Healthcare Workers' Resilience Mediates the Influence of Organizational Commitment and Anxiety Response to Viral Epidemic on Their Quality of Life in the COVID-19 Pandemic

Abstract

Objective: In the COVID-19 pandemic era, healthcare workers suffer from psychological problems such as anxiety in response to the viral epidemic and it may decrease their quality of life (QoL). The aim of this study was to explore the influence of healthcare workers' stress and anxiety response to the viral epidemic and their organizational commitment on their QoL. We also explored the mediating effect of resilience on any association.Methods: From January 28, 2021, to January 29, 2021, 389 workers responded to an online survey that included the rating scales Stress and Anxiety to Viral Epidemics-9 items (SAVE-9), Perceived Stress Scale (PSS), Brief Resilience Scale (BRS), Organizational Commitment Questionnaire (OCQ), and the WHO-5 well-being index.Results: A better QoL (WHO well-being index top 25%) of healthcare workers during the COVID-19 pandemic era was predicted by low stress and anxiety in response to the viral epidemic [SAVE-9, adjusted odds ratio (aOR) = 0.92, 95% confidence interval (CI) 0.87–0.97], a high level of resilience (BRS, aOR = 1.26, 95%CI 1.15–1.37), and high organizational commitment (OCQ, aOR = 1.04, 95%CI 1.02–1.07). Mediation analysis showed that resilience partially mediated the effects of stress/anxiety in response to the viral epidemic and the organizational commitment on the quality of life.Conclusion: We observed that the stress and anxiety of healthcare workers in response to the viral epidemic and organizational commitment influenced their QOL. Their resilience mediated the relationship between their psychological problems and QOL.

Wellbeing and mental health outcomes amongst hospital healthcare workers during COVID-19

“…Pre-pandemic stress was measured by asking respondents the question 'how would you rate your stress levels before the COVID-19 pandemic' using a Likert scale from '0' (minimal) to '100' (extreme). Whilst other studies have reported BRS measured resilience mediate the relationship between psychological symptomatology and wellbeing (Awano et al 2020;Son et al 2022), our study did not replicate these findings.…”

“…Its inclusion in this study’s psychometric test battery was to further explore its potential inverse relationship to mental health outcomes, though most studies in this area of the literature are primarily if not exclusively focused on mental health sequelae (depression, anxiety, PTSD symptomatology, insomnia) and not protective factors such as resilience. BRS validation studies have mostly included general population studies across (Coelho et al 2016; Kunzler et al 2018; Chmitorz et al 2018; Fung, 2020; Soer et al 2019), University students (Hidalgo-Rasmussen & Gonzalez-Betanzos, 2019), and those with varying medical conditions (Dixon et al 2015; Tansey et al 2016; Rodriguez-Rey et al 2016), however there is a limited but growing number of studies using the BRS to examine the role of resilience on healthcare worker wellbeing (Colville et al 2017; Awano et al 2020; Son et al 2022; Croghan et al 2021). In the original BRS validation study the unidimensional factor of BRS explained 55–67% of the variance over the four samples tested with principal component’s analysis.…”

Resilience Improves the Quality of Life and Subjective Happiness of Physiotherapists during the COVID-19 Pandemic

“…The low-resilience group presented lower scores (median (IQR)) on the SF-36, compared with the high-resilience group: physical functioning (80 vs. 90 ), role-physical (50 vs. 75 ), bodily pain (51 vs. 62 ), general health (60 vs. 72 ), vitality (35 [20-45] vs. 50 ), role-emotional (33 [0-66] vs. 100 [91][92][93][94][95][96][97][98][99][100]), and mental health (44 [36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52] vs. 66 [0-100]), p < 0.001. There was no difference in social functioning between the low-and high-resilience groups (50 [37][38][39][40][41][42][43][44][45][46][47][48][49][50] vs. 50 [37][38][39][40][41]…”

“…The possibility of mediating the effect of resilience on the QoL of healthcare workers was described by Son et al (2022). The authors found that better QoL was predicted by a lower level of anxiety response to the viral epidemic, a lack of current psychiatric symptoms, a higher level of resilience, and higher organizational commitment [51]. Choi et al (2022) showed that low resilience adversely affects the QoL and mental health of FHCWs, which directly interferes with the quality of services provided to patients [52].…”

Modelo factorial exploratorio de gestión estratégica y compromiso del trabajo en la era COVID-19

“…Isomorphism alludes to the coupling between health professionals (Son et al, 2022). At the beginning of the pandemic, the lack of anti-COVID-19 devices such as masks led to a coupling of those who transport the infected, those who receive and care for them without due protection.…”