1 Department of Nursing, Student Research Committee, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran

2 Department of Nursing, School of Nursing and Midwifery, Iranian Research Center of Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran

3 Department of Biostatistics and Epidemiology, School of Health, Noncommunicable Diseases Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran, PhD Student in Epidemiology, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran


BACKGROUND: As the core of a health‑care team, nurses play a key role in promoting community
health, and their job involves witnessing human suffering and pain in health‑care settings. The present
study aimed to evaluate the correlations between resilience coping strategies, and the underlying
factors in the nurses working in COVID‑19 hospitals.
MATERIALS AND METHODS: This descriptive, cross‑sectional study was conducted on 320 nurses
working in COVID‑19 wards for a minimum of 6 months in 2021. The participants were selected
via multistage sampling. Data were collected using demographic, resilience, and coping strategy
instruments. Data analysis was performed in SPSS version 20.
RESULTS: The mean resilience score was 76.94 ± 11.33. The mean scores of emotion‑focused
and problem‑focused strategies were 59.65 ± 4.40 and 96.08 ± 5.38, respectively. The assessment
of the correlation between resilience with the emotion‑focused and problem‑focused strategies
showed a positive significant correlation (r = 0.25; P < 0.001 and r = 0.33; P < 0.001, respectively).
CONCLUSION: According to the results, the nurses working in COVID‑19 wards mostly adopted
problem‑focused strategies in difficult work conditions depending on the required care provision.
Both coping strategies significantly affected the subscales of resilience in the nurses. Therefore, it is
recommended that special attention be paid to teaching strategies to cope with anxiety and resilience
and develop problem‑solving skills in nursing personnel during the emergence and outbreak of new
diseases in order to reduce their anxiety.


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