Psychological distress and resilience among Jordanian nurses in critical care units following the second wave of the COVID-19 pandemic: a cross-sectional study

Abstract Background There is limited research on the psychological impact of COVID-19 and resilience among critical care nurses in Arab countries. This study assessed psychological distress, including stress, anxiety, depression, and resilience, among Jordanian critical care nurses following the pan...

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Main Authors: Huda Anan, Malakeh. Z. Malak, Ahmad Ayed, Bayan Alwahsh
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Nursing
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Online Access:https://doi.org/10.1186/s12912-025-03317-0
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author Huda Anan
Malakeh. Z. Malak
Ahmad Ayed
Bayan Alwahsh
author_facet Huda Anan
Malakeh. Z. Malak
Ahmad Ayed
Bayan Alwahsh
author_sort Huda Anan
collection DOAJ
description Abstract Background There is limited research on the psychological impact of COVID-19 and resilience among critical care nurses in Arab countries. This study assessed psychological distress, including stress, anxiety, depression, and resilience, among Jordanian critical care nurses following the pandemic’s second wave. Methods This study employed a cross-sectional design and involved 260 registered Jordanian nurses working in critical care units across three healthcare sectors (government, private, and educational). The data collection took place from June to August 2022, using the Depression Anxiety Stress Scale (DASS 42) and the Connor-Davidson Resilience Scale (CD-RISC). Results The findings revealed that over half of the critical care nurses experienced moderate to extremely severe anxiety (57.7%). Approximately 50.0% of nurses reported moderate to extremely severe depression, while 33.5% experienced moderate to extremely severe stress. Additionally, more than half of the nurses (66.5%) had low resilience. A significant positive correlation was found between resilience and marital status (r = 0.210, p < 0.01), while a significant negative correlation was observed between resilience and anxiety (r = -0.128, p < 0.05). Conclusion This study could assist hospital managers and healthcare professionals in developing training programs and workshops to reduce psychological issues and improve resilience among critical care nurses. Clinical Trial No.
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spelling doaj-art-2aa8c799d2e6408c88a2d2f4d965aa262025-08-20T04:01:25ZengBMCBMC Nursing1472-69552025-07-012411810.1186/s12912-025-03317-0Psychological distress and resilience among Jordanian nurses in critical care units following the second wave of the COVID-19 pandemic: a cross-sectional studyHuda Anan0Malakeh. Z. Malak1Ahmad Ayed2Bayan Alwahsh3Adult Health Nursing, Al-Zaytoonah University of JordanCommunity Health Nursing, Faculty of Nursing, Al-Zaytoonah University of JordanPediatric Health Nursing, Faculty of Nursing, Arab American UniversityAdult Health Nursing, Faculty of Nursing, Al-Zaytoonah University of JordanAbstract Background There is limited research on the psychological impact of COVID-19 and resilience among critical care nurses in Arab countries. This study assessed psychological distress, including stress, anxiety, depression, and resilience, among Jordanian critical care nurses following the pandemic’s second wave. Methods This study employed a cross-sectional design and involved 260 registered Jordanian nurses working in critical care units across three healthcare sectors (government, private, and educational). The data collection took place from June to August 2022, using the Depression Anxiety Stress Scale (DASS 42) and the Connor-Davidson Resilience Scale (CD-RISC). Results The findings revealed that over half of the critical care nurses experienced moderate to extremely severe anxiety (57.7%). Approximately 50.0% of nurses reported moderate to extremely severe depression, while 33.5% experienced moderate to extremely severe stress. Additionally, more than half of the nurses (66.5%) had low resilience. A significant positive correlation was found between resilience and marital status (r = 0.210, p < 0.01), while a significant negative correlation was observed between resilience and anxiety (r = -0.128, p < 0.05). Conclusion This study could assist hospital managers and healthcare professionals in developing training programs and workshops to reduce psychological issues and improve resilience among critical care nurses. Clinical Trial No.https://doi.org/10.1186/s12912-025-03317-0AnxietyCritical care unitsDepressionResilienceStress
spellingShingle Huda Anan
Malakeh. Z. Malak
Ahmad Ayed
Bayan Alwahsh
Psychological distress and resilience among Jordanian nurses in critical care units following the second wave of the COVID-19 pandemic: a cross-sectional study
BMC Nursing
Anxiety
Critical care units
Depression
Resilience
Stress
title Psychological distress and resilience among Jordanian nurses in critical care units following the second wave of the COVID-19 pandemic: a cross-sectional study
title_full Psychological distress and resilience among Jordanian nurses in critical care units following the second wave of the COVID-19 pandemic: a cross-sectional study
title_fullStr Psychological distress and resilience among Jordanian nurses in critical care units following the second wave of the COVID-19 pandemic: a cross-sectional study
title_full_unstemmed Psychological distress and resilience among Jordanian nurses in critical care units following the second wave of the COVID-19 pandemic: a cross-sectional study
title_short Psychological distress and resilience among Jordanian nurses in critical care units following the second wave of the COVID-19 pandemic: a cross-sectional study
title_sort psychological distress and resilience among jordanian nurses in critical care units following the second wave of the covid 19 pandemic a cross sectional study
topic Anxiety
Critical care units
Depression
Resilience
Stress
url https://doi.org/10.1186/s12912-025-03317-0
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