Evidence map›Paper›PMID 41424993›Full record

ArticleJournal of nursing management2025

Empowerment, Resilience, and Burnout Among Nurses With Recovered COVID-19: A Multicountry Study.

Wei-Tien Lee, Hsiang-Chin Hsu, Huan-Fang Lee, Ferry Efendi, Vimala Ramoo, Hsuan-Man Hung

Abstract readMulticenter Study
In one paragraph

Article in Journal of nursing management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

4 citing papers in PubMed.

  1. Article
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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.

Wei-Tien LeeDepartment of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan, ncku.edu.tw.ORCID 0009-0008-3012-2216
Hsiang-Chin HsuSchool of Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan, ncku.edu.tw.ORCID 0000-0002-4350-6701
Huan-Fang LeeDepartment of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan, ncku.edu.tw.ORCID 0000-0002-1276-4409
Ferry EfendiDepartment of Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia, unair.ac.id.ORCID 0000-0001-7988-9196
Vimala RamooDepartment of Nursing Science, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia, um.edu.my.ORCID 0000-0001-8506-7826
Hsuan-Man HungDepartment of Nursing, Fooyin University, Tainan, Taiwan, fy.edu.tw.ORCID 0000-0002-9731-1483

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The pandemic of COVID-19 has placed enormous physical and psychological stress on healthcare workers, particularly nurses, resulting in a high level of burnout. To mitigate burnout, nurses who have recovered from COVID-19 need to be empowered and resilient; however, the relationship between empowerment, resilience, and burnout remains to be determined. Aim: This study examines the relationships between psychological empowerment, resilience, and burnout in nurses who recovered from COVID-19 in Taiwan, Malaysia, and Indonesia. Designs: A cross-sectional survey study. Methods: Six hundred five nurses participated in the study, completing online questionnaires that measured psychological empowerment, resilience, and burnout. Data were analyzed using multigroup confirmatory factor analysis and structural equation modeling to assess the relationships between these variables across the three countries. Results: Indonesian nurses reported the highest levels of resilience and empowerment, while Malaysian nurses had the highest burnout levels. Empowerment and resilience were negatively correlated with burnout across all countries. In Malaysia, psychological empowerment had a direct negative effect on burnout, whereas in Taiwan and Indonesia, the impact of empowerment on burnout was mediated by resilience. Conclusions: Psychological empowerment and resilience are critical factors in reducing burnout among nurses who have recovered from COVID-19. Interventions to enhance these factors could help reduce burnout, with strategies tailored to different cultural and healthcare settings. Implication for Nursing Management: The COVID-19 pandemic underscores the need for strategies to address nurse burnout. Key approaches include (1) creating a positive work environment by managing workloads, staffing, and resources; (2) enhancing empowerment and resilience through professional development, mentorship, and autonomy-building initiatives; and (3) implementing resilience-focused and burnout-reducing programs, such as mindfulness-based stress reduction and resilience training.

Indexed as

Burnout, ProfessionalCOVID-19EmpowermentNursesResilience, PsychologicalAdultCross-Sectional StudiesFemaleHumansIndonesiaMalaysiaMaleMiddle AgedPandemicsSurveys and QuestionnairesTaiwan

Identifiers

PMID41424993
PMCPMC12714158

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.