Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/115818
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Type: Journal article
Title: Exploring environmental factors in nursing workplaces that promote psychological resilience: constructing a unified theoretical model
Author: Cusack, L.
Smith, M.
Hegney, D.
Rees, C.
Breen, L.
Witt, R.
Rogers, C.
Williams, A.
Cross, W.
Cheung, K.
Citation: Frontiers in Psychology, 2016; 7(MAY):600-1-600-8
Publisher: Frontiers Media SA
Issue Date: 2016
ISSN: 1664-1078
1664-1078
Statement of
Responsibility: 
Lynette Cusack, Morgan Smith, Desley Hegney, Clare S. Rees, Lauren J. Breen, Regina R. Witt, Cath Rogers, Allison Williams, Wendy Cross and Kin Cheung
Abstract: Building nurses' resilience to complex and stressful practice environments is necessary to keep skilled nurses in the workplace and ensuring safe patient care. A unified theoretical framework titled Health Services Workplace Environmental Resilience Model (HSWERM), is presented to explain the environmental factors in the workplace that promote nurses' resilience. The framework builds on a previously-published theoretical model of individual resilience, which identified the key constructs of psychological resilience as self-efficacy, coping and mindfulness, but did not examine environmental factors in the workplace that promote nurses' resilience. This unified theoretical framework was developed using a literary synthesis drawing on data from international studies and literature reviews on the nursing workforce in hospitals. The most frequent workplace environmental factors were identified, extracted and clustered in alignment with key constructs for psychological resilience. Six major organizational concepts emerged that related to a positive resilience-building workplace and formed the foundation of the theoretical model. Three concepts related to nursing staff support (professional, practice, personal) and three related to nursing staff development (professional, practice, personal) within the workplace environment. The unified theoretical model incorporates these concepts within the workplace context, linking to the nurse, and then impacting on personal resilience and workplace outcomes, and its use has the potential to increase staff retention and quality of patient care.
Keywords: Resilience; nurses; workplace; environment
Rights: © 2016 Cusack, Smith, Hegney, Rees, Breen, Witt, Rogers, Williams, Cross and Cheung. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
RMID: 0030048979
DOI: 10.3389/fpsyg.2016.00600
Appears in Collections:Nursing publications

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