ArticleBMC nursing2026
Self-care practices among nurses at an academic institution in a conflict zone: a cross-sectional study.
Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundNurses working in conflict-affected environments face substantial physical, emotional, and psychological demands that threaten their well-being and the quality of care they provide. Mindful self-care may buffer these effects, yet little is known about how nurses in conflict-affected settings such as Lebanon care for themselves care for themselves or how self-care relates to perceived health. This study assessed mindful self-care practices among nurses at an academic medical center and examined associations with self-rated health and socio-demographic and occupational characteristics.
methodsWe conducted a cross-sectional online survey of registered nurses at the American University of Beirut Medical Center (AUBMC). Eligible participants were clinical nurses with ≥2 years of experience. Mindful self-care was measured using the 33-item Mindful Self-Care Scale (MSCS), and self-rated health was assessed with a single 4-point item. Descriptive statistics summarized self-care levels. Pearson correlations, group comparisons, multiple linear regression (self-care score as the outcome) and multivariable logistic regression (high vs. low self-rated health as the outcome) were used to explore associated factors.
results245 completed the survey (response rate 38.7%). Nurses reported a moderate overall level of mindful self-care (mean 3.06, SD 0.63). Supportive relationships (mean 3.35) and mindful awareness (mean 3.29) were the most frequently practiced domains, whereas physical care (mean 2.69) and mindful relaxation (mean 2.70) scored lowest. Higher self-care was moderately associated with better self-rated health (r = 0.32, p < 0.001). In adjusted linear regression, Lebanese nationality and being ever married were associated with higher self-care scores, while oncology and emergency nurses reported the lowest self-care engagement. In the logistic regression model, mindful self-care was a strong independent predictor of high self-rated health (adjusted odds ratio 3.84, 95% CI 2.12–6.99, p < 0.001).
conclusionsMindful self-care is essential for maintaining nurses' health and resilience in crisis environments. The study highlights the need for organizational efforts focusing on physical care and relaxation to support nurse well-being. Customized wellness programs at institutions like the AUBMC Wellness Center are recommended to improve the least-practiced areas of self-care. Further research with long-term studies is necessary to determine cause-and-effect relationships and evaluate the lasting effects of self-care initiatives.
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