Post-traumatic growth and influencing factors among frontline nurses fighting against COVID-19

ObjectiveTo explore the level and influencing factors of frontline nurses’ post-traumatic growth (PTG) during COVID-19 epidemic.MethodsA cross-sectional survey was conducted in February 2020 in three hospitals in China. The Post-traumatic Growth Inventory (PTGI) was used to investigate the PTG of fr...

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Published in:Occupational and environmental medicine (London, England) Vol. 78; no. 2; pp. 129 - 135
Main Authors: Cui, Pan pan, Wang, Pan pan, Wang, Kun, Ping, Zhiguang, Wang, Peng, Chen, Changying
Format: Journal Article
Language:English
Published: England BMJ Publishing Group LTD 01.02.2021
BMJ Publishing Group
Series:Original research
Subjects:
Adaptation, Psychological
Adult
Awareness
Bivariate analysis
China
Cognition & reasoning
Confidence
Coronaviruses
Correlation analysis
COVID-19
Cross-Sectional Studies
Demographic variables
Departments
Epidemics
Female
Hospitals
Humans
Intervention
Likert scale
Male
Mathematical analysis
Nurses
Nurses - psychology
Nursing
Occupational Stress
Post-traumatic growth
Posttraumatic Growth, Psychological
Practice
Psychological Trauma
Public health
Questionnaires
Regression Analysis
Rumination
SARS-CoV-2
Self Concept
Thinking
Training
Trauma
Variance analysis
Working conditions
China
epidemiology
rehabilitation
health care workers
cross sectional studies
mental health
ISSN:1351-0711, 1470-7926, 1470-7926
Online Access:Get full text
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Summary:ObjectiveTo explore the level and influencing factors of frontline nurses’ post-traumatic growth (PTG) during COVID-19 epidemic.MethodsA cross-sectional survey was conducted in February 2020 in three hospitals in China. The Post-traumatic Growth Inventory (PTGI) was used to investigate the PTG of frontline nurses. Data on related factors, including demographic characteristics and subjective variables, were collected. The Event-Related Rumination Inventory was used to assess rumination. Pearson’s or Spearman’s correlation was calculated for bivariate analysis. Independent sample t-tests or one-way analysis of variance and multiple linear regression analysis were used to examine the related factors.ResultsA total of 179 frontline nurses were recruited, and 167 were included in the analyses. The mean PTG score was 70.53±17.26. The bivariate analyses showed that deliberate rumination was modestly positively correlated with PTG (r=0.557, p<0.01), while intrusive rumination had a modest negative correlation with PTG (r=−0.413, p<0.01). Multiple linear regression demonstrated that working years, self-confidence in frontline work, awareness of risk, psychological intervention or training during the epidemic and deliberate rumination were the main influencing factors of PTG among frontline nurses and accounted for 42.5% of the variance (F=31.626, p<0.001).ConclusionsThe PTG of frontline nurses was at a medium to high level and was influenced by working years, self-confidence in frontline work, awareness of risk, psychological intervention or training and deliberate rumination. It is necessary to strengthen psychological guidance and training for frontline nurses and promote their deliberate rumination on epidemic events to improve their PTG.
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ISSN:1351-0711
1470-7926
1470-7926
DOI:10.1136/oemed-2020-106540