Resilience, Moral Injury, and Burnout Among RNs: A Time-Series Analysis
Sara L Hubbell1, Susan E Young, Stephanie R Duea
1Author Affiliations: Clinical Associate Professor (Dr Hubbell), Assistant Professor (Dr Young), and Associate Professor (Dr Duea), School of Nursing; and Professor (Dr Prentice), Center for Social Impact, University of North Carolina at Wilmington.
Objective:
This quantitative, time-series study assessed burnout, moral injury, and resilience among RNs in North Carolina.
Background:
The pandemic exacerbated existing complex challenges to the nursing workforce. This study explored the impact on mental health and well-being of nurses by evaluating how levels of burnout, moral injury, and resilience changed over an 18-month timeframe.
Methods:
Survey data were collected at 3 points over an 18-month period, using 3 validated tools: Professional Quality of Life Measure, Moral Injury Symptom Scale for Health Professionals, and Connor-Davidson Resilience Scale.
Results:
Burnout and moral injury levels increased, whereas resilience and compassion satisfaction decreased over the 1st 6 months of the study, with no significant improvement over the next 12 months.
Conclusion:
Prolonged effects of the pandemic on the nursing workforce indicate the need for comprehensive programs at individual, organizational, and system levels to positively transform workplace culture, environment, and structures that impact nurses' mental health and well-being.
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