Evidence map›Paper›PMID 34387905›Full record

ArticleNursing in critical care2021

Stress and quality of life of intensive care nurses during the COVID-19 pandemic: Self-efficacy and resilience as resources.

Cecilia Peñacoba, Patricia Catala, Lilian Velasco, Francisco Javier Carmona-Monge, Fernando J Garcia-Hedrera, Fernanda Gil-Almagro

Abstract read
In one paragraph

Article in Nursing in critical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  10. Coping strategies among acute and critical care nurses: a scoping review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Cecilia PeñacobaDepartment of Psychology, Rey Juan Carlos University, Alcorcón, Madrid, Spain.ORCID 0000-0001-6307-5921
Patricia CatalaDepartment of Psychology, Rey Juan Carlos University, Alcorcón, Madrid, Spain.ORCID 0000-0003-4989-9099
Lilian VelascoDepartment of Psychology, Rey Juan Carlos University, Alcorcón, Madrid, Spain.ORCID 0000-0002-6787-324X
Francisco Javier Carmona-MongeCritical Care Unit, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, Spain.ORCID 0000-0003-3431-238X
Fernando J Garcia-HedreraCritical Care Unit, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, Spain.ORCID 0000-0001-5539-5773
Fernanda Gil-AlmagroCritical Care Unit, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, Spain.ORCID 0000-0002-1079-281X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth care workers employed in the COVID-19 emergency are at a high risk of stress. AIMS AND

objectivesTo explore the mediating roles of self-efficacy and resilience between stress and both physical and mental quality-of-life components in intensive care nurses during the COVID-19 pandemic.

designCross-sectional survey design.

methodsThe stress subscale (depression, anxiety, and stress scale in Spanish Scale, DASS-21), the summary components (physical and mental) of health-related quality of life (SF-36), the general self-efficacy scale (GSES), and the resilience scale (RS-14) were administered in 308 intensive care nurses. Serial multiple mediator models were used.

resultsThere was a significant indirect effect of levels of perceived stress on both physical and mental health components through self-efficacy and resilience. Specifically, greater perception of self-efficacy was associated with a lower perception of stress and greater resilience, while higher resilience was associated with greater physical and mental health (B = -0.03; SE = 0.02; 95% confidence interval [CI] = [-0.07, -0.01]; B = -0.03, SE = 0.01, 95% CI = [-0.07, -0.01], respectively). It was observed that self-efficacy alone also mediates the relationship of the perception of stress on the components of physical and mental health (B = -0.07; SE = 0.05; 95% CI = [-0.18, -0.03]; B = -0.09; SE = 0.04; 95% CI = [-0.17, -0.24], respectively). However, resilience alone was not a significant mediator of these associations.

conclusionsIt can be concluded that stress is linked to the physical and mental health components related to quality of life through self-efficacy and resilience. RELEVANCE TO CLINICAL PRACTICE: These psychological resources would allow the nursing staff to maintain a good quality of life despite high levels of stress. These findings have implications for future research in terms of both model testing and clinical application.

Indexed as

COVID-19NursesResilience, PsychologicalCritical CareCross-Sectional StudiesHumansPandemicsQuality of LifeSARS-CoV-2Self EfficacyCOVID-19 pandemicintensive care unitnursesquality of liferesilienceself-efficacystress

Identifiers

PMID34387905
PMCPMC8447025

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.