Psychological capital appreciation as a mediator between resilience and burnout among ICU nurses

ObjectiveThis study investigated the mediating effects of psychological capital appreciation in the relationship between psychological resilience and burnout among ICU nurses. The findings aim to provide an objective reference for hospitals to enhance the occupational health of ICU nurses.MethodsA c...

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Main Authors: Rui Zhang, Mei Shan, Yanling Yin, Yanshuo Wu, Peng Gao, Yan Xin, Kangkang Shen
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1551725/full
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author Rui Zhang
Mei Shan
Yanling Yin
Yanshuo Wu
Peng Gao
Yan Xin
Kangkang Shen
author_facet Rui Zhang
Mei Shan
Yanling Yin
Yanshuo Wu
Peng Gao
Yan Xin
Kangkang Shen
author_sort Rui Zhang
collection DOAJ
description ObjectiveThis study investigated the mediating effects of psychological capital appreciation in the relationship between psychological resilience and burnout among ICU nurses. The findings aim to provide an objective reference for hospitals to enhance the occupational health of ICU nurses.MethodsA cross-sectional questionnaire survey was administered to 150 ICU nurses employed at 20 tertiary hospitals across Hebei Province. Stratified random sampling was employed in the sampling methodology, with strata defined by hospital size and ranking. Subsequently, ICU nurses were randomly selected within each stratum to enhance the representativeness of the sample.Results(i) Among the 150 nurses, the psychological resilience score was (68.701 ± 14.549), resilience was (63.547 ± 14.020), and burnout score was (65.095 ± 18.461). (ii) The analysis revealed that psychological capital appreciation mediated the relationship between psychological resilience and burnout, with a mediation effect size of 0.597, accounting for 79% of the total effect. (iii) Psychological resilience did not directly affect job burnout (direct effect = 0.148, 95% CI includes 0, t = 0.864, p = 0.389), but indirectly reduced burnout by enhancing PCA. The indirect effect was significant (indirect effect = 0.601, 95% CI excludes 0, z = 6.073, p = 0.000), with a total effect size of 0.748 (95% CI excludes 0, z = 8.486, p = 0.000).Conclusion(i) Psychological capital appreciation (PCA) plays a complete mediating role between resilience and job burnout of ICU nurses. (ii) The overall incidence of job burnout among nurses is high, while the levels of resilience and psychological capital appreciation are at a low to medium level, which need to be improved urgently.
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spelling doaj-art-c1c85f3adff54a1b96007bf81601320c2025-08-20T02:26:22ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-04-011310.3389/fpubh.2025.15517251551725Psychological capital appreciation as a mediator between resilience and burnout among ICU nursesRui Zhang0Mei Shan1Yanling Yin2Yanshuo Wu3Peng Gao4Yan Xin5Kangkang Shen6Department of Intensive Care Unit, The Fourth Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Intensive Care Unit, The Fourth Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Intensive Care Unit, The Fourth Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Intensive Care Unit, The Fourth Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Intensive Care Unit, The Fourth Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Intensive Care Unit, The Third Hospital of Shijiazhuang, Shijiazhuang, ChinaDepartment of Intensive Care Unit, The Fourth Hospital of Hebei Medical University, Shijiazhuang, ChinaObjectiveThis study investigated the mediating effects of psychological capital appreciation in the relationship between psychological resilience and burnout among ICU nurses. The findings aim to provide an objective reference for hospitals to enhance the occupational health of ICU nurses.MethodsA cross-sectional questionnaire survey was administered to 150 ICU nurses employed at 20 tertiary hospitals across Hebei Province. Stratified random sampling was employed in the sampling methodology, with strata defined by hospital size and ranking. Subsequently, ICU nurses were randomly selected within each stratum to enhance the representativeness of the sample.Results(i) Among the 150 nurses, the psychological resilience score was (68.701 ± 14.549), resilience was (63.547 ± 14.020), and burnout score was (65.095 ± 18.461). (ii) The analysis revealed that psychological capital appreciation mediated the relationship between psychological resilience and burnout, with a mediation effect size of 0.597, accounting for 79% of the total effect. (iii) Psychological resilience did not directly affect job burnout (direct effect = 0.148, 95% CI includes 0, t = 0.864, p = 0.389), but indirectly reduced burnout by enhancing PCA. The indirect effect was significant (indirect effect = 0.601, 95% CI excludes 0, z = 6.073, p = 0.000), with a total effect size of 0.748 (95% CI excludes 0, z = 8.486, p = 0.000).Conclusion(i) Psychological capital appreciation (PCA) plays a complete mediating role between resilience and job burnout of ICU nurses. (ii) The overall incidence of job burnout among nurses is high, while the levels of resilience and psychological capital appreciation are at a low to medium level, which need to be improved urgently.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1551725/fullburnoutintensive care unitnursepsychological capital appreciationpsychological resilience
spellingShingle Rui Zhang
Mei Shan
Yanling Yin
Yanshuo Wu
Peng Gao
Yan Xin
Kangkang Shen
Psychological capital appreciation as a mediator between resilience and burnout among ICU nurses
Frontiers in Public Health
burnout
intensive care unit
nurse
psychological capital appreciation
psychological resilience
title Psychological capital appreciation as a mediator between resilience and burnout among ICU nurses
title_full Psychological capital appreciation as a mediator between resilience and burnout among ICU nurses
title_fullStr Psychological capital appreciation as a mediator between resilience and burnout among ICU nurses
title_full_unstemmed Psychological capital appreciation as a mediator between resilience and burnout among ICU nurses
title_short Psychological capital appreciation as a mediator between resilience and burnout among ICU nurses
title_sort psychological capital appreciation as a mediator between resilience and burnout among icu nurses
topic burnout
intensive care unit
nurse
psychological capital appreciation
psychological resilience
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1551725/full
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