Nursing Practice Environment and Resilience of Nurses in General Hospitals, Naypyitaw, the Republic of the Union of Myanmar

Authors

  • Thein Nandar Soe Faculty of Nursing, Chiang Mai University
  • Orn-Anong Wichaikhum Faculty of Nursing, Chiang Mai University
  • Kulwadee Abhicharttibutra Faculty of Nursing, Chiang Mai University

Keywords:

Resilience, Nurses, Nursing practice environment, General hospitals

Abstract

Nurses are confronted with increasing levels of adversity in their workplace and experience many stressors. Resilience can help nurses avoid or lower the adverse effects caused by these stressors, leading to retention of nurses. This descriptive-correlational research aimed to describe the nursing practice environment and resilience, and to examine their relationship among nurses in general hospitals in Naypyitaw, Myanmar. A stratified random sampling method was used to select 155 nurses from general hospitals in Naypyitaw. The research tools utilized were the Practice Environment Scale of Nursing Work Index (PES-NWI) and the Connor-Davidson Resilience Scale (CD-RISC-25). The Cronbach alpha coefficients of the tools were .82 and .91, respectively. Descriptive statistics and Pearson's correlation coefficient were employed to analyze the data.

The findings were as follows:
1. The nursing practice environment as perceived by nurses was favorable (M = 2.61, SD = 0.24).
2. The mean score for resilience in nurses was 71.71 (SD = 12.46), with the first, second, third, and fourth quartiles being 0-65 (25.80%), 66-73 (25.16%), 74-81 (24.52%), and 82-100 (24.52%), respectively.
3. The nursing practice environment had a significantly positively moderate relationship with the resilience of nurses (r = 0.33, p < 0.001).

This study's findings can provide vital evidence for nurse administrators, hospital administrators, and policymakers to strengthen and maintain a favorable nursing practice environment; design in-service training programs for professional competence; organize adequate facilities, flexible working schedules, and regular staff meetings to tackle the foundations of stress; and seek collaborative outcomes for enhancing nurses’ resilience.

References

Afshari, D., Nourollahi-Darabad, M., & Chinisaz, N. (2021). Demographic predictors of resilience among nurses during the COVID-19 pandemic. Work, 68(2), 297-303. https://doi.org/10.3233/wor-203376

Alameddine, M., Clinton, M., Bou-Karroum, K., Richa, N., & Doumit, M. A. A. (2021). Factors associated with the resilience of nurses during the COVID-19 pandemic. Worldviews on Evidence-Based Nursing, 18(6), 320-331. https://doi.org/10.1111/wvn.12544

Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18(2), 76-82. https://doi.org/10.1002/da.10113

Cooper, A. L., Brown, J. A., Rees, C. S., & Leslie, G. D. (2020). Nurse resilience: A concept analysis. International Journal of Mental Health Nursing, 29(4), 553-575. https://doi.org/10.1111/inm.12721

Cooper, A. L., Leslie, G. D., & Brown, J. A. (2022). Defining the influence of external factors on nurse resilience. International Journal of Mental Health Nursing, 31(6), 1523-1533. https://doi.org/10.1111/inm.13059

Cusack, L., Smith, M., Hegney, D., Rees, C. S., Breen, L. J., Witt, R. R., Rogers, C., Williams, A., Cross, W., & Cheung, K. (2016). Exploring environmental factors in nursing workplaces that promote psychological resilience: Constructing a unified theoretical model. Frontiers in Psychology, 7, 600. https://doi.org/10.3389/fpsyg.2016.00600

Davidson, J. R. (2022). Connor-Davidson Resilience Scale (CD-RISC) manual. Unpublished. 10-01-22.

Di Giuseppe, M., Nepa, G., Prout, T. A., Albertini, F., Marcelli, S., Orrù, G., & Conversano, C. (2021). Stress, burnout, and resilience among healthcare workers during the COVID-19 emergency: The role of defense mechanisms. International Journal of Environmental Research and Public Health, 18(10), 5258. https://doi.org/10.3390/ijerph18105258

Gray, J. R., Grove, K. S., & Sutherland, S. (2017). Burns and Grove's the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). Elsevier.

Guo, Y. F., Cross, W., Plummer, V., Lam, L., Luo, Y. H., & Zhang, J. P. (2017). Exploring resilience in Chinese nurses: A cross-sectional study. Journal of Nursing Management, 25(3), 223-230. https://doi.org/10.1111/jonm.12457

Han, P., Duan, X., Jiang, J., Zeng, L., Zhang, P., & Zhao, S. (2023). Experience in the development of nurses' personal resilience: A meta-synthesis. Nursing Open, 10(5), 2780-2792. https://doi.org/10.1002/nop2.1556

Lai, W., Jin, R., He, R., & Ding, X. (2023). Current situation and influencing factors of the nursing practice environment in five tertiary general hospitals in Shenzhen: A cross-sectional study. Journal of Public Health, 31(2), 213-220. https://doi.org/10.1007/s10389-021-01490-5

Lake, E. T. (2002). Development of the practice environment scale of the Nursing Work Index. Research in Nursing and Health, 25(3), 176-188. https://doi.org/10.1002/nur.10032

Lake, E. T., & Friese, C. R. (2006). Variations in nursing practice environments: Relation to staffing and hospital characteristics. Nursing Research, 55(1), 1-9. https://doi.org/10.1097/00006199-200601000-00001

Luther. (2023). Memo: Myanmar Employment Law. https://www.luther-lawfirm.com/fileadmin/user_upload/PDF/Broschueren/Geschaeftsaktivitaeten_im_Ausland/Myanmar/Memo-Myanmar_Employment_Law_V13.pdf

Ministry of Health. (2019). Achievements from April 1, 2016 to March 31, 2019. Ministry of Health: The Republic of the Union of Myanmar.

Ministry of Health. (2020). Hospital statistics report (2017-18). Ministry of Health, Myanmar.

Montgomery, A. P., & Patrician, P. A. (2022). Work environment, resilience, burnout, intent to leave during COVID pandemic among nurse leaders: A cross-sectional study. Journal of Nursing Management, 30(8), 4015-4023. https://doi.org/10.1111/jonm.13831

Park, B. M., & Jung, J. (2021). Effects of the resilience of nurses in long-term care hospitals during on job stress COVID-19 pandemic: Mediating effects of nursing professionalism. International Journal of Environmental Research and Public Health, 18(19), 10327. https://doi.org/10.3390/ijerph181910327

Park, K., & Jang, A. (2022). Factors affecting the resilience of new nurses in their working environment. International Journal of Environmental Research and Public Health, 19(9), 5158. https://doi.org/10.3390/ijerph19095158

Phyo, A. (2019). Nursing workforce analysis in Myanmar [Unpublished master’s thesis]. University of Nursing, Mandalay.

Saw, Y. M., Than, T. M., Thaung, Y., Aung, S., Wen-Shuan Shiao, L., Win, E. M., Khaing, M., Tun, N. A., Iriyama, S., Win, H. H., Sakisaka, K., Jimba, M., Hamajima, N., & Saw, T. N. (2019). Myanmar's human resources for health: Current situation and its challenges. Heliyon, 5(3), e01390. https://doi.org/10.1016/j.heliyon.2019.e01390

Sharma, S. K., & Rani, R. (2020). Nurse-to-patient ratio and nurse staffing norms for hospitals in India: A critical analysis of national benchmarks. Journal of Family Medicine and Primary Care, 9(6), 2631-2637. https://doi.org/10.4103/jfmpc.jfmpc_248_20

Spector, P. E., Sanchez, J. I., Siu, O. L., Salgado, J., & Ma, J. (2004). Eastern versus western control beliefs at work: An investigation of secondary control, socio-instrumental control, and work locus of control in China and the US. Applied Psychology, 53(1), 38-60. https://doi.org/10.1111/j.1464-0597.2004.00160.x

Stewart, D., Cipriano, P., & Catton, H. (2023). International Nurses Day 2023 report: Our nurses, Our future. International Council of Nurses. https://www.icn.ch/sites/default/files/2023-07/ICN_IND_2023_Report_EN.pdf

Tabakakis, C. K., McAllister, M., Bradshaw, J., & To, Q. G. (2019). Psychological resilience in New Zealand registered nurses: The role of workplace characteristics. Journal of Nursing Management, 27(7), 1351-1358. https://doi.org/10.1111/jonm.12815

Vimala, V. (2019). Meditation in Myanmar: The theory and practice, management, and key successes [Disseration, Mahachulalongkornrajavidyalaya University]. https://shorturl.asia/LDCt5

Wai, C. T. (2020). Professional values, job satisfaction and job performance of nurses in (1000) bedded general hospital, Naypyitaw [Unpublished master’s thesis]. University of Nursing, Mandalay.

Wai, P. (2021). Relationship between perceived managerial support, workplace resilience, and burnout among nurses [Unpublished master’s thesis]. University of Nursing, Yangon.

Win, N. S. (2021). Workplace violence and influencing factors among nurses [Unpublished master’s thesis]. University of Nursing, Yangon.

World Health Organization. (2020). State of the world’s nursing 2020: Investing in education, jobs, and leadership. https://www.who.int/publications/i/item/9789240003279

Yamane, T. (1967). Statistics: An introductory analysis (2nd ed.). Harper and Row.

Ying, L. Y., Ramoo, V., Ling, L. W., Nahasaram, S. T., Lei, C. P., Leong, L. K., & Danaee, M. (2021). Nursing practice environment, resilience, and intention to leave among critical care nurses. Nursing in Critical Care, 26(6), 432-440. https://doi.org/10.1111/nicc.12551

Zar, P. E. E. (2017). The relationship between work environment and nurses’ outcomes [Unpublished master’s thesis]. University of Nursing, Mandalay.

Downloads

Published

2024-12-20

How to Cite

Soe, T. N., Wichaikhum, O.-A. ., & Abhicharttibutra, K. . . (2024). Nursing Practice Environment and Resilience of Nurses in General Hospitals, Naypyitaw, the Republic of the Union of Myanmar. Nursing Journal CMU, 51(4), 14–26. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/268009