometric validation of the resilience scale for nurses[J]. Jpn J Gen Hosp Psychiatry, 2010, 22(3):210-220.
[36]	JACKSON D, FIRTKO A, EDENBOROUGH M. Personal resilience as a strategy for surviving and thriving in the face of workplace adversity:A literature review[J]. J Adv Nurs, 2007, 60(1):1-9. DOI URL
[37]	PARK M M, PARK J. Development of resilience scale for nurses[J]. J Korean Acad Fundam Nurs, 2016, 23(1):32-41. DOI URL
[38]	林思婷, 罗梦娜, 李泽楷. 护士心理韧性量表的编制及其信效度检验[J]. 解放军护理杂志, 2020, 37(8):1-4.
[39]	YU X, ZHANG J. Factor analysis and psychometric evaluation of the connor-davidson resilience scale(CD-RISC) with Chinese people[J]. Soc Behav Personal, 2007, 35(1):19-30. DOI URL
[40]	NOROUZINIA R, YARMOHAMMADIAN M H, FERDOSI M, et al. Development and psychometric evaluation of the emergency nurses' professional resilience tool[J]. PLoS One, 2022, 17(6):e0269539. DOI URL
[41]	PENG Y, ZENG H, QING W, et al. The Chinese version of the emergency nurses' professional resilience tool:A translation and validation study[J]. BMC Nurs, 2025, 24(1):1-12. DOI
[42]	COOPER A L, BROWN J A, Leslie G D. Nurse resilience for clinical practice:An integrative review[J]. J Adv Nurs, 2021, 77(6):2623-2640. DOI URL