Evidence map›Paper›PMID 41126344›Full record

ArticleBMC psychology2025

The association between perceived stress and resilience among medical staff during public health emergencies: mediating effect of self-efficacy.

Hong Chen, Zhangping Cao, Xiaoxi Zhang, Hongjing Duan, Sha Jiang, Chan Cai

Abstract read
In one paragraph

Article in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Relationship Between Self-Efficacy and Burnout Syndrome in Resident Physicians in Metropolitan Lima.International journal of environmental research and public health · 2026
    Observational
  3. Article
4 · The record

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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.

Hong Chen *Nursing Department, The sixth affiliated hospital of Kunming Medical University, Yuxi, China.
Zhangping Cao *Department of Emergency Surgery, The sixth affiliated hospital of Kunming Medical University, Yuxi, China.
Xiaoxi ZhangDepartment of Traditional Chinese Medicine, The sixth affiliated hospital of Kunming Medical University, Yuxi, China. 249878659@qq.com.
Hongjing DuanNursing Department, The sixth affiliated hospital of Kunming Medical University, Yuxi, China.
Sha JiangNursing Department, The sixth affiliated hospital of Kunming Medical University, Yuxi, China.
Chan CaiDepartment of General Medicine, The sixth affiliated hospital of Kunming Medical University, Yuxi, China.

Funding

the Social Science Federation of Yuxi City(Grant. Yxsk369) Yxsk369
6 · The paper itself

Abstract

backgroundChina has entered the peak of COVID-19 infections following the release of the Notice on Further Optimizing and Implementing Prevention and Control Measures for COVID-19 Pneumonia on December 7, 2022. Most medical staff were infected with COVID-19 and have worked and lived in a higher-intensity stressful environment for a long time. Evidence suggests that resilience levels during public health emergencies are influenced by a variety of factors. The aim of this study was to investigate the status quo and relationships between self-efficacy, perceived stress, and resilience of medical staff during public health emergencies, and to explore the mediating role of self-efficacy between perceived stress and resilience.

methodsConvenience sampling was used to recruit medical staff from a tertiary general hospital in Yunnan Province between December 15, 2022, and January 31, 2023. A total of 564 medical staff were including the study. A General Information Questionnaire, the General Self-Efficacy Scale, the Perceived Stress Scale, and the Resilience Evaluation Scale for medical staff were used to investigate them. Descriptive statistics were conducted using SPSS, and mediation analysis was performed using Model 4 of the PROCESS macro program with Bootstrap method.

resultsSelf-efficacy and perceived stress were both positively correlated with resilience (r = 0.561,0.273, P < 0 0.001). Perceived stress had a significant effect on self-efficacy (β = 0.411, P < 0.001), while perceived stress had no significant effect on resilience (β = 0.051, P = 0.181). Self-efficacy had a significant effect on resilience (β = 0.541, P < 0.001). Self-efficacy played a complete mediating role between perceived stress and resilience, accounting for 81% of the total effect of perceived stress on resilience.

conclusionMedical staff exhibited high levels of perceived stress, while their self-efficacy and resilience were at a middle level during public health emergencies. Given the complete mediating effect of self-efficacy, it is crucial to incorporate self-efficacy into interventions designed to improve medical staff's resilience. Therefore, the implementation of interventions that can enhance self-efficacy may help to improve the resilience levels of medical staff in high-pressure environments, thus promoting their psychological adaptation.

Indexed as

COVID-19EmergenciesMedical StaffOccupational StressResilience, PsychologicalSelf EfficacyStress, PsychologicalAdultChinaFemaleHumansMaleMiddle AgedPublic HealthSurveys and QuestionnairesMediating effectPerceived stressPublic health emergenciesResilienceSelf-efficacy

Identifiers

PMID41126344
PMCPMC12542457

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LicenceCC BY-NC-ND
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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.