Influence of nursing interns’ resilience on burnout: Mediating effects of well-being

Juan Li , Minrui Li , Junli Ye , Huimin Zhai

Journal of Nursing Education and Practice ›› 2025, Vol. 15 ›› Issue (3) : 10 -17.

PDF (1147KB)
Journal of Nursing Education and Practice ›› 2025, Vol. 15 ›› Issue (3) :10 -17. DOI: 10.5430/jnep.v15n3p10
Original Research
research-article

Influence of nursing interns’ resilience on burnout: Mediating effects of well-being

Author information +
History +
PDF (1147KB)

Abstract

Objective: This study examined the relationship between well-being, psychological resilience, and burnout among nursing interns in China.
Methods: A cross-sectional study was carried out at 2 tertiary hospitals in Guangdong Province, China. Data were collected from 360 nursing interns using a structured questionnaire, and structural equation modeling was used to analyze the correlation between well-being, resilience, and burnout.
Results: Participants’ burnout score was in the upper range (mean [M]=12.748, standard deviation [SD] = 6.654). Burnout was negatively correlated with resilience (r = -0.477, p <.01) and well-being (r = -0.573, p <.01). Well-being mediated the relationship between resilience and burnout.
Conclusions: Resilience and well-being are inversely correlated with burnout, and well-being mediates the relationship between resilience and burnout. Improving well-being can reduce burnout risk and improve resilience among nursing interns. To prevent burnout among nursing interns, nursing managers should aim to improve their well-being by optimizing the work environment, promoting the cohesion of the nursing team, actively guiding and providing necessary help, and supporting the development of each intern’s nursing career.

Keywords

Nursing students / Burnout / Well-being / Resilience / Mediating effect

Cite this article

Download citation ▾
Juan Li, Minrui Li, Junli Ye, Huimin Zhai. Influence of nursing interns’ resilience on burnout: Mediating effects of well-being. Journal of Nursing Education and Practice, 2025, 15(3): 10-17 DOI:10.5430/jnep.v15n3p10

登录浏览全文

4963

注册一个新账户 忘记密码

References

[1]

Commission NH. Notice on printing and distributing the national nursing. J Dev Plan. 2022.

[2]

Xu H. Analysis of professional commitment and job burnout of undergraduate nursing students and their relationship. Chongqing Med J. 2016; 45: 4566-4569.

[3]

Sun L, Gao Y, Yang J, et al. The impact of professional identity on role stress in nursing students: a cross-sectional study. Int J Nurs Stud. 2016; 63: 1-8. PMid:27565423 https://doi.org/10.1016/j.ijnurstu.2016.08.010

[4]

Ma H, Zou JM, Zhong Y, et al. Perceived stress, coping style and burnout of Chinese nursing students in late-stage clinical practice: a cross-sectional study. Nurse Educ Pract. 2022; 62: 103385. PMid:35780686 https://doi.org/10.1016/j.nepr.2022.103385

[5]

Ayaz-Alkaya S, Yaman-Sözbir Ş, Bayrak-Kahraman B. The effect of nursing internship program on burnout and professional commitment. Nurse Educ Today. 2018; 68: 19-22. PMid:29870870 https://doi.org/10.1016/j.nedt.2018.05.020

[6]

Shi Y, Guo H, Zhang S, et al. Impact of workplace incivility against new nurses on job burn-out: a cross-sectional study in China. BMJ Open. 2018; 8: e020461. PMid:29626049 https://doi.org/10.1136/bmjopen-2017-020461

[7]

Maslach C, Jackson SE. The measurement of experienced burnout. J Organ Behavior. 1981; 2: 99-113. https://doi.org/10.1002/job.4030020205

[8]

Kong LN, Yao Y, Chen SZ, et al. Prevalence and associated factors of burnout among nursing students: a systematic review and metaanalysis. Nurse Educ Today. 2023; 121: 105706. PMid:36577286 https://doi.org/10.1016/j.nedt.2022.105706

[9]

Dubale BW, Friedman LE, Chemali Z, et al. Systematic review of burnout among healthcare providers in sub-Saharan Africa. BMC Public Health. 2019; 19: 1247. PMid:31510975 https://doi.org/10.1186/s12889-019-7566-7

[10]

Guo YF, Luo YH, Lam L, et al. Burnout and its association with resilience in nurses: a cross-sectional study. J Clin Nurs. 2018; 27: 441-449. PMid:28677270 https://doi.org/10.1111/jocn.13952

[11]

Shin S, Hwang E. The effects of clinical practice stress and resilience on nursing students’ academic burnout. Korean Med Educ Rev. 2020; 22: 115-121. https://doi.org/10.17496/kmer.2020.22.2.115

[12]

Hughes V, Cologer S, Swoboda S, Rushton C. Strengthening internal resources to promote resilience among prelicensure nursing students. J Prof Nurs. 2021; 37: 777-783. PMid:34187678 https://doi.org/10.1016/j.profnurs.2021.05.008

[13]

Chow KM, Tang WK, Chan WH, et al. Resilience and well-being of university nursing students in Hong Kong: a cross-sectional study. BMC Med Educ. 2018; 18: 13. PMid:29329529 https://doi.org/10.1186/s12909-018-1119-0

[14]

McDermott RC, Fruh SM, Williams S, et al. Nursing students’ resilience, depression, well-being, and academic distress: testing a moderated mediation model. J Adv Nurs. 2020; 76: 3385-3397. PMid:33009859 https://doi.org/10.1111/jan.14531

[15]

Javadi Sharif T, Hosseinzadeh M, Mahdavi N, et al. Happiness and its relationship with job burnout in nurses of educational hospitals in Tabriz, Iran. Int J Community Based Nurs Midwif. 2020; 8: 295-304. https://doi.org/10.30476/IJCBNM.2020.83298.1138

[16]

Salmela-Aro K, Upadyaya K. School burnout and engagement in the context of demands-resources model. Br J Educ Psychol. 2014; 84: 137-151. PMid:24547758 https://doi.org/10.1111/bjep.12018

[17]

Salmela-Aro K, Upadyaya K. Developmental trajectories of school burnout: evidence from two longitudinal studies. Learn Individ Differ. 2014; 36: 60-68. https://doi.org/10.1016/j.lindif.2014.10.016

[18]

Wu M. Structural Modelling Equation—Operation and Application of AMOS. Chongqing, China: Chongqing University Press. 2009.

[19]

Johnson TP. Snowball Sampling: Introduction.Wiley StatsRef: statistics reference online. 2014 Apr 14.

[20]

Yu XZ, Zhang J. Factor analysis and psychometric evaluation of the Connor-Davidson resilience scale (CD-RISC) with Chinese people. Soc Behav Pers. 2007; 35: 19-30. https://doi.org/10.2224/sbp.2007.35.1.19

[21]

Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson resilience scale (CD-RISC). Depress Anxiety 2003; 18:76-82. PMid:12964174 https://doi.org/10.1002/da.10113

[22]

Wang X, Wang XL, Ma H. Handbook of mental health assessment scales (updated edition). Chin J Ment Health. 1999.

[23]

Campbell A. Subjective measures of well-being. Am Psychol. 1976; 31: 117-124. PMid:1267244 https://doi.org/10.1037//0003-066x.31.2.117

[24]

Falatah R, Alhalal E. A structural equation model analysis of the association between work-related stress, burnout and job-related affective well-being among nurses in Saudi Arabia during the COVID-19 pandemic. J Nurs Manag. 2022; 30: 892-900. PMid:35277901 https://doi.org/10.1111/jonm.13587

[25]

Kim HO, Lee I. The mediating effects of social support on the influencing relationship between grit and academic burnout of the nursing students. Nurs Open. 2022; 9: 2314-2324. PMid:35643965 https://doi.org/10.1002/nop2.1241

[26]

Chen JP, Dai YM, Qin Y, et al. Factors influencing turnover intention among male nurses in China: a large-scale descriptive correlational study. Int Nurs Rev. 2024; 71: 13-19. PMid:36708510 https://doi.org/10.1111/inr.12827

[27]

Bu M, Ma H, Zhai H, et al. Role of self-efficacy in nursing organizational climate: a way to develop nurses’ humanistic practice ability. J Nurs Manag. 2022; 30: 2107-2115. PMid:34798681 https://doi.org/10.1111/jonm.13516

[28]

Gensimore MM, Maduro RS, Morgan MK, et al. The effect of nurse practice environment on retention and quality of care via burnout, work characteristics, and resilience: a moderated mediation model. J Nurs Adm. 2020; 50: 546-553. PMid:32925666 https://doi.org/10.1097/NNA.0000000000000932

[29]

Lin Y, Ameyaw MA, Zhang Q, et al. The relationship between teacher professional identity and burnout amid the pandemic: a moderated mediation model. Front Public Health. 2022; 10: 956243. PMid:36620242 https://doi.org/10.3389/fpubh.2022.956243

[30]

Li JN, Jiang XM, Zheng QX, et al. The mediating effect of resilience between social support and compassion fatigue among intern nursing and midwifery students during COVID-19: a crosssectional study. BMC Nurs. 2023; 22: 42. PMid:36788572 https://doi.org/10.1186/s12912-023-01185-0

[31]

Rivas N, López M, Castro MJ, et al. Analysis of burnout syndrome and resilience in nurses throughout the COVID-19 pandemic: a crosssectional study. Int J Environ Res Public Health. 2021; 18: 10470. PMid:34639769 https://doi.org/10.3390/ijerph181910470

[32]

Thapa DK, Levett-Jones T, West S, et al. Burnout, compassion fatigue, and resilience among healthcare professionals. Nurs Health Sci. 2021; 23: 565-569. PMid:33860606 https://doi.org/10.1111/nhs.12843

[33]

Arribas-Marín J, Hernández-Franco V, Plumed-Moreno C, et al. Applying the social cognitive model of well-being in the nursing clinical practicum: a structural equation modeling analysis with a Spanish student’s sample. Nurse Educ Pract. 2021; 52: 103028. PMid:33799098 https://doi.org/10.1016/j.nepr.2021.103028

[34]

Juanamasta IG, Aungsuroch Y, Gunawan J, et al. Postgraduate and undergraduate student nurses’ well-being: a scoping review. J Prof Nurs. 2022; 40: 57-65. PMid:35568460 https://doi.org/10.1016/j.profnurs.2022.03.001

[35]

Froud C, Andrewes T. A personal reflection: using theoretical frameworks to understand the impact of starting university on health and wellbeing. Br J Nurs. 2019; 28: 1410-1413. PMid:31778336 https://doi.org/10.12968/bjon.2019.28.21.1410

[36]

Li ZS, Hasson F. Resilience, stress, and psychological well-being in nursing students: a systematic review. Nurse Educ Today. 2020; 90: 104440. PMid:32353643 https://doi.org/10.1016/j.nedt.2020.104440

[37]

Li C. The impact of distributive justice and procedural justice on job burnout. Acta Psychologica Sinica. 2003; (5): 677-684. https://doi.org/CNKI:SUN:XLXB.0.2003-05-015

PDF (1147KB)

96

Accesses

0

Citation

Detail

Sections
Recommended

/