Predictors of Depression in Nurses During COVID-19 Health Emergency; the Mediating Role of Resilience: A Cross-Sectional Study

• Published in: Journal of primary care & community health Vol. 13; p. 21501319221097075
• Main Authors: Chura, Sonia, Saintila, Jacksaint, Mamani, Rut, Ruiz Mamani, Percy G., Morales-García, Wilter C.
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 2022; SAGE PUBLICATIONS, INC; SAGE Publishing
• Subjects: Adaptation, Psychological; Coping strategies; Coronaviruses; COVID-19; Cross-Sectional Studies; Emotional well being; Fear & phobias; Hospitals; Humans; Latin America Health: Public Policy and Primary Care; Mental depression; Nurse led services; Nurses; Pandemics; Professional training; Psychological support; Resilience; SARS-CoV-2; Stress; Structural equation modeling; Variables; stress; fear of COVID-19; resilience in the nursing professional; depression
• ISSN: 2150-1319; 2150-1327; 2150-1327
• DOI: 10.1177/21501319221097075

Background: Nurses are susceptible to several mental problems, such as fear, stress, and depression due to the COVID-19 pandemic, which affects their emotional well-being. However, resilience plays an important role in mitigating the effects of COVID-19. Objective: This study was to examine the mediating role of resilience in the relation between fear, stress, and depression of nurses during COVID-19 health emergencies. Methods: A cross-sectional—predictive study was carried out. The variables analyzed were fear, resilience, stress, and depression. A total of 286 nurses from 2 hospitals in the cities of Juliaca and Puno, Peru. Data analyses were performed using structural equation modeling (SEM). Results: Analyses showed that the variables were significantly related (P < .01). In addition, a confirmatory analysis of the hypothesized model using structural equation modeling shows that fear and stress are predictors of depression, and that resilience plays a role in mediating the effect of fear on stress (X2 = 534.69, gl = 372, P = .000; TLI = .902, CFI = .910, RMSEA = .039 [95% CI = 0.032-0.046], and SRMR = .065). Conclusion: Nurses tend to develop fear, stress, and depression. Resilience reduces the impact of these psychological variables. Hospital management should provide psychological support and training for nurses in coping strategies.