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      Resilience as a Moderator of Psychological Health in Situations of Chronic Stress (Burnout) in a Sample of Hospital Nurses : Resilience, Burnout, and Health Among Nurses

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          Most cited references50

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          Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC).

          Resilience may be viewed as a measure of stress coping ability and, as such, could be an important target of treatment in anxiety, depression, and stress reactions. We describe a new rating scale to assess resilience. The Connor-Davidson Resilience scale (CD-RISC) comprises of 25 items, each rated on a 5-point scale (0-4), with higher scores reflecting greater resilience. The scale was administered to subjects in the following groups: community sample, primary care outpatients, general psychiatric outpatients, clinical trial of generalized anxiety disorder, and two clinical trials of PTSD. The reliability, validity, and factor analytic structure of the scale were evaluated, and reference scores for study samples were calculated. Sensitivity to treatment effects was examined in subjects from the PTSD clinical trials. The scale demonstrated good psychometric properties and factor analysis yielded five factors. A repeated measures ANOVA showed that an increase in CD-RISC score was associated with greater improvement during treatment. Improvement in CD-RISC score was noted in proportion to overall clinical global improvement, with greatest increase noted in subjects with the highest global improvement and deterioration in CD-RISC score in those with minimal or no global improvement. The CD-RISC has sound psychometric properties and distinguishes between those with greater and lesser resilience. The scale demonstrates that resilience is modifiable and can improve with treatment, with greater improvement corresponding to higher levels of global improvement. Copyright 2003 Wiley-Liss, Inc.
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            The Job Demands‐Resources model: state of the art

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              Job burnout.

              Burnout is a prolonged response to chronic emotional and interpersonal stressors on the job, and is defined by the three dimensions of exhaustion, cynicism, and inefficacy. The past 25 years of research has established the complexity of the construct, and places the individual stress experience within a larger organizational context of people's relation to their work. Recently, the work on burnout has expanded internationally and has led to new conceptual models. The focus on engagement, the positive antithesis of burnout, promises to yield new perspectives on interventions to alleviate burnout. The social focus of burnout, the solid research basis concerning the syndrome, and its specific ties to the work domain make a distinct and valuable contribution to people's health and well-being.
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                Author and article information

                Journal
                Journal of Nursing Scholarship
                Journal of Nursing Scholarship
                Wiley
                15276546
                March 2018
                March 2018
                December 21 2017
                : 50
                : 2
                : 228-236
                Affiliations
                [1 ]Professor, Department of Psychiatry and Social Psychology, University of Murcia, ENAE Business School; Campus Universitario de Espinardo; Murcia Spain
                [2 ]Professor, Department of Psychiatry and Social Psychology, Faculty of Psychology. University of Murcia; Campus Universitario de Espinardo; Murcia Spain
                [3 ]Nurse, Hospital Morales Meseguer, and Clinical Associate Professor in the Department of Nursing, Faculty of Nursing, University of Murcia; Campus Universitario de Espinardo; Murcia Spain
                [4 ]Professor, Department of Psychiatry and Social Psychology, Faculty of Psychology, University of Murcia; Campus Universitario de Espinardo; Murcia Spain
                Article
                10.1111/jnu.12367
                29266720
                6891d3a6-4fe8-4962-b611-4ffd6503cba1
                © 2017

                http://doi.wiley.com/10.1002/tdm_license_1.1

                http://onlinelibrary.wiley.com/termsAndConditions#vor

                History

                Quantitative & Systems biology,Biophysics
                Quantitative & Systems biology, Biophysics

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