Development and Validation of the Nurse Workplace Resilience Scale for Occupational Health During Public Health...

Public health emergencies such as the coronavirus disease 2019 pandemic place immense demands on nurses worldwide, with high patient loads and resource constraints. Emergency nurses face extreme workloads, unpredictable patient surges, and psychological distress, yet existing resilience measures may not fully address these crises. This study developed and validated the Nurse Workplace Resilience During Emerging Infectious Diseases scale to assess and strengthen nurses' resilience, support mental well-being, and enhance preparedness in high-risk settings.

A cross-sectional survey was conducted at a tertiary hospital in northern Taiwan. Data were collected from eligible clinical nurses in 2 phases from August 2022 to March 2023. In phase 1, in-depth interviews with 30 nurses generated 33 initial items. In phase 2, psychometric testing with 492 nurses was conducted, including factor analysis, criterion validity assessment, and reliability testing.

The final scale consisted of 22 items, structured into 3 subscales: overcoming adversity, coping with stress, and enduring physical and mental stress. The 3 factors explained 64.21% of the variance. Confirmatory factor analysis indicated acceptable model fitness, and Cronbach's alpha (.96) demonstrated excellent internal consistency.

Our findings suggest that the Nurse Workplace Resilience During Emerging Infectious Diseases scale is a valid and reliable instrument for assessing nurses' resilience during public health crises. Its application can inform resilience-building education and preparedness strategies, supporting sustainable nursing practice in high-pressure emergency settings.