Resilience, workplace efficiency, andmental health in registered nurse inKing Chulalongkorn Memorial Hospital

Abstract

Background:Resilience is the ability to withstand adversity and bounce back from difficult life events. Previous studies have shown that resilience is important for registered nurses due to it’s related to workplace efficiency and mental health. However, studies concerning these factors in registered nurses in Thailand were still limited.

Objectives:To study resilience, workplace efficiency and mental health among registered nurses at King Chulalokorn Memorial Hospital (KCMH), and to determine the associated factors of resilience.

Methods:The samples were 488 King Chulalongkorn Memorial Hospital’s registered nurses who had over one year work experience at KCMH. The study was conducted by using self-reported questionnaires, composed of: 1) demographic data form; 2) workplace efficiency questionnaire - Thai version; 3) emotional sensitivity questionnaire - Thai version; 4) general health questionnaire - Thai version; 5) resilience quotient questionnaire - Thai version; and 6) social support questionnaire - Thai version.

Results: Most registered nurses (58.0%) had moderate resilience, followed by high (24.8%) and low (17.2%)resilience.The average score of resilience was 61.6 ± 7.3. Most of them (77.9%) had normal mental health. Most of them (73.2%) had high level of workplace efficiency. The associated factors with high level of resilience were age over 34 years (P= 0.024), master degree (P= 0.019), sufficient income (P= 0.024), work experience over 11 years(P= 0.016), work position registered nurse RN6 – RN8 (P= 0.013), morning work shift (P= 0.029), over 37 of patients in care (P= 0.010), having no sleeping problems (P= 0.003), high emotional sensitivity (P< 0.001) and high social support (P< 0.001). Logistic regression showed that the predictors of high level of resilience was no sleeping problems (P= 0.014), high emotional sensitivity (P= 0.011) and high social support (P< 0.001). This study found that resilience was related to both workplace efficiency and mental health (P< 0.001).

Conclusion: Most of the registered nurses in KCMH had moderate resilience. Most of them had normal mental health and a high level of workplace efficiency. Resilience was associated with both mental health and workplace efficiency. Emotional sensitivity and social support played an important role to predict resilience among registered nurses in KCMH. Therefore, improving emotional sensitivity and social support in registered nurse may help to increase resilience.