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      Leading Our Frontline HEROES Through Times of Crisis With a Sense of Hope, Efficacy, Resilience, and Optimism

      research-article
      Author(s): , DNP, RN, CCRN, , MSN, APRN, CNE, , PhD, RN, FNP
      Publication date (Electronic):
      Journal: Nurse Leader
      Publisher: Mosby

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          Abstract

          The coronavirus 2019 (COVID-19) pandemic has changed the trajectory of health care delivery in the United States and the whole world. Frontline nurses—essential warriors in this fight—complete exhausting shifts and experience the moral distress that comes with making difficult ethical decisions. This deeply human crisis requires a deeply human response. To augment the mental health of their frontline staff, nurse leaders must tap into their staff’s psychological capital (PsyCap). PsyCap is characterized by having high levels of HERO (i.e., hope, efficacy, resilience, and optimism). In this article, we describe strategies that nurse leaders can utilize to foster PsyCap in their nurses.

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          Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019

          Jianbo Lai, Simeng Ma, Ying Wang … (2020)
          Key Points Question What factors are associated with mental health outcomes among health care workers in China who are treating patients with coronavirus disease 2019 (COVID-19)? Findings In this cross-sectional study of 1257 health care workers in 34 hospitals equipped with fever clinics or wards for patients with COVID-19 in multiple regions of China, a considerable proportion of health care workers reported experiencing symptoms of depression, anxiety, insomnia, and distress, especially women, nurses, those in Wuhan, and front-line health care workers directly engaged in diagnosing, treating, or providing nursing care to patients with suspected or confirmed COVID-19. Meaning These findings suggest that, among Chinese health care workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care workers have a high risk of developing unfavorable mental health outcomes and may need psychological support or interventions.
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            How resilience works.

            Diane Coutu (2002)
            Why do some people bounce back from life's hardships while others despair? HBR senior editor Diane Coutu looks at the nature of individual and organizational resilience, issues that have gained special urgency in light of the recent terrorist attacks, war, and recession. In the business arena, resilience has found its way onto the list of qualities sought in employees. As one of Coutu's interviewees puts it, "More than education, more than experience, more than training, a person's level of resilience will determine who succeeds and who fails." Theories abound about what produces resilience, but three fundamental characteristics seem to set resilient people and companies apart from others. One or two of these qualities make it possible to bounce back from hardship, but true resilience requires all three. The first characteristic is the capacity to accept and face down reality. In looking hard at reality, we prepare ourselves to act in ways that allow us to endure and survive hardships: We train ourselves how to survive before we ever have to do so. Second, resilient people and organizations possess an ability to find meaning in some aspects of life. And values are just as important as meaning; value systems at resilient companies change very little over the long haul and are used as scaffolding in times of trouble. The third building block of resilience is the ability to improvise. Within an arena of personal capabilities or company rules, the ability to solve problems without the usual or obvious tools is a great strength.
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              Exercising Heart and Head in Managing Coronavirus Disease 2019 in Wuhan

              Roy H Perlis (2020)
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                Author and article information

                Journal
                Journal ID (nlm-ta): Nurse Lead
                Title: Nurse Leader
                Publisher: Mosby
                ISSN (Print): 1541-4612
                ISSN (Electronic): 1541-4620
                Publication date PMC-release: 1 October 2020
                Publication date (Electronic): 1 October 2020
                Article
                Publisher Item ID: S1541-4612(20)30131-2
                DOI: 10.1016/j.mnl.2020.05.011
                PMC ID: 7529385
                PubMed ID: 33024421
                SO-VID: 0fe5699e-d855-4478-b90b-bf45665e0840
                Copyright © 2020 by Elsevier Inc. All rights reserved.
                License:

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                Date received : 22 April 2020
                Date accepted : 13 May 2020
                Categories
                Subject: Article

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