Objective: Healthcare professionals are highly susceptible to adverse psychological outcomes amid the COVID-19 pandemic due to their job duties. As the largest part of the healthcare workforce, growing attention has been paid to nurses' adjustments to the pandemic. Despite the distress, recent studies found that nurses could still experience positive changes (i.e., adversarial growth, AG) during the pandemic. Research on the general populations has indicated that individuals' stress responses, coping resources, and coping strategies are associated with their AG during the pandemic. This study examined how sociodemographic characteristics, secondary traumatic and posttraumatic stress, coping resources, and coping strategies were associated with AG among nurses in Hong Kong amid the fifth wave (i.e., the most disastrous wave) of the COVID-19 pandemic. Method: Recruited through local nursing associations between May 24 and June 13, 2022, 209 nurses in Hong Kong completed an online questionnaire measuring the abovementioned variables. Results: Hierarchical regression results found that those affiliating with a religion, having participated in mental health-related workshops, higher levels of secondary traumatic stress (STS), social support, job satisfaction, plus more frequent emotional processing were associated with higher AG (βs ranging from 0.15 to 0.31, ps , .01). Conclusions: Nurses did report AG during the fifth wave of the COVID-19 pandemic in Hong Kong. To promote AG among those nurses, future interventions should enhance nurses' understanding about the potential impact of STS on their well-being, solicit their interpersonal and workrelated coping resources, plus facilitate their use of effective coping strategies.
Clinical Impact StatementDespite the distress brought from intensive nursing duties for the containment of the COVID-19 pandemic, nurses did report positive changes during this difficult time. The study found that higher levels of secondary traumatic stress (STS), social support, job satisfaction, and emotional processing were associated with higher AG among nurses during the most disastrous wave of the pandemic in Hong Kong. Interventions aiming to enhance nurses' understanding about the potential impact of STS on well-being, solicit their interpersonal and work-related coping resources, plus facilitate effective coping strategies might facilitate those nurses' AG.