Examining the determinants of resilience and mental stress in emergency department nurses

Abstract Background Emergency departments (ED) are characterized by highly dynamic environments. This study aimed to identify determinants of resilience and mental stress among ED nurses. Methods A cross-sectional, analytical design was employed to assess 316 emergency nurses in Kermanshah hospitals...

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Main Authors: Zahra Kamari, Ali Akbar Vaisi Raygani, Nader Salari, Behnam Khaledi-Paveh, Mohammad Mehdi Mohammadi
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Nursing
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Online Access:https://doi.org/10.1186/s12912-025-02691-z
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author Zahra Kamari
Ali Akbar Vaisi Raygani
Nader Salari
Behnam Khaledi-Paveh
Mohammad Mehdi Mohammadi
author_facet Zahra Kamari
Ali Akbar Vaisi Raygani
Nader Salari
Behnam Khaledi-Paveh
Mohammad Mehdi Mohammadi
author_sort Zahra Kamari
collection DOAJ
description Abstract Background Emergency departments (ED) are characterized by highly dynamic environments. This study aimed to identify determinants of resilience and mental stress among ED nurses. Methods A cross-sectional, analytical design was employed to assess 316 emergency nurses in Kermanshah hospitals using a convenience sampling method. The Connor-Davidson Resilience Scale and the Perceived Stress Scale measured resilience and mental stress, respectively. Data were analyzed using independent t-tests, ANOVA, chi-square tests, and Pearson’s correlation in SPSS version 25. Results The average mental stress score was 26.9, and the average resilience score was 64, indicating moderate levels. Significant relationships were found between employment status, emergency responsibility, economic status, and resilience (P < 0.01). Additionally, place of residence, number of children, education, shift work, social network presence, employment status, emergency responsibility, and economic status were significantly related to psychological stress (P < 0.01). Pearson’s correlation showed an inverse relationship between resilience and mental stress (r = -0.123, P = 0.029). Age was inversely related to mental stress (r = -0.408, P < 0.001), while overtime hours per month were directly related to resilience (r = 0.135, P = 0.016) and inversely related to mental stress (r = -0.482, P = 0.029). Conclusion The research highlights the importance of considering demographic variables in managing nurses’ resilience and mental pressure, emphasizing the need for hospital officials to focus on work shifts, employment status, and economic conditions.
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spelling doaj-art-dc452384c10940429c794f849ec556e02025-01-12T12:13:38ZengBMCBMC Nursing1472-69552025-01-012411910.1186/s12912-025-02691-zExamining the determinants of resilience and mental stress in emergency department nursesZahra Kamari0Ali Akbar Vaisi Raygani1Nader Salari2Behnam Khaledi-Paveh3Mohammad Mehdi Mohammadi4School of Nursing and Midwifery, Kermanshah University of Medical SciencesSchool of Nursing and Midwifery, Kermanshah University of Medical SciencesDepartment of Biostatistics, School of Health, Kermanshah University of Medical SciencesDepartment of Geriatric and Psychiatric Nursing, School of Nursing and Midwifery, Kermanshah University of Medical SciencesSchool of Nursing and Midwifery, Kermanshah University of Medical SciencesAbstract Background Emergency departments (ED) are characterized by highly dynamic environments. This study aimed to identify determinants of resilience and mental stress among ED nurses. Methods A cross-sectional, analytical design was employed to assess 316 emergency nurses in Kermanshah hospitals using a convenience sampling method. The Connor-Davidson Resilience Scale and the Perceived Stress Scale measured resilience and mental stress, respectively. Data were analyzed using independent t-tests, ANOVA, chi-square tests, and Pearson’s correlation in SPSS version 25. Results The average mental stress score was 26.9, and the average resilience score was 64, indicating moderate levels. Significant relationships were found between employment status, emergency responsibility, economic status, and resilience (P < 0.01). Additionally, place of residence, number of children, education, shift work, social network presence, employment status, emergency responsibility, and economic status were significantly related to psychological stress (P < 0.01). Pearson’s correlation showed an inverse relationship between resilience and mental stress (r = -0.123, P = 0.029). Age was inversely related to mental stress (r = -0.408, P < 0.001), while overtime hours per month were directly related to resilience (r = 0.135, P = 0.016) and inversely related to mental stress (r = -0.482, P = 0.029). Conclusion The research highlights the importance of considering demographic variables in managing nurses’ resilience and mental pressure, emphasizing the need for hospital officials to focus on work shifts, employment status, and economic conditions.https://doi.org/10.1186/s12912-025-02691-zResilienceStressPsychologicalEmergency nursing
spellingShingle Zahra Kamari
Ali Akbar Vaisi Raygani
Nader Salari
Behnam Khaledi-Paveh
Mohammad Mehdi Mohammadi
Examining the determinants of resilience and mental stress in emergency department nurses
BMC Nursing
Resilience
Stress
Psychological
Emergency nursing
title Examining the determinants of resilience and mental stress in emergency department nurses
title_full Examining the determinants of resilience and mental stress in emergency department nurses
title_fullStr Examining the determinants of resilience and mental stress in emergency department nurses
title_full_unstemmed Examining the determinants of resilience and mental stress in emergency department nurses
title_short Examining the determinants of resilience and mental stress in emergency department nurses
title_sort examining the determinants of resilience and mental stress in emergency department nurses
topic Resilience
Stress
Psychological
Emergency nursing
url https://doi.org/10.1186/s12912-025-02691-z
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