Observational Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Sep 19, 2023; 13(9): 698-706
Published online Sep 19, 2023. doi: 10.5498/wjp.v13.i9.698
Influence of resilience on depression among nurses in clean operating departments: The mediating effect of life satisfaction
Xue-Fei Shen, Li Li, Hong Ma, Jing Liu, Li-Wei Jin, Xue Li, Jia-Shu Wang, Ge Gao
Xue-Fei Shen, Li Li, Hong Ma, Jing Liu, Li-Wei Jin, Xue Li, Jia-Shu Wang, Ge Gao, Department of Clean Operating, Harbin Medical University Cancer Hospital, Harbin 150000, Heilongjiang Province, China
Author contributions: Gao G and Shen XF contributed to study concepts and study design; Li L, Ma H, and Liu J contributed to data acquisition and data analysis; Jin LW, Li X, and Wang JS contributed to literature research.
Institutional review board statement: This study was approved by the Ethics Committee of Harbin Medical University Cancer Hospital (Approval No. AF-42-1.0).
Informed consent statement: Written informed consent was obtained from all participants.
Conflict-of-interest statement: The authors declare that there are no conflicts of interest.
Data sharing statement: The raw data supporting the conclusions of this study will be made available by the corresponding author.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ge Gao, MBBS, Nurse, Department of Clean Operating, Harbin Medical University Cancer Hospital, No. 150 Ha Ping Road, Nangang District, Harbin 150000, Heilongjiang Province, China. gaogedr@yeah.net
Received: July 6, 2023
Peer-review started: July 6, 2023
First decision: July 27, 2023
Revised: August 2, 2023
Accepted: August 15, 2023
Article in press: August 15, 2023
Published online: September 19, 2023
Research background

A clean operating department is important for hospitals to implement surgical treatments and attend to critically ill patients. These departments have a large workload, fast rhythm, and high intensity. The working environment in clean operating departments constantly challenges nurses and can easily lead to negative mental states, such as despair and anxiety, and ultimately, psychological problems. However, ensuring the mental health of nurses in clean operating departments is key to the normal functioning of hospital operating rooms.

Research motivation

A crucial determinant of a person’s subjective well-being and quality of life is their level of life satisfaction. Resilience is a protective factor for individual mental health. Both are important factors in ensuring mental health. Therefore, exploring the mediating role of life satisfaction in the effects of resilience on depression among nurses in clean operating departments can provide a reference for promoting harmonious development among nursing teams in operating rooms and improving the quality of nursing services.

Research objectives

To investigate how depression and resilience are related and the possible mediating role of life satisfaction in this association among nurses in clean operating departments and provide a scientific basis for increasing their resilience and life satisfaction, and reducing the occurrence of depression.

Research methods

A total of 196 nurses from three clean operating departments in one hospital were selected using convenience sampling. The Connor-Davidson resilience scale, satisfaction with life scale, and self-rating depression scale (SDS) were used to evaluate resilience, life satisfaction, and depression.

Research results

The mean depression score for nurses in the clean operating department was 56.21 (± 8.70), which exceeded the critical value of the norm score for the Chinese SDS. Nurses’ resilience was positively correlated with life satisfaction and negatively correlated with depression. Life satisfaction served as a partial mediator between resilience and depression in the nurses in the clean operating department, with a mediation effect value of -6.853, accounting for 26.68% of the total effect.

Research conclusions

Life satisfaction had a partial mediating role between resilience and depression among nurses in a clean operating department, suggesting that hospitals should not only increase the resilience of medical staff in the face of adversity but also promote the mental health level of this group by improving their life satisfaction.

Research perspectives

Depression is not the only psychological problem that nurses in clean operating departments face. In the future, we will further study psychological distress and its influencing factors among nurses in clean operating departments to provide a more reliable theoretical basis for ensuring their mental health.