Examining the Relationship Between Resilience, Spiritual Health and Quality of Life Among Emergency Nurses in In-Hospital and Pre-hospital Settings

Background: Emergency service workers experience extreme psychological stress as they are the first to respond to accidents and disasters, and this can deplete their quality of life. Resilience has a very significant part in enabling individuals to cope with stress effectively without detracting from physical and psychological well-being. The objective of this study was to evaluate the status of resilience and establish its correlation with quality of life and spiritual well-being between nurses working in In-hospital and pre-hospital emergency departments. Materials and Methods: This cross-sectional study was carried out in ۲۰۲۴ across four hospitals affiliated with Mashhad University of Medical Sciences. A total of ۲۱۲ emergency nurses were recruited using a cluster sampling approach. Each hospital was considered a cluster; four hospitals were randomly chosen, and data were collected from these hospitals through convenience sampling with proportional allocation based on job categories. Data collection instruments were a demographic questionnaire and three standardized questionnaires: Paloutzian and Ellison's Spiritual Health Questionnaire (۲۰–۱۲۰), the Connor-Davidson Resilience Scale (۰–۱۰۰), and the WHO Quality of Life Questionnaire (۰–۱۰۰). Data were analyzed with descriptive and inferential statistics (Mann-Whitney, t-test, Chi-square, Fisher's exact, Spearman correlation) in SPSS version ۲۶. Results: The response rate was ۷۰%. The spiritual health of participants was moderate (mean = ۷۲.۲۸±۱۵.۸۵) as indicated by ۹۶.۷% of them. Mean scores of ۸۳.۸۹ ± ۱۷.۰۱ for quality of life and ۵۸.۷۲ ± ۱۵.۷۲ for resilience indicated moderate levels among the participants. Religious health scored higher than existential health. Environmental health had the highest mean among the quality-of-life facets; personal competence had the highest in resilience. There were positive correlations between quality of life, resilience, and spiritual health (P<۰.۰۰۱). Spiritual health and resilience had direct effects on individuals' quality of life. Conclusion: Emergency nurses showed moderate levels of resilience, spiritual health, and quality of life, and these variables were positively correlated. Interventions that enhance spiritual health and promote resilience can be effective in their quality of life improvement.

کلیدواژه ها:

Resilience ، Spiritual Health ، Quality of Life ، Emergency Services ، Emergency Nurses ، Pre-hospital Emergency Care