Global prevalence of resilience in health care professionals: A systematic review, meta-analysis and meta-regression
Crystal Kai Tian Cheng RN, BSN (Hons.)
Staff Nurse
National University Hospital, National University Health System, Singapore
Search for more papers by this authorJie Hui Chua RN, BSN (Hons.)
Staff Nurse
Alexandra Hospital, National University Health System, Singapore
Search for more papers by this authorLing Jie Cheng RN, MPH, BSN (Hons.)
Research Associate and PhD student
Health Systems and Behavioural Sciences Domain, Saw Swee Hock School of Public Health, National University of Singapore, Singapore
Search for more papers by this authorWei How Darryl Ang RN, BSN (Hons.), ONC
PhD Candidate
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
Search for more papers by this authorCorresponding Author
Ying Lau PhD, MN, BN (Hons)
Associate Professor and Program Director (Academic - Honours)
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
Correspondence
Ying Lau, Associate Professor and Programme Director, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Block MD11, 10 Medical Drive, Level 2 Clinical Research Centre, Singapore 117597.
Email: [email protected]
Search for more papers by this authorCrystal Kai Tian Cheng RN, BSN (Hons.)
Staff Nurse
National University Hospital, National University Health System, Singapore
Search for more papers by this authorJie Hui Chua RN, BSN (Hons.)
Staff Nurse
Alexandra Hospital, National University Health System, Singapore
Search for more papers by this authorLing Jie Cheng RN, MPH, BSN (Hons.)
Research Associate and PhD student
Health Systems and Behavioural Sciences Domain, Saw Swee Hock School of Public Health, National University of Singapore, Singapore
Search for more papers by this authorWei How Darryl Ang RN, BSN (Hons.), ONC
PhD Candidate
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
Search for more papers by this authorCorresponding Author
Ying Lau PhD, MN, BN (Hons)
Associate Professor and Program Director (Academic - Honours)
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
Correspondence
Ying Lau, Associate Professor and Programme Director, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Block MD11, 10 Medical Drive, Level 2 Clinical Research Centre, Singapore 117597.
Email: [email protected]
Search for more papers by this authorFunding information: Workforce Development Applied Research Fund, Grant/Award Number: WF19-14
Abstract
Aims
This review aims to examine the prevalence estimate of low resilience among health care professionals and identify the factors affecting the prevalence.
Background
Health care professionals experience high levels of stress. Understanding the health care professionals' resilience may provide an insight into how they perform in a highly stressed environment.
Evaluation
A comprehensive search of 11 databases was conducted. Studies that provided prevalence rates for low resilience among health care professionals working in a health care setting were included. Meta-analyses, sensitivity, subgroup analyses and meta-regression were conducted.
Key issues
Among 27,720 studies, 41 studies (N = 17,073) across 16 countries were included. The prevalence of low resilience was 26% (95% CI: 20–32). Subgroup analyses indicated that types of resilience measures affect resilience prevalence significantly. A higher prevalence of low resilience was observed among allied health professions during the COVID-19 pandemic in the Middle East.
Conclusions
This review indicated the prevalence of low resilience and type of resilience measurement instruments that affected the prevalence.
Implications for nursing management
This review provides a roadmap to design tailored, discipline-specific and sustainable resilience training for nurses. Nursing managers should monitor the working hours and workload of nursing staffing in order to provide a protective working environment. This is a systematic review, and the PROSPERO registration number is CRD42021235350.
CONFLICT OF INTEREST
The authors have no conflict to declare.
Open Research
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available from the corresponding author upon reasonable request.
Supporting Information
Filename | Description |
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jonm13558-sup-0001-Appendices.docxWord 2007 document , 332.1 KB |
Appendix S1. PRISMA 2020 Checklist statement Appendix S2. Eligibility criteria Appendix S3. Sources for search strategy Appendix S4. Search terms Appendix S5. Subgroup description of the 41 included studies Appendix S6. Funnel plot of precision by prevalence of low resilience in 41 selected trials Appendix S7. GRADE assessment for the certainty of evidence Appendix S8. Subgroup analysis of type of resilience measures on global prevalence of low resilience among healthcare professionals Appendix S9. Subgroup analysis of validation of resilience measures among healthcare professionals on global prevalence of low resilience Appendix S10. Subgroup analysis of different regions on global prevalence (pooled prevalence and 95% confidence interval [95% CI]) of low resilience among healthcare professionals. Appendix S11. Subgroup analysis of different settings on global prevalence of low resilience among healthcare professionals Appendix S12. Subgroup analysis of different specialty on global prevalence of low resilience among healthcare professionals Appendix S13. Subgroup analysis of different definition of resilience by various type of resilience measures among healthcare professionals on global prevalence of low resilience Appendix S14. Subgroup analysis of type of service on global prevalence of low resilience among healthcare professionals Appendix S15. Subgroup analysis of different types of professions on global prevalence of low resilience Appendix S16. Subgroup analysis of different periods on global prevalence of low resilience among healthcare professionals Appendix S17. Subgroup analysis of study quality on global prevalence of low resilience among healthcare professionals |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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