Background: Studies have shown that resilience has a buffering effect on mental health problems. However, the influence of resilience on the impact on the Quality of Life (QoL) in the context of the COVID-19 pandemic has not been well documented.
Objective: This study examined the influence of resilience on the COVID-19 impact on QoL among nursing students.
Methods: A cross-sectional research design was utilized. Three hundred and forty-five students of a government-funded nursing school in the Philippines responded in the web-based survey. Data were gathered using two adopted instruments from 18 to 31 August 2020. Test for differences and correlational analyses were performed.
Results: The COVID-19 pandemic had a moderate impact on the QoL of nursing students. The COVID-19 impact on QoL significantly varied with sex and the nearby presence of COVID-19 cases. Bivariate analysis revealed a significant moderate inverse relationship between psychological resilience and the impact of COVID-19 on QoL.
Conclusion: Resilience has a protective influence on the impact on QoL concerning main areas of mental health in the context of the COVID-19 pandemic. Understanding the factors and developing interventions that build the resilience of students is a focal point of action for nursing schools.
Copyright (c) 2021 Jean N Guillasper, Ryan Michael Flores Oducado, Gil P Soriano
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Akhu-Zaheya, L. M., Shaban, I. A., & Khater, W. A. (2015). Nursing students’ perceived stress and influences in clinical performance. International Journal of Advanced Nursing Studies, 4(2), 44. https://doi.org/10.14419/ijans.v4i2.4311
AlAteeq, D. A., Aljhani, S., & AlEesa, D. (2020). Perceived stress among students in virtual classrooms during the COVID-19 outbreak in KSA. Journal of Taibah University Medical Sciences, 15(5), 398-403. https://doi.org/10.1016/j.jtumed.2020.07.004
Aristovnik, A., Keržič, D., Ravšelj, D., Tomaževič, N., & Umek, L. (2020). Impacts of the COVID-19 pandemic on life of higher education students: A global perspective. Sustainability, 12(20), 8438. https://doi.org/10.3390/su12208438
Aslan, H., & Pekince, H. (2020). Nursing students’ views on the COVID‐19 pandemic and their perceived stress levels. Perspectives in Psychiatric Care. https://doi.org/10.1111/ppc.12597
Barzilay, R., Moore, T. M., Greenberg, D. M., DiDomenico, G. E., Brown, L. A., White, L. K., . . . Gur, R. E. (2020). Resilience, COVID-19-related stress, anxiety and depression during the pandemic in a large population enriched for healthcare providers. Translational Psychiatry, 10(1), 1-8. https://doi.org/10.1038/s41398-020-00982-4
Bhurtun, H. D., Azimirad, M., Saaranen, T., & Turunen, H. (2019). Stress and coping among nursing students during clinical training: An integrative review. Journal of Nursing Education, 58(5), 266-272. https://doi.org/10.3928/01484834-20190422-04
Chmitorz, A., Kunzler, A., Helmreich, I., Tüscher, O., Kalisch, R., Kubiak, T., . . . Lieb, K. (2018). Intervention studies to foster resilience–A systematic review and proposal for a resilience framework in future intervention studies. Clinical Psychology Review, 59, 78-100. https://doi.org/10.1016/j.cpr.2017.11.002
Chow, K. M., Tang, W. K. F., Chan, W. H. C., Sit, W. H. J., Choi, K. C., & Sally, C. (2018). Resilience and well-being of university nursing students in Hong Kong: A cross-sectional study. BMC Medical Education, 18(1), 1-8. https://doi.org/10.1186/s12909-018-1119-0
Dryhurst, S., Schneider, C. R., Kerr, J., Freeman, A. L. J., Recchia, G., Van Der Bles, A. M., . . . van der Linden, S. (2020). Risk perceptions of COVID-19 around the world. Journal of Risk Research, 23(7-8), 994-1006. https://doi.org/10.1080/13669877.2020.1758193
Ferreira, R. J., Buttell, F., & Cannon, C. (2020). COVID-19: immediate predictors of individual resilience. Sustainability, 12(16), 6495. https://doi.org/10.3390/su12166495
Gallego-Gómez, J. I., Campillo-Cano, M., Carrión-Martínez, A., Balanza, S., Rodríguez-González-Moro, M. T., Simonelli-Muñoz, A. J., & Rivera-Caravaca, J. M. (2020). The COVID-19 pandemic and its impact on homebound nursing students. International Journal of Environmental Research and Public Health, 17(20), 7383. https://doi.org/10.3390/ijerph17207383
Goff, A.-M. (2011). Stressors, academic performance, and learned resourcefulness in baccalaureate nursing students. International Journal of Nursing Education Scholarship, 8(1). https://doi.org/10.2202/1548-923X.2114
Guillasper, J. N., Soriano, G. P., & Oducado, R. M. F. (2020). Psychometric properties of ‘attitude towards e-learning scale’among nursing students. International Journal of Educational Sciences, 30(1-3), 1-5. https://doi.org/10.31901/24566322.2020/30.1-3.1135
Gunawan, J., Aungsuroch, Y., & Fisher, M. L. (2020). One year of the COVID-19 pandemic: Nursing research priorities for the new normal era. Belitung Nursing Journal, 6(6), 187-189. https://doi.org/10.33546/bnj.1255
Helmreich, I., Kunzler, A., Chmitorz, A., König, J., Binder, H., Wessa, M., & Lieb, K. (2017). Psychological interventions for resilience enhancement in adults. Cochrane Database of Systematic Reviews, 2017(2), CD012527. https://doi.org/10.1002/14651858.CD012527
Huang, L., Lei, W., Xu, F., Liu, H., & Yu, L. (2020). Emotional responses and coping strategies in nurses and nursing students during Covid-19 outbreak: A comparative study. PloS One, 15(8), e0237303. https://doi.org/10.1371/journal.pone.0237303
Jimenez, C., Navia‐Osorio, P. M., & Diaz, C. V. (2010). Stress and health in novice and experienced nursing students. Journal of Advanced Nursing, 66(2), 442-455. https://doi.org/10.1111/j.1365-2648.2009.05183.x
Joyce, S., Shand, F., Tighe, J., Laurent, S. J., Bryant, R. A., & Harvey, S. B. (2018). Road to resilience: A systematic review and meta-analysis of resilience training programmes and interventions. BMJ Open, 8(6), e017858. http://dx.doi.org/10.1136/bmjopen-2017-017858
Liu, C. H., Pinder-Amaker, S., Hahm, H. C., & Chen, J. A. (2020). Priorities for addressing the impact of the COVID-19 pandemic on college student mental health. Journal of American College Health, 1-3. https://doi.org/10.1080/07448481.2020.1803882
McAllister, M., & McKinnon, J. (2009). The importance of teaching and learning resilience in the health disciplines: A critical review of the literature. Nurse Education Today, 29(4), 371-379. https://doi.org/10.1016/j.nedt.2008.10.011
McDermott, R. C., Fruh, S. M., Williams, S., Hauff, C., Graves, R. J., Melnyk, B. M., & Hall, H. R. (2020). Nursing students’ resilience, depression, well‐being, and academic distress: Testing a moderated mediation model. Journal of Advanced Nursing, 76(12), 3385-3397. https://doi.org/10.1111/jan.14531
Moralista, R. B., & Oducado, R. M. F. (2020). Faculty perception toward online education in a state college in the Philippines during the coronavirus disease 19 (COVID-19) pandemic. Universal Journal of Educational Research, 8(10), 4736-4742. https://doi.org/10.13189/ujer.2020.081044
Oducado, R. M. F., Parreño-Lachica, G. M., & Rabacal, J. S. (2021). Personal resilience and its influence on COVID-19 stress, anxiety and fear among graduate students. International Journal of Educational Research and Innovation, 115, 419-431. https://doi.org/10.46661/ijeri.5484
Oducado, R. M. F., Rabacal, J. S., Moralista, R. B., & Tamdang, K. A. (2021). Perceived stress due to COVID-19 pandemic among employed professional teachers. International Journal of Educational Research and Innovation,(15), 305-316. https://doi.org/10.46661/ijeri.5284
Oducado, R. M. F., Tuppal, C., Estoque, H., Sadang, J., Superio, D., Real, D. V., . . . Fajardo, M. T. (2021). Internet use, eHealth literacy and fear of COVID-19 among nursing students in the Philippines. International Journal of Educational Research and Innovation. http://dx.doi.org/10.2139/ssrn.3762848
Philippine Department of Health. (2021). DOH COVID-19 bulletin # 298. Retrieved from https://doh.gov.ph/covid19casebulletin298
Rabacal, J. S., Oducado, R. M. F., & Tamdang, K. A. (2020). COVID-19 impact on the quality of life of teachers: A cross-sectional study. Asian Journal for Public Opinion Research, 8(4), 478-492. https://doi.org/10.15206/ajpor.2020.8.4.478
Rahman, M. A., Hoque, N., Alif, S. M., Salehin, M., Islam, S. M. S., Banik, B., . . . Cross, W. (2020). Factors associated with psychological distress, fear and coping strategies during the COVID-19 pandemic in Australia. Globalization and Health, 16(1), 1-15. https://doi.org/10.1186/s12992-020-00624-w
Repišti, S., Jovanović, N., Kuzman, M. R., Medved, S., Jerotić, S., Ribić, E., . . . Milutinović, M. (2020). How to measure the impact of the COVID-19 pandemic on quality of life: COV19-QoL–the development, reliability and validity of a new scale. Global Psychiatry, 3(2), 1-10. https://doi.org/10.2478/gp-2020-0016
Rutter, M. (2008). Developing concepts in developmental psychopathology. In J. J. Hudziak (Ed.), Developmental psychopathology and wellness: Genetic and environmental influences. (pp. 3-22). Arlington, VA, US: American Psychiatric Publishing, Inc.
Sam, P. R., & Lee, P. (2020). Do stress and resilience among undergraduate nursing students exist? International Journal of Nursing Education, 12(1), 146-149. https://doi.org/10.5958/0974-9357.2020.00032.X
Silva, A. A. M. (2020). On the possibility of interrupting the coronavirus (COVID-19) epidemic based on the best available scientific evidence. Revista Brasileira de Epidemiologia, 23. https://doi.org/10.1590/1980-549720200021
Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., & Bernard, J. (2008). The brief resilience scale: Assessing the ability to bounce back. International Journal of Behavioral Medicine, 15(3), 194-200. https://doi.org/10.1080/10705500802222972
Tee, M. L., Tee, C. A., Anlacan, J. P., Aligam, K. J. G., Reyes, P. W. C., Kuruchittham, V., & Ho, R. C. (2020). Psychological impact of COVID-19 pandemic in the Philippines. Journal of Affective Disorders, 277, 379-391. https://doi.org/10.1016/j.jad.2020.08.043
Thomas, L. J., & Revell, S. H. (2016). Resilience in nursing students: An integrative review. Nurse Education Today, 36, 457-462. https://doi.org/10.1016/j.nedt.2015.10.016
Ungar, M. (2008). Resilience across cultures. The British Journal of Social Work, 38(2), 218-235. https://doi.org/10.1093/bjsw/bcl343
Usher, K., Wynaden, D., Bhullar, N., Durkin, J., & Jackson, D. (2020). The mental health impact of COVID‐19 on pre‐registration nursing students in Australia. International Journal of Mental Health Nursing, 29(6), 1015-1017. https://doi.org/10.1111/inm.12791
World Health Organization. (2021). WHO coronavirus disease (COVID-19) dashboard. Retrieved from https://covid19.who.int/
Zhang, C., Ye, M., Fu, Y., Yang, M., Luo, F., Yuan, J., & Tao, Q. (2020). The psychological impact of the COVID-19 pandemic on teenagers in China. Journal of Adolescent Health, 67(6), 747-755. https://doi.org/10.1016/j.jadohealth.2020.08.026