Exploring the relationship between resilience, sense of coherence, and social support in a sample of nurses during the spread of COVID-19: a mediation analysis study

BackgroundDuring the spread of COVID-19, nurses on the front line of fighting the disease experienced severe psychological pressures. The ability to adapt to difficult situations is an essential requirement for maintaining individuals’ endurance during a crisis. This study was designed to explore th...

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Main Authors: Camelia Rohani, Mehrnaz Ahmadi, Maryam Seyedtabib, Ladan Mehdipoorkorani
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1451236/full
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author Camelia Rohani
Camelia Rohani
Mehrnaz Ahmadi
Maryam Seyedtabib
Ladan Mehdipoorkorani
author_facet Camelia Rohani
Camelia Rohani
Mehrnaz Ahmadi
Maryam Seyedtabib
Ladan Mehdipoorkorani
author_sort Camelia Rohani
collection DOAJ
description BackgroundDuring the spread of COVID-19, nurses on the front line of fighting the disease experienced severe psychological pressures. The ability to adapt to difficult situations is an essential requirement for maintaining individuals’ endurance during a crisis. This study was designed to explore the relationship between three outcome variables of resilience, sense of coherence (SOC), and perceived social support in a sample of Iranian nurses during the spread of the COVID-19 pandemic.MethodsA cross-sectional study with a correlational design was conducted on 360 registered nurses from six university hospitals during the seventh wave of COVID-19 in our society. Data collection was conducted by the demographic information questionnaire, the Connor–Davidson Resilience Scale (CD-RISC), the Sense of Coherence Scale (SOC-13), and the Multidimensional Scale of Perceived Social Support (MSPSS).ResultsThe results of the structural equation modeling (SEM) showed that social support had a direct positive effect on the SOC (β = 0.498, p < 0.001), and the SOC had a direct positive effect on the resilience (β = 0.688, p < 0.001). Furthermore, we found an indirect effect of social support on resilience through the complete mediating role of the SOC.ConclusionThe full mediating role of SOC in the relationship between social support and resilience showed that nurses with a higher level of SOC had a better understanding of social support, and this can influence their resilience in the COVID-19 crisis. This is theoretical support for the application of the salutogenic approach to health intervention plans to promote a healthy orientation in nurses toward mobilizing resources.
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spelling doaj-art-a833504698614419aaee4c11464f8a7e2025-01-17T05:10:12ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.14512361451236Exploring the relationship between resilience, sense of coherence, and social support in a sample of nurses during the spread of COVID-19: a mediation analysis studyCamelia Rohani0Camelia Rohani1Mehrnaz Ahmadi2Maryam Seyedtabib3Ladan Mehdipoorkorani4Department of Health Care Sciences, Palliative Care Research Center, Marie Cederschiöld University, Stockholm, SwedenDepartment of Community Health Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IranNursing Care Research Center in Chronic Diseases, Medical and Surgical Nursing Department, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranDepartment of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranMedical and Surgical Nursing Department, Taleghani Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranBackgroundDuring the spread of COVID-19, nurses on the front line of fighting the disease experienced severe psychological pressures. The ability to adapt to difficult situations is an essential requirement for maintaining individuals’ endurance during a crisis. This study was designed to explore the relationship between three outcome variables of resilience, sense of coherence (SOC), and perceived social support in a sample of Iranian nurses during the spread of the COVID-19 pandemic.MethodsA cross-sectional study with a correlational design was conducted on 360 registered nurses from six university hospitals during the seventh wave of COVID-19 in our society. Data collection was conducted by the demographic information questionnaire, the Connor–Davidson Resilience Scale (CD-RISC), the Sense of Coherence Scale (SOC-13), and the Multidimensional Scale of Perceived Social Support (MSPSS).ResultsThe results of the structural equation modeling (SEM) showed that social support had a direct positive effect on the SOC (β = 0.498, p < 0.001), and the SOC had a direct positive effect on the resilience (β = 0.688, p < 0.001). Furthermore, we found an indirect effect of social support on resilience through the complete mediating role of the SOC.ConclusionThe full mediating role of SOC in the relationship between social support and resilience showed that nurses with a higher level of SOC had a better understanding of social support, and this can influence their resilience in the COVID-19 crisis. This is theoretical support for the application of the salutogenic approach to health intervention plans to promote a healthy orientation in nurses toward mobilizing resources.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1451236/fullresiliencesense of coherencesocial supportnurseCOVID-19Iran
spellingShingle Camelia Rohani
Camelia Rohani
Mehrnaz Ahmadi
Maryam Seyedtabib
Ladan Mehdipoorkorani
Exploring the relationship between resilience, sense of coherence, and social support in a sample of nurses during the spread of COVID-19: a mediation analysis study
Frontiers in Public Health
resilience
sense of coherence
social support
nurse
COVID-19
Iran
title Exploring the relationship between resilience, sense of coherence, and social support in a sample of nurses during the spread of COVID-19: a mediation analysis study
title_full Exploring the relationship between resilience, sense of coherence, and social support in a sample of nurses during the spread of COVID-19: a mediation analysis study
title_fullStr Exploring the relationship between resilience, sense of coherence, and social support in a sample of nurses during the spread of COVID-19: a mediation analysis study
title_full_unstemmed Exploring the relationship between resilience, sense of coherence, and social support in a sample of nurses during the spread of COVID-19: a mediation analysis study
title_short Exploring the relationship between resilience, sense of coherence, and social support in a sample of nurses during the spread of COVID-19: a mediation analysis study
title_sort exploring the relationship between resilience sense of coherence and social support in a sample of nurses during the spread of covid 19 a mediation analysis study
topic resilience
sense of coherence
social support
nurse
COVID-19
Iran
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1451236/full
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