Resilience and its Relationship with Professional Quality of Life and Intention to Leave in Nurses Working in Critical Care Unit of Tabriz Educational Centers

Abstract

Abstract: Introduction: High stress in the work environment of intensive care unit nurses can lead to professional leave in their, which is one of the problems in the nursing profession. Also, regarding the mental health of the staff, professional quality of life has attracted attentions to the health care setting in the recent years. On the other hand, attention to stress resources and strategies to deal with it is very much considered, and it has been shown that the use of coping strategies has led to a reduction in stress. One of the coping strategies that helps people to cope with stressful situations is the resilience. Despite the importance of resilience, limited studies have looked at the resilience of intensive care unit nurses. Therefore, this study was conducted with the aim of determining the level of resilience, professional quality of life and the intention to leave the in intensive care unit nurses and to investigate the relationship between these variables. Material & Method: This is a cross-sectional, correlational descriptive study on 400 nurses working in the intensive care units of teaching hospitals affiliated to Tabriz University of Medical Sciences in 2016. Data were collected through four-part questionnaire included demographic characteristics, a summarized form of Connor-Davidson’s resilience scale", modified form of Anticipated Turnover Scale, and the Professional Quality of Life version 5. Descriptive and inferential statistics (independent t test, ANOVA and Pearson correlation) were used for data analysis through SPSS version 17. Results: The mean of resilience, intention to leave, compassion satisfaction, burnout, and secondary traumatic stress were 25.76, 2.84, 49.99, 50.0 and 49.16 respectively. Also, there were a negative, significant correlation between resilience and intention to leave (P=0.003, R=-0.147), burnout (P<0.001, R=-0.365), secondary traumatic stress (P<0.001, R=-0.215) and positive, significant correlation between resilience and compassion satisfaction (P<0.001, R=0.287). Conclusion: Regarding the extent of intention to leave the profession and its relationship with resilience, compassion satisfaction, burnout and secondary traumatic stress, attention to factors affecting the intention to leave the profession seems necessary. Also, teaching strategies for reinforcement the resilience and enhancing the compassion satisfaction in nurses Can act as a barrier to leaving the profession.