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Health SA Gesondheid (Online)

versão On-line ISSN 2071-9736
versão impressa ISSN 1025-9848

Health SA Gesondheid (Online) vol.16 no.1 Cape Town  2011

 

ORIGINAL RESEARCH

 

The prevalence of resilience in a group of professional nurses

 

 

Magdalena P. KoenI; Chrizanne van EedenII; Marié P. WissingIII

ISchool of Nursing Science, North-West University (Potchefstroom Campus), South Africa
IISchool of Behavioural Sciences, North-West University (Vaal Triangle Campus), South Africa
IIISchool of Psychosocial Behavioural Sciences, North-West University (Potchefstroom Campus), South Africa

Correspondence

 

 


ABSTRACT

The literature and practice show that many professional nurses feel emotionally overloaded and are experiencing job dissatisfaction, which often results in them leaving the profession. Paradoxically, some nurses choose to remain in nursing and survive, cope and even thrive despite their unique workplace adversities. It is, however, not known what the prevalence of resilience amongst nurses is, and what influence working in private versus public contexts has on this resilience. The aims of this study were to determine the prevalence of resilience in a group of professional nurses, to determine whether private versus public contexts played a role in nurses' resilience, and to obtain an indication of participants' views of their profession and resilience therein. A cross-sectional survey design was used where professional nurses (N = 312) working in public and private hospitals in South Africa voluntarily completed measures of psycho-social well-being as indicators of their degree of resilience. They also answered three open-ended questions on their profession. Results showed moderate-to-high correlations amongst scales, indicating conceptual coherence as indicators of resilience. Prevalence of resilience was determined by normalising the mean scores of the measuring instruments. The total value of the normalised mean scores was given as a fraction (0-1), representing a level of resilience manifested by the participants across all scales. This indicated three levels of resilience: 10% of participants manifested low resilience, 47% moderate resilience and 43% high resilience. Nurses in private health care had significantly (small practical effect) higher levels of resilience than nurses in public health care.


OPSOMMING

Die literatuur en praktyk dui daarop dat baie professionele verpleegkundiges emosioneel uitgeput is, werksontevredenheid ervaar en dikwels die beroep verlaat. Paradoksaal kies sommige verpleegkundiges om in die beroep te bly, en floreer selfs ten spyte van hul unieke en moeilike werksomstandighede. Dit is egter nie bekend wat die voorkoms van veerkragtigheid in verpleegkundiges is nie, of wat die invloed van werk in privaat versus die openbare omgewing op veerkragtigheid is nie. Die doelwitte van die studie was om die voorkoms van veerkragtigheid in 'n groep professionele verpleegkundiges te bepaal, om die rol van privaat versus openbare omgewings in veerkragtigheid te bepaal, en om 'n aanduiding van deelnemers se siening oor hul professie en veerkragtigheid daarin, te bekom. 'n Dwarsdeursnit ontwerp was gebruik waarin professionele verpleegkundiges (N = 312) werksaam in openbare of privaat hospitale in Suid-Afrika vrywillig vraelyste oor psigososiale welstand as aanduiders van die vlak van veerkragtigheid, voltooi het. Hulle het ook drie oop-einde vrae oor hul beroep beantwoord. Bevindinge het op matige tot hoë korrelasies tussen skale gewys wat dui op konseptuele koherensie tussen die indikatore van veerkragtigheid. Veerkragtigheid is bereken deur normalisering van die gemiddelde tellings vir die meetinstrumente van al die skale. Die totale waarde van genormaliseerde gemiddeldes was as 'n fraksie (0-1) uitgedruk. Drie vlakke van veerkragtigheid het gemanifesteer, 10% van die deelnemers het met lae veerkragtigheid gemanifesteer, 47% met matige veerkragtigheid en 43% met hoë veerkragtigheid. Verpleegkundiges in privaat gesondheidsorg het beduidende (klein praktiese waarde) hoër vlakke van veerkragtigheid getoon as verpleegkundiges in openbare gesondheidsorg.


 

 

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References

African National Congress, 1994, 'A National Health Plan for South Africa', viewed 25 August 2009, from http://www.bhfglobal.com/files/bhf/Heather%20McLeod%20-%20ANC%20HEALTH%20PLAN%201994.pdf        [ Links ]

Aiken, L.H., Clarke, S.P. & Sloane, J.A., 2001, 'An international perspective on hospital nurse's work environments: The case for reform', Policy, Politics, & Nursing Practice 4(2), 255-263.         [ Links ]

Antonovsky, A., 1979, Health, stress and coping. New perspective on mental and physical well-being, Jossey-Bass, San Francisco, CA.         [ Links ]

Antonovsky, A., 1987, Unrevealing the mystery of health, Jossey-Bass, San Francisco, CA.         [ Links ]

Antonovsky, A., 1993, 'The structure and properties of the sense of coherence scale', Social Science & Medicine 36, 725-733. http://dx.doi.org/10.1016/02779536(93)90033-Z        [ Links ]

Bandura, A., 1997, Self-Efficacy, Freeman, New York.         [ Links ]

Basson, M.J. & Van der Merwe, T., 1994, 'Occupational stress and coping in a sample of student nurses', Curationis 17(4), 35-43.         [ Links ]

Bateman, C., 2005, 'Ethnic tensions aggravate nursing shortage', South African Medical Journal 95(12), 905-907.         [ Links ]

Bosman, J.J., 1990, 'An investigation into the nature of religious experience and the compilation of a preliminary questionnaire for the empirical measuring thereof', MA dissertation, Stellenbosch University.         [ Links ]

Brink, H., 2006, Fundamentals of research methodology for health care professionals, 2nd edn., revised by C. van der Walt & G. van Rensburg, Juta, Cape Town.         [ Links ]

Buchan, J., 2006, 'The impact of global nursing migration on health service delivery', Policy, Politics, & Nursing Practice 7(3), 16-25. http://dx.doi.org/10.1177/1527154406291520        [ Links ]

Burns, N. & Grove, S.K., 2005, The practice of nursing research: Conduct, critique, and utilization, 5th edn., Elsevier Saunders, St Louis, MO.         [ Links ]

Carr, A., 2004, Positive psychology: The science of happiness and human strengths, Brunner-Routledge, Hove.         [ Links ]

Carver, C.S., 1998, 'Resilience and thriving: Issues, models and linkages', Journal of Social Issues, 54(2) 245-266.         [ Links ]

Cavanagh, S.J., 1997, 'Educational sources of stress in midwifery students', Nurse Education Today 17, 128-135.         [ Links ]

Chesney, M.A., Neilands, T.B., Chambers, D.B., Taylor, J.M. & Folkman, S., 2006, 'A validity and reliability study of the coping and self-efficacy scale', British Journal of Health Psychology 11, 421-437. http://dx.doi.org/10.1348/135910705X53155, PMid:16870053, PMCid:1602207        [ Links ]

Day, C. & Gray, A., 2005, 'Health and related factors', in P. Ijumba & P. Barron (eds.), South African Health Review 2005, pp. 248-366, Health Systems Trust, Durban.         [ Links ]

Dennill, K., King, L. & Swanepoel, T., 2002, Aspects of primary health care: Community health care in Southern Africa 2nd edn., Oxford, Cape Town.         [ Links ]

Democratic Nursing Organisation of South Africa, 1998, Ethical standards for nurse researchers, Denosa, Pretoria.         [ Links ]

Dreyer, J.E., 2003, 'Die psigologiese- en sosiale welsyn van 'n groep homoseksuele mans', MA verhandeling, PU vir CHO, Potchefstroom.         [ Links ]

Ehlers, V.J., 2003, 'Professional nurses' requests to remove their names from the South African Nursing Councils's register. Pt. 1; Introduction and literature review', Health SA Gesondheid 8(2), 63-69.         [ Links ]

Ehlers, V.J., 2006, Challenges nurses face in coping with the HIV/AIDS pandemic in Africa. International Journal of Nursing 43, 657. http://dx.doi.org/10.1016/.jijnurstu.2005.11.009, PMid:16436278        [ Links ]

Eriksson, M. & Lindström, B., 2006, 'Validity of Antonovsky's sense of coherence scale: A systematic review', Journal of Epidemiology and Community Health 9, 460-466.         [ Links ]

Feudtner, C., Santucci, G., Feinstein, J.A., Snyder, C.R., Rourke, M.T. & Kang, T.I., 2007, 'Hopeful thinking and level of comfort regarding providing pediatric palliative care: A survey of hospital nurses', Pediatrics 119(1), 186-192.         [ Links ]

Fletcher, C.E., 2001, 'Hospital RN's job satisfaction and dissatisfactions', Journal of Nursing Administration 31(6), 324-331. http://dx.doi.org/10.1097/00005110200106000-00011        [ Links ]

Garmezy, N., 1991, 'Resiliency and vulnerability to adverse developmental outcomes associated with poverty', American Behavioral Scientist 34(4), 416-430. http://dx.doi.org/10.1177/0002764291034004003        [ Links ]

Geyer, N., Naude, S. & Sithole, G., 2002, 'Legislative issues impacting on the practice of the South African nurse practitioner', Journal of the American Academy of Nurse Practitioners 14(1), 11-15. http://dx.doi.org/10.1111/j.1745-7599.2002.tb00064.x, PMid:11845634        [ Links ]

Gillespie, B.M., 2007, 'The predictors of resilience in operating room personnel', Doctoral thesis, Griffith University, Australia.         [ Links ]

Glantz, M.D. & Johnson, J.L. (eds.), 1999, Resilience and development: Positive life adaptations, University of Maryland, Baltimore: MD.         [ Links ]

Goldberg, D.P. & Hillier, V.F., 1979, 'A scaled version of the general health questionnaire', Psychological Medicine 9(1), 139-145. http://dx.doi.org/10.1017/S0033291700021644        [ Links ]

Huber, C.H. & Mathy, R.M., 2002, 'Focusing on what goes right: An interview with Robin Mathy', Journal of Individual Psychology 58(3), 214-224.         [ Links ]

Jackson, D., Clare, J. & Mannix, J., 2002, 'Who would want to be a nurse? Violence in the workplace - A factor in recruitment and retention', Journal of Nursing Management 10(1), 13-20. http://dx.doi.org/10.1046/j.0966-0429.2001.00262.x, PMid:11906596        [ Links ]

Kaplan, H.B., 1999, 'Toward an understanding of resilience: A critical review of definitions and models', in M.D. Glantz & J.L. Johnson (eds.), Resilience and development: Positive adaptations, pp. 17-88, Kluwer Academic/Plenum, Dordrecht.         [ Links ]

Keyes, C.L.M., 2002, 'The mental health continuum: From languishing to flourishing in life', Journal of Health and Social Research 43(2), 207-222.         [ Links ]

Keyes, C.L.M., 2005, 'The subjective well-being of America's youth: Toward a comprehensive assessment', Adolescent and Family Health 4(1), 3-11.         [ Links ]

Keyes, C.L.M., 2006a, April, "If health matters: When will we stop saying one thing and doing another?" Keynote address presented at the South African Conference on Positive Psychology: Individual, social and work wellness, Potchefstroom, South Africa, 7 September 2006.         [ Links ]

Keyes, C.L.M., 2006b, 'Subjective well-being in mental health and human development research worldwide: An introduction', Social Indicators Research 77(1), 1-10.         [ Links ]

Keyes, C.L.M., 2007, 'Promoting and protecting mental health as flourishing: A complementary strategy for improving national mental health', American Psychologist 62(2), 95-108.         [ Links ]

Keyes, C.L.M., 2009, 'The nature and importance of positive mental health in America's adolescents', in R. Gilman, E.S. Huebner & M.J. Furlong (eds.), Handbook of positive psychology in schools, pp. 9-23, Routledge, New York.         [ Links ]

Keyes, M.A., Sharma, A., Elkins, I.J., Iacona, W.G. & McGue, M., 2008, 'The mental health of US adolescents adopted in infancy', Archives of Pediatric and Adolescent Medicine 162(5), 419-425.         [ Links ]

Kinman, G., 2008, 'Work stressors, health and sense of coherence in UK academic employees', Educational Psychology, 28(7), 823-835. http://dx.doi.org/10.1080/01443410802366298        [ Links ]

Kleinke, C.L., 1998, Coping with the challenges, 2nd edn., Brooks Cole, Pacific Grove, CA.         [ Links ]

Koen, M.P., Van Eeden, C. & Wissing, M.P., 2011, 'The prevalence of resilience in a group of professional nurses', Health SA Gesondheid 16(1), Art. #576, 11 pages. http://dx.doi.org/10.4102/hsag.v16i1.576        [ Links ]

Lazarus, R. & Folkman, S., 1984, Stress, appraisal and coping. Springer, New York.         [ Links ]

Lifton, R.J., 1993, The protean self, University of Chicago Press, Chicago.         [ Links ]

London, M., 1993, 'Relationship between career motivation, empowerment and support for career development', Journal of Occupational and Organizational Psychology 66(1), 21-55. http://dx.doi.org/10.1111/j.2044-8325.1993.tb00516.x        [ Links ]

Meredith, C., 2005, 'Exploring resilience as a factor in student achievement', Master's thesis, Oxford University.         [ Links ]

Mitchell, G.J., 2003, 'Nursing shortage or nursing famine: Looking beyond numbers?', Nursing Science Quarterly 16(3), 219-224.         [ Links ]

Montazeri, A., Harirchi, A.M., Shariati, M., Garmaroudi, G., Ebadi M. & Fateh., A., 2003, 'The 12-item General Health Questionnaire: Translation and validation in Iran', Health and Quality of Health outcomes 1, 66.         [ Links ]

Nelson, D. & Simmons, B., 2002, Health psychology and workstress: A more positive approach: Handbook of occupational health psychology, American Psychological Association, Washington, DC.         [ Links ]

Ntuli, A. & Day, C., 2004, Ten years on - Have we got what we ordered?, in P. Ijumba, C. Day & A. Ntuli (eds.), South African Health Review 2003/4 (pp. 1-10), Health Systems Trust, Durban.         [ Links ]

Oulton, J.A., 2006, 'The global nursing shortage: An overview of issues and actions', Policy, Politics, & Nursing Practice 7(3), 34-39.         [ Links ]

Patterson, J.M., 2002, 'Understanding family resilience', Journal of Clinical Psychology, 58(3), 233-246. http://dx.doi.org/10.1002/jclp.10019, PMid:11836706        [ Links ]

Pelser, A.J., Ngwena, C.J. & Summerton, J.V., 2004, 'The HIV/AIDS epidemic in South Africa: Trends, impacts and policy responses', in H.C.J. van Rensburg (eds.), Health and health care in South Africa, pp. 109-170, Van Schaik, Pretoria.         [ Links ]

Pillay, R., 2009, 'Work satisfaction of professional nurses in South Africa: a comparative analysis of the public and private sectors', Human resources for Health 7, 15. http://dx.doi.org/10.1186/1478^491-7-15, PMid:19232120, PMCid:2650673        [ Links ]

Richardson, G.E., 2002, 'Metatheory of resilience and resiliency', Journal of Clinical Psychology 58(3), 307-321. http://dx.doi.org/10.1002/jclp.10020, PMid:11836712        [ Links ]

Risher, H. & Stopper, W.G., 1999, 'Current practices', Human Resource Planning 22(2), 8-10.         [ Links ]

Ryff, V.L. & Singer, B., 2003, 'Thriving in the face of challenge: The integrative science of human resilience', in F. Kessel & P.L. Rosenfield (eds.), Expanding the boundaries of health and social science: Case studies in interdisciplinary innovation, pp.181-205, Oxford University Press, Oxford.         [ Links ]

Scheier, M.F. & Carver, C.S., 1985, 'Optimism, coping and health: Assessment and implications of generalized outcome expectancies', Health Psychology 4(3), 219-247.         [ Links ]

Scheier, M.F., Carver, C.S., & Bridges, M.W., 1994, 'A re-evaluation of the Life Orientation Test', Journal of Personality and Social Psychology 67, 1063-1078.         [ Links ]

Seligman, M.E.P., 1998, 'The prediction and prevention of depression', in D.K. Routh & R.J. DeRubeis (eds.), The science of clinical psychology: Accomplishments and future directions, pp. 201-214, American Psychological Association, Washington, DC.         [ Links ]

Seligman, M.E.P. & Csikszentmihalyi, M., 2000, 'Positive psychology: An introduction', American Psychologist, 55(1), 5-14.         [ Links ]

Shaughnessy, J.J. & Zechmeister, E.B., 1997, Research methods in psychology, 4th edn., McGraw-Hill, New York.         [ Links ]

Shisana, O., Hall, E.J., Maluleke, R., Chauveau, J. & Schawbe, C., 2004, 'HIV/AIDS prevalence among South African health workers', South African Medical Journal 94(10), 846-850.         [ Links ]

Smit, R., 2004, 'HIV/AIDS and the workplace: Perceptions of nurses in public hospitals in South Africa', Journal of Advanced Nursing 5(1), 22-29.         [ Links ]

Snyder, C.R., 2000, Handbook of hope, Academic Press, Orlando FL.         [ Links ]

Snyder, C.R., Irving, L. & Anderson, J., 1991, 'Hope and health', in C.R. Snyder & D.R. Forsyth (eds.), Handbook of social and clinical psychology: The health perspective, pp. 285-305, Pergamon Press, Elmsford, New York.         [ Links ]

South African Nursing Council, 2006, 'SANC geographical distribution for 2006', viewed 5 May 2007, from http://www.sanc.co.za/stats/stat2006        [ Links ]

SPSS Inc., 2005, SPSS® 17.0 for Windows, Release 17.0.0, Copyright© by SPSS Inc.,1 Chicago, Illinois. http://dx.doi.org/10.1080/13803610500110174        [ Links ]

Szelényi, K., Bryant, A.N. & Lindholm, J.A., 2005, 'What money can buy: Examining the effects of prepaid monetary incentives on survey response rates among college students', Educational Research and Evaluation 11, 385-404.         [ Links ]

Tusaie, K. & Dyer, J., 2004, 'Resilience: A historical review of the construct', Holistic Nursing Practice 18(1), 3-10.         [ Links ]

Van den Berg, H., Bester, C., Janse van Rensburg-Bonthuysen, E., Engelbrecht, M., Hlophe, H., Summerton, J., Smit, J., Du Plooy, S. & Van Rensburg, D., 2006, Burnout and compassion fatigue in professional nurses: A study in PHCfacilities in the Free State, with special reference to the antiretroviral treatment program, University of Free State, Bloemfontein.         [ Links ]

Vander Zyl, S., 2002, 'Compassion fatigue and spirituality', Nursing Matters 13(12), 4.         [ Links ]

Van Rensburg, H.C.J. & Pelser, A.J., 2004, 'The transformation of the South African Health System', in H.C.J. van Rensburg (ed.), Health and health care in South Africa, pp. 109-170, Van Schaik, Pretoria.         [ Links ]

Wagnild, G.M. & Young, H.M., 1993, 'Development and psychometric evaluation of the resilience scale', Journal of Nursing Measurement 1(2), 165-178.         [ Links ]

Walker, H.J., 1999, 'Clarifying the affective component of psychological well-being', MA dissertation, Potchefstroom University for Christian Higher Education.         [ Links ]

Walker, L. & Gilson, L., 2004, 'We are bitter but we are satisfied: Nurse as street level bureaucrats in South Africa', Social Sciences and Medicine 59(6), 1251-1265. http://dx.doi.org/10.1016/j.socscimed.2003.12.020        [ Links ]

Wissing, M.P. & Van Eeden, C., 2002, 'Empirical clarification of the nature of psychological well-being', South African Journal of Psychology 32(1), 32-44.         [ Links ]

Wissing, J.A.B., Wissing, M.P., Du Toit, M.M. & Temane, Q.M., 2008, 'Pychometric properties of Various Scales Measuring Psychological Well-Being in a South African Context: The FORT 1 Project', Journal of Psychology in Africa 18(4), 511-520.         [ Links ]

Zeidner, M. & Endler, N.S. (eds). 1996, Handbook of coping: Theory, research, applications, Wiley, New York.         [ Links ]

 

 

Correspondence:
Magdalena Koen
PO Box 2431
Kocksvlei 1764
South Africa
Daleen.Koen@nwu.ac.za

Received: 24 Aug. 2010
Accepted: 27 July 2011
Published: 09 Nov. 2011

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