Quality of Work Life and Resilience among Intensive Care Unit Nurses: A Descriptive Study
Downloads
Objective: The present study aimed to determine the association of quality of life with the resilience of intensive care unit (ICU) nurses.
Methods and Materials: A cross-sectional study was performed, including 105 ICU nurses from five hospitals in Iraq, using a convenience sample method. Data were gathered through a self-administered questionnaire that includes three sections: the demographics, the Brooks Quality of Nursing Work Life survey, and the Connor-Davidson Resilience Scale-10 (CD-RISC-10).
Findings: The QWL of the ICU nurses was moderately satisfied (mean = 161.42), and the level of resilience was moderate (mean = 26). A statistically significant positive correlation between QWL and resilience.
Conclusion: Strategies to improve work-life quality may further enhance the resilience of the ICU nursing workforce. These findings have significant implications for hospital managers and policymakers in developing and implementing measures that improve the quality of work life and resilience. These efforts might enhance nurses’ well-being and patient care outcomes.
Downloads
Afshari, D., Nourollahi-Darabad, M., & Chinisaz, N. (2021). Demographic predictors of resilience among nurses during the COVID-19 pandemic. Work, 68(2), 297-303. https://doi.org/10.3233/WOR-203376
Al-Jubouri, M. B., & Jaafar, S. A. (2018). Nurses' Knowledge and Practice Toward Oral Care for Intubated Patients. Indian Journal of Public Health Research & Development, 9(9). https://doi.org/10.5958/0976-5506.2018.00970.1
Al-Shomrani, S., Mahran, S. M., & Felemban, O. (2024). The Relationship Between Resilience and the Intention to Leave Among Staff Nurses at Governmental Hospitals in Al-Baha Region of Saudi Arabia. Cureus. https://doi.org/10.7759/cureus.56699
Alharbi, M. F., Alahmadi, B. A., Alali, M., & Alsaedi, S. (2019). Quality of nursing work life among hospital nurses in Saudi Arabia: A cross-sectional study. J Nurs Manag, 27(8), 1722-1730. https://doi.org/10.1111/jonm.12863
Almalki, M. J., FitzGerald, G., & Clark, M. (2012). The relationship between quality of work life and turnover intention of primary health care nurses in Saudi Arabia. BMC Health Serv Res, 12, 314. https://doi.org/10.1186/1472-6963-12-314
Ameen, K. J., & Hussein, H. A. (2023). Evaluation of the Psychological Empowerment among Nurses at Primary Health Care Centers. Iraqi National Journal of Nursing Specialties, 36(1). https://doi.org/10.58897/injns.v36i1.674
Ang, S. Y., Uthaman, T., Ayre, T. C., Mordiffi, S. Z., Ang, E., & Lopez, V. (2018). Association between demographics and resilience - a cross-sectional study among nurses in Singapore. Int Nurs Rev, 65(3), 459-466. https://doi.org/10.1111/inr.12441
Atay, N., Sahin, G., & Buzlu, S. (2021). The relationship between psychological resilience and professional quality of life in nurses. J Psychosoc Nurs Ment Health Serv, 59(6), 31-36. https://doi.org/10.3928/02793695-20210218-01
Bachi, G. E., & Al-Fayyadh, S. (2022). Determination of Procedural Pain Intensity among Critically-Ill Patients: Using Behavioral Pain Scale (BPS). Journal of Contemporary Medical Sciences, 8(4). https://doi.org/10.22317/jcms.v8i4.1260
Bayda'a, A. K. (2009). Determination of Job Stress among Nurses in Cardiac Surgical Intensive Care Units in Baghdad City (Vol. 22). https://injns.uobaghdad.edu.iq
Brooks, B. A. (2001). Development of an instrument to measure the quality of nurses' worklife. https://www.proquest.com/openview/01a4a62f5b8dc6acb5f791a5956ef86b/1?pq-origsite=gscholar&cbl=18750&diss=y
Brooks, B. A., & Anderson, M. A. (2005). Defining the quality of nursing work life. Nurs Econ, 23(6). https://www.researchgate.net/profile/Beth-Brooks-4/publication/7314185_Defining_quality_of_nursing_work_life/links/0c96053bc76b72a5c5000000/Defining-quality-of-nursing-work-life.pdf
Campbell-Sills, L., & Stein, M. B. (2007). Psychometric analysis and refinement of the Connor-Davidson Resilience Scale (CD-RISC): Validation of a 10-item measure of resilience. J Trauma Stress, 20(6), 1019-1028. https://doi.org/10.1002/jts.20271
Connor, K. M., & Davidson, J. R. T. (2003). Development of a new Resilience scale: The Connor-Davidson Resilience scale (CD-RISC). Depress Anxiety, 18(2), 76-82. https://doi.org/10.1002/da.10113
Dadoosh, K. A., & Al-Fayyadh, S. (2022). Compassion Fatigue among Nursing Staff Practicing at Neurological Wards. Res Militaris, 12(2SP - 4614), 4623. https://www.researchgate.net
Davoodi, A., Azarsa, T., Shahbazpour, M., Sokhanvar, Z., & Ghahramanian, A. (2020). Relationship between quality of work life and caring behaviors among emergency nurses. Int J Workplace Health Manag, 13(6), 687-701. https://doi.org/10.1108/IJWHM-11-2019-0151
Foster, K., Roche, M., Delgado, C., Cuzzillo, C., Giandinoto, J., & Furness, T. (2019). Resilience and mental health nursing: An integrative review of international literature. Int J Ment Health Nurs, 28(1), 71-85. https://doi.org/10.1111/inm.12548
Francis, F., Sham, F., Alias, A., Abdul Wahab, S. M., Yusof, S., & Johan, H. (2021). Quality of Work Life Among Public Hospital Nurses in Sarawak. International Journal of Service Management and Sustainability (IJSMS), 6(1), 51-70. https://doi.org/10.24191/ijsms.v6i1.12878
Hasan, N. N., Hama Rash, M. Q., & Mahmood, N. A. (2023). Burnout and resilience among nurses during COVID-19 in Kirkuk city. Inform Med Unlocked, 43. https://doi.org/10.1016/j.imu.2023.101392
Hassan Helaly, S., Ismail Ali, H., Abdel Ghafar Ali, K., Mohammed Aysha, Z., & Elgharib Mohamed Mostafa Eldiasty, N. (2022). Effect of Nursing Activities on the Quality of Work-life Balance, Absenteeism, and Job Satisfaction among Nurses at Intensive Care Units. Egyptian Journal of Health Care, 13IS-1, 2011-2029. https://doi.org/10.21608/ejhc.2022.269778
Jaafar, S., Al-Jubouri, M. B., & Alfatlawee, D. M. (2020). Nurses' Knowledge Based on Evidence-Based Practice toward Eye Care for Intensive Care Unit Patients. Indian Journal of Forensic Medicine & Toxicology, 14(3), 1314-1318. https://doi.org/10.37506/ijfmt.v14i3.10573
Jazzaa Alruwaili, A., Jamil Alkuwaisi, M., & Jazzaa Alruwaili, E. (2024). The moral distress and resilience among emergency nurses in Arar city, Saudi Arabia. Int Emerg Nurs, 74. https://doi.org/10.1016/j.ienj.2024.101447
Kelbiso, L., Belay, A., & Woldie, M. (2017). Determinants of quality of work life among nurses working in Hawassa town public health facilities, South Ethiopia: A cross‐sectional study. Nurs Res Pract, 2017, 5181676. https://doi.org/10.1155/2017/5181676
Leners, C., Sowers, R., & Quinn Griffin, M. F. J. J. (2014). Resilience and professional quality of life among military healthcare providers. Issues Ment Health Nurs, 35(7), 497-502. https://doi.org/10.3109/01612840.2014.887164
Mansouri, P., Rivaz, M., Soltani, R., & Tabei, P. (2025). The relationship between professional quality of life and sleep quality among nurses working in intensive care units: a cross-sectional study. BMC Nurs, 24(1), 34. https://doi.org/10.1186/s12912-025-02693-x
Mealer, M., Conrad, D., Evans, J., Jooste, K. A. U. S. J., Rothbaum, B., & et al. (2014). Feasibility and acceptability of a resilience training program for intensive care unit nurses. American Journal of Critical Care, 23(6), e97-e105. https://doi.org/10.4037/ajcc2014747
Mealer, M., Jones, J., & Moss, M. (2012). A qualitative study of resilience and posttraumatic stress disorder in United States ICU nurses. Intensive Care Med, 38(9), 1445-1451. https://doi.org/10.1007/s00134-012-2600-6
Mealer, M., Jones, J., Newman, J., McFann, K. K., Rothbaum, B., & Moss, M. (2012). The presence of resilience is associated with a healthier psychological profile in intensive care unit (ICU) nurses: Results of a national survey. Int J Nurs Stud, 49(3), 292-299. https://doi.org/10.1016/j.ijnurstu.2011.09.015
Momeni, B., Shafipour, V., Esmaeili, R., & Charati, J. Y. (2016). The relationship between the quality of work life and sleep in nurses at the intensive care units of teaching hospitals in Mazandaran, Iran. Journal of Nursing and Midwifery Sciences, 3(1), 28-34. https://doi.org/10.18869/acadpub.jnms.3.1.28
Ni, W., Xia, M., Jing, M., Zhu, S., & Li, L. (2023). The relationship between professional quality of life and work environment among ICU nurses in Chinese: a cross-sectional study. Front Public Health, 11. https://doi.org/10.3389/fpubh.2023.1104853
Olaleye, T. T., Christianson, T. M., & Hoot, T. J. (2022). Nurse burnout and resiliency in critical care nurses: A scoping review. Int J Afr Nurs Sci, 17, 100461. https://doi.org/10.1016/j.ijans.2022.100461
Ruiz-Fernández, M. D., Pérez-García, E., & Ortega-Galán, Á. (2020). Quality of life in nursing professionals: Burnout, fatigue, and compassion satisfaction. Int J Environ Res Public Health, 17(4), 1253. https://doi.org/10.3390/ijerph17041253
Salahat, M. F., & Al-Hamdan, Z. M. (2022). Quality of nursing work life, job satisfaction, and intent to leave among Jordanian nurses: A descriptive study. Heliyon, 8(7). https://doi.org/10.1016/j.heliyon.2022.e09838
Shin, N., & Choi, Y. (2024). Professional quality of life, resilience, posttraumatic stress, and leisure activity among intensive care unit nurses. Int Nurs Rev, 71(1), 94-100. https://doi.org/10.1111/inr.12850
Suleiman, K., Hijazi, Z., Al Kalaldeh, M., & Abu Sharour, L. (2019). Quality of nursing work life and related factors among emergency nurses in Jordan. J Occup Health, 61(5), 398-406. https://doi.org/10.1002/1348-9585.12068
Vahedian-Azimi, A., Hajiesmaeili, M., Kangasniemi, M., Fornés-Vives, J., Hunsucker, R. L., Rahimibashar, F., & et al. (2019). Effects of stress on critical care nurses: a national cross-sectional study. J Intensive Care Med, 34(4), 311-322. https://doi.org/10.1177/0885066617696853
Waheed, N. H., & Abdulwahhab, M. M. (2022). Nurses' Knowledge and Practices concerning Physiotherapy Protocol at Intensive Care Units in AL-Nasiriyah City. Iraqi National Journal of Nursing Specialties, 35(1). https://doi.org/10.58897/injns.v35i1.488
Wara, N. G., Rampengan, S. H., & Korompis, M. (2018). Correlation between the quality of work life (QWL) and nurse productivity in the inpatient room of Bhayangkara TK III Hospital, Manado. Bali Medical Journal, 7(2), 385-392. https://doi.org/10.15562/bmj.v7i2.1018
Zahednezhad, H., Zareiyan, A., & Jame, S. Z. B. (2021). Relationship between quality of work-life, resilience, and burnout among nursing professionals during the COVID-19 pandemic in Iran: A cross-sectional study. Belitung Nurs J, 7(6), 508-515. https://doi.org/10.33546/bnj.1702
Copyright (c) 2025 International Journal of Body, Mind and Culture
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
