Learning and teaching approaches promoting resilience in student nurses: An integrated review of the literature

Walsh, Pauline; Owen, Patricia; Mustafa, Nageen; Beech, Roger

doi:10.1016/j.nepr.2020.102748

Cited by 95 publications

(75 citation statements)

References 69 publications

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“…It seems that the nursing students could demonstrate the ability to successfully overcome the psychological distress experienced after the COVID‐19 alarm status and adapt to the new situation. In the literature, supportive learning environments, integration of reflective exercises, 41 peer support or peer programs, 42 and mindfulness programs 43 have been stated to be important methods to support resilience. In this context, nursing educators may play an important role by taking advantage of these methods to help students maintain or develop resilience during these challenging times in the COVID‐19 pandemic period.…”

Section: Discussionmentioning

confidence: 99%

“…Psychosocial approaches using acceptance and awareness strategies such as acceptance and commitment therapy to support psychological flexibility and resilience are preferred 62,63 . In a recent review study, five basic methods such as adoption of peer activities, reflective practice, guided work, problem‐based learning/inquiry‐based learning, and experiential learning were determined as learning and teaching approaches that support resilience in nursing students 41 . Strategies such as awareness training, conflict management skills, stress management skills, biofeedback, communication skills, and development of emotional intelligence may be included in the nursing curriculum to support resilience considering that they are effective 64–67 …”

Section: Discussionmentioning

confidence: 99%

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Posttraumatic growth and positive determinants in nursing students after COVID‐19 alarm status: A descriptive cross‐sectional study

Yıldız

2021

Perspect Psychiatr Care

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Purpose To determine the relationship between posttraumatic growth (PTG), psychological flexibility, and psychological resilience of nursing students after the COVID‐19 alarm status. Design and Methods This descriptive cross‐sectional study was conducted with nursing students (N = 292) studying at a nursing school of a university. The data collection instruments included a form on descriptive variables, and the PTG, psychological flexibility, and psychological resilience scales. Descriptive statistics, independent‐samples t test, ANOVA, correlation, simple, and hierarchical linear regression analyses were used to analyze the data. Findings The mean scores regarding psychological flexibility, psychological resilience, and PTG were 27.56 ± 11.06, 18.10 ± 5.75, and 63.49 ± 20.64, respectively. While psychological flexibility explained 36.7% of the total variance in psychological resilience, the predictive effect of seven descriptive variables, including psychological flexibility and psychological resilience, on PTG was determined as 13.4%. Practice Implications PTG, psychological flexibility, and psychological resilience may help nursing students prepare for their transition to the profession.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Posttraumatic growth and positive determinants in nursing students after COVID‐19 alarm status: A descriptive cross‐sectional study

Yıldız

2021

Perspect Psychiatr Care

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“…Grant and Kinman (2013b, 2014) postulated that resilience could be developed or enhanced over time under the right circumstances through education. Methods for teaching resilience include problem‐based learning (Stoffel & Cain, 2018), peer activities, reflective practice, directed study, inquiry‐based learning, and experiential learning (Walsh et al., 2020). On the work front, Maslach and Leiter (2017) advocated for improving the job‐person fit, which alleviates burnout.…”

Section: Discussionmentioning

confidence: 99%

Resilience and stress in frontline social workers during the COVID‐19 pandemic in Singapore

Seng

Subramaniam

Chung

et al. 2021

Asian Soc Wrk & Pol Rev

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As social work under normal circumstances is already a stress‐laden helping profession, this study intended to examine the level of psychological distress among the frontline social workers during the COVID‐19 pandemic and whether resilience and organizational support played a part in mitigating their psychological distress. Frontline social workers from various social service sectors across Singapore were surveyed using two standardized measurements to assess resilience (Connor‐Davidson Resilience Scale 25) and psychological distress (Depression Anxiety and Stress Scale 21). A self‐designed questionnaire comprising 10 items measured “personal” and “work‐related” support at the organization. Sociodemographic data were captured using a structured questionnaire. The results showed that the frontline social workers, although resilient, were psychologically distressed in all the three areas of depression, anxiety and stress. The results indicated that those working in the Family Service Centers (FSC) were the most affected. Significant correlations were observed between psychological distress, resilience, and organizational support. Organizations must be mindful that support can help frontline staff who are usually younger and less experienced during challenging times such as the pandemic. Building the resilience of social workers will prepare them for their daily challenges and those that accompany unexpected situations.

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“…While wellness initiatives provide only a limited solution to addressing these stressors, learning to deal with uncertainty and building emotional, academic and psychological resiliency are potential ways to overcome the myriad adversities of the current pandemic. [49][50][51][52] The best way to build resilient healthcare providers is to build a resilient organization and community to surround them.…”

Section: A Way Forwardmentioning

confidence: 99%

“…6,51,55 Importantly, there also is emerging literature that provides specific interventions to increase resilience. 47,50,52,54,56,57 The model we propose emphasizes the importance of addressing individual and organizational resilience in relationship with each other (Figure 2). This emphasis parallels the NAM conceptual framework of a job resources-demand model that highlights the role and responsibility of organizational leadership.…”

Section: A Way Forwardmentioning

confidence: 99%

Shifting Focus from Burnout and Wellness toward Individual and Organizational Resilience

Vercio

Loo

Green

et al. 2021

Teaching and Learning in Medicine

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Issue: Burnout is reported to be epidemic among physicians and medical trainees, and wellness has been the predominant target for intervention in academic medicine over the past several years. However, both burnout and wellness suffer from a lack of standardized definition, often making interventions difficult to generalize and extrapolate to different sites. Although well-meaning, current frameworks surrounding wellness and burnout have limitations in fully addressing the challenges of improving physician mental health. Wellness as a framework does not inherently acknowledge the adversity inevitably experienced in the practice of medicine and in the lives of medical trainees. During a crisis such as the current pandemic, wellness curricula often do not offer adequate frameworks to address the personal, organizational, or societal crises that may ensue. This leaves academic institutions and their leadership ill-equipped to appropriately address the factors that contribute to burnout. More recently, resilience has been explored as another framework to positively influence physician wellness and burnout. Resilience acknowledges the inevitable adversity individuals encounter in their life and work, allowing for a more open discussion on the tensions and flexibility between facets of life. However, emphasizing personal resiliency without addressing organizational resiliency may leave physicians feeling alienated or marginalized from critical support and resources that organizations can and should provide. Evidence: Despite intense focus on wellness and burnout, there have not been significant positive changes in physicians' mental health. Many interventions have aimed at the individual level with mindfulness or other reflective exercises; unfortunately these have demonstrated only marginal benefit. Systems level approaches have demonstrated more benefit but the ability of organizations to carry out any specific intervention is likely to be limited by their own unique constraints and may limit the spread of innovation. We believe the current use of these conceptual lenses (wellness and burnout) has been clouded by lack of uniformity of definitions, an array of measurement tools with no agreed-upon standard, a lack of understanding of the complex interaction between the constructs involved, and an over-emphasis on personal rather than organizational interventions and solutions. Implications: If the frameworks of burnout and wellness are limited, and personal resilience by itself is inadequate, what framework would be helpful? We believe that focusing on organizational resilience and the connecting dimensions between organizations and their physicians could be an additional framework helpful in addressing physician mental health. An organization connects with its members along multiple dimensions, including communication, recognition of gifts, shared vision, and sense of belonging. By finding ways to positively affect these dimensions, organizations can create change in the culture and mental health of physicians and tr...

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Learning and teaching approaches promoting resilience in student nurses: An integrated review of the literature

Cited by 95 publications

References 69 publications

Posttraumatic growth and positive determinants in nursing students after COVID‐19 alarm status: A descriptive cross‐sectional study

Posttraumatic growth and positive determinants in nursing students after COVID‐19 alarm status: A descriptive cross‐sectional study

Resilience and stress in frontline social workers during the COVID‐19 pandemic in Singapore

Shifting Focus from Burnout and Wellness toward Individual and Organizational Resilience

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