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Exploring Resilience at Work Among First-Line Nurse Managers

Carpio, Ron C., MSN, MHA, RN-BC, NE-BC; Castro, Laura P., MSN, RN; Huerto, Heinrich M., MSN, RN, ONC, CMSRN; Highfield, Martha E.F., PhD, RN; Mendelson, Sherri, PhD, RNC, CNS, IBCLC

Journal of Nursing Administration: October 2018 - Volume 48 - Issue 10 - p 481–486
doi: 10.1097/NNA.0000000000000655

OBJECTIVES This study explored the assessment of resilience at work among 1st-line nurse managers (NMs).

BACKGROUND Resilience is the ability to cope with stress. NMs have stressful roles and may ultimately withdraw from management if they lack resilient behaviors. Having a measurement of resilience at work in NMs and other healthcare workers may facilitate resilience development approaches.

METHODS In a descriptive, cross-sectional design, an electronic survey of 25-item, 7-subscale Resilience at Work (RAW) self-report assessment was distributed to 77 NMs.

RESULTS The highest reported subscale was living authentically; lowest was maintaining perspective. Total years as NM was related to overall RAW mean, maintaining perspective, staying healthy.

CONCLUSION The application of an instrument to determine resilience may focus support for NMs on maintaining perspective, for example. Further study exploring the application of the RAW assessment to healthcare workers is indicated.

Author Affiliations: Nurse Manager (Mr Carpio, Ms Castro, and Mrs Huerto), Director of Research and Magnet Program (Dr Mendelson), and Research Consultant (Dr Highfield), Providence Holy Cross Medical Center, Mission Hills, California.

The authors declare no conflicts of interest.

Correspondence: Mr Carpio, Providence Holy Cross Medical Center, 15031 Rinaldi St, Mission Hills, CA 91345 (

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.