Papers by Victoria Alikari
Healthcare, Feb 10, 2024
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Advances in Experimental Medicine and Biology, 2023
Introduction: Nursing professional is considered to be stressful with impact on nurses' mental he... more Introduction: Nursing professional is considered to be stressful with impact on nurses' mental health.
Aim: The aim of this study was to investigate the effect of coping strategies and psychological resilience on anxiety and depression among nurses.
Methods: In this descriptive and cross-sectional study, 378 nurses from two hospitals (a general and a psychiatric) in Greece completed the Patient Health Questionnaire-2 (PHQ-2), the Generalized Anxiety Disorder-2 (GAD-2), the Connor-Davidson Resilience Scale 25 (CD-RISC 25), and the Ways of Coping Questionnaire for evaluating the depression, anxiety, psychological resilience, and coping strategies, respectively. The study was carried out between October and December of 2019. Statistical analysis was performed with JASP version 0.14.01 and significance for all statistical tests was set at 0.05 or less.
Results: Psychological resilience was significantly correlated with anxiety (r = -0.127, p = 0.014), Positive approach (r = -0.466, p<0.001), Seeking social support (r = -0.228, p < 0.001), Avoidance/Escape (r = -0.121, p = 0.020). Anxiety was positively correlated with Seeking social support (r = -0.112, p = 0.030), Prayer/Daydream (r = -0.132, p = 0.030), Avoidance/Escape (r = -0.164, p < 0.001), and Assertive problem solving (r =-0.195, p < 0.0010). Psychological resilience, Avoidance, and Assertive problem-solving were significant predictors of increasing of anxiety (β = -0.128, p = 0.013, β = 0.130, p = 0.027, β = 0.131, p = 0.020, respectively). Avoidance (β = 0.209, p < 0.001) and age (β = 0.208, p = 0.029) were significant predictors of depression.
Conclusions: Psychological resilience and coping strategies have a significant effect on nurses' mental health.
Zenodo (CERN European Organization for Nuclear Research), Nov 26, 2020
Tsirigotis et al.
International journal of midwifery and nursing practice, Jul 1, 2019
Aim of the study was to assess Quality of life and Spirituality in Lung Cancer Patients and their... more Aim of the study was to assess Quality of life and Spirituality in Lung Cancer Patients and their possible relation. Material and Methods: A cross-sectional study was employed in this study and a cohort of 32 lung cancer patients was recruited. Data were collected with a three-part self-reported questionnaire consisted by Missoula Vita QoL index, Daily spiritual experience and a sheet contain sociodemographic data. Statistical analysis performed with the Statistical Package for the Social Sciences (SPSS 21.0 for Windows) and included Pearson and Spearman correlation coefficient and linear regression analysis. Results: The total sample includes all patients, consisting of 21 men (65.6%) and 11 women (34.4%). Participants were, on average, 55 years old. MVQOLI Total, Interpersonal, Wellbeing and Transcendent presented negative correlation with DSES total score. showing that patients with greater religious believes have lower MVQOLI Total, Interpersonal, Wellbeing and Transcendent scores. Conclusions: Religion and spirituality are two essential aspects of human existence that can impact various health outcomes such as QoL and distress.
Health Psychology Research, May 16, 2017
Non-adherence to the therapeutic regimen is an increasingly growing problem especially among pati... more Non-adherence to the therapeutic regimen is an increasingly growing problem especially among patients undergoing hemodialysis. The aim of this study was to modify the Greek version of Simplified Medication Adherence Questionnaire (GR-SMAQ) for patients undergoing hemodialysis (GR-SMAQ-HD) and explore its validity and reliability. Between June 2016 and November 2016 a group of patients undergoing hemodialysis (N=107) completed the Greek version of SMAQ. The study was carried out in three Dialysis Units of Hospitals of Athens and Peloponnese region, Greece. The form of GR-SMAQ was modified specifically for renal patients while four additional items were added so as the tool study all aspects of adherence to hemodialysis regimen. Construct validity was checked through exploratory factor analysis with principal Component Analysis with the Equamax method. Test-retest reliability and internal consistency were tested. Statistical analysis was performed using the IBM SPSS Statistics version 21. The significance level was set up at 5%. The Greek version of SMAQ for patients undergoing hemodialysis includes eight questions. Three factors emerged from factor analysis. Cronbach's α coefficient was 0.742 for the whole scale and for each subscale was for Medication Adherence 0.75, for Attendance at hemodialysis session 0.856 and for Diet/Fluid restriction was 0.717. The total mean score was 6.29 (±1.82). GR-SMAQ-HD is a reliable and valuable tool that can be used by hemodialysis nurses and students of nursing for detection of adherence levels in clinical practice.
Global Journal of Health Science, Mar 5, 2021
Introduction: Hemodialysis patientsare at increased risk of catheter-related bloodstream infectio... more Introduction: Hemodialysis patientsare at increased risk of catheter-related bloodstream infections (CRBSI) and catheter thrombosis asdialysis requires regular access to blood circulation through catheters. Antimicrobial Locking Solutions (ALS) containing anticoagulants and antimicrobial agents (antibiotic/non-antibiotic) are used to seal catheters in order to prevent thrombosis and CRBSI. Purpose: The investigation of internationalclinical studies regarding the efficacy and safety of the various ALS treatments for CRBSI in hemodialysis patients (HD patients) comparing to conventional approaches such as heparin treatment or catheter removal. Methodology: The review included prospective or retrospective clinical studies, randomized clinical trials or cohort studies published since 2015. Publications were retrieved from the "Pubmed", "Google Scholar" and "Elsevier" databases using 'catheter', 'catheter removal', 'hemodialysis' 'bacteremia', 'antimicrobial lock therapy'as key words. Results: 17 articles were found to meet the criteria for this systematic review. These studies investigated locking solutions containing various antibiotic (Cefazolin, Gentamicin, Vancomycin, Cotrimoxazole, Daptomycin, Trimethoprim) or/and non-antibiotic agents (Citrate, taurolidine, ethanol, urokinase, Cathasept) +/-anticoagulants, single or in various combinations. The main objective of these studies was to identify the efficacy of ALS with respect to CRBSI risk rates, catheter exchange rates and related adverse effects. Conclusions: Antimicrobial Locking Therapy appears significantly beneficial forHD patients as it reduces CRBSI risk and prolongs catheter survival at considerable rates, so it should be seriously considered for systematic useagainst catheter-related infections. Further researchis required to establish safe and effective prevention and therapeutic protocols as alternatives to catheter removal practices.
Annals of Oncology, Oct 1, 2018
Health Psychology Report, 2020
health psychology report • volume 8(2), original article background Social support in women ... more health psychology report • volume 8(2), original article background Social support in women with breast cancer is associated with quality of life (QoL) and it appears to be vital for treating breast cancer and adaptation to disease. Social support seems to decrease quantitatively and over time while significant improvement in the patients' long-term emotional and physical function is observed. Therefore, the aim of this study was to investigate the differences in levels of social support and QoL in two independent groups of patients: women with breast cancer (i) during chemotherapy and (ii) two years after the chemotherapy. participants and procedure In this cross-sectional study 74 women with breast cancer "during chemotherapy" (n = 41) and "two years after chemotherapy" (n = 33) completed the Greek version of Multidimensional Scale of Perceived Social Support (MSPSS) and the Greek version of the Missoula-VITAS Quality of Life Index (MVQoLI-15) to measure social support and QoL respectively. All statistical analyses were performed with SPSS 25 with significance set at p < .05. results The group "two years after chemotherapy" reported better QoL than the "during chemotherapy" group. There was no difference in perceived social support between the two groups. The higher the patients' age, the lower the QoL for the "during chemotherapy" group and the higher the social support for the "two years after chemotherapy" group. conclusions QoL improves over time, emphasizing the ability of women to manage difficult situations. Social support remains important in both periods.
Medicine and Pharmacy Reports, Mar 30, 2023
Introduction. Patients suffering from pressure ulcers experience low quality of life, in every di... more Introduction. Patients suffering from pressure ulcers experience low quality of life, in every dimension of daily living. Aim. The aim of this systematic review was to investigate the impact of pressure ulcers on the patients' quality of life involving mental/emotional, spiritual, physical, social, cognitive dimensions, and pain. Methods. A systematic literature search of published articles in the English language during the past 15 years was conducted. Articles were identified in the electronic databases of Google Scholar, PubMed, and PsycINFO using the keywords: pressure ulcers, quality of life, emotional dimension, social dimension, physical dimension. The inclusion criteria were: articles relevant to the study topic, written in English, and published between 2004 and 2019. Articles that were secondary studies, such as reviews and meta-analyses, case studies, and articles written in a language other than English, were excluded from the study. The PRISMA method was applied. Results. Fourteen studies were included in this systematic review. Eight were quantitative studies (six cross-sectional, one longitudinal, one multicenter cohort, and one pilot study) and six qualitative (one was based on grounded theory, one pilot study, one case study of mixed methods, one phenomenological study, and one comparative study). The emerging themes were related to the mental/emotional, spiritual, physical, social, cognitive dimensions, and pain. Conclusions. Pressure ulcers have a negative impact on the patients' quality of life, especially at a psychological level. Patients' life is severely affected as they are fully dependent on their supportive environment and health services.
PubMed, Mar 1, 2021
Introduction: The international literature presents a significant gap in the study of the factors... more Introduction: The international literature presents a significant gap in the study of the factors affecting caring behaviors as perceived by nurses. This gap requires the study of the factors of nurses' caring behavior. Aim: The translation and the cultural adaptation of the Factors of Nurses Caring Behaviors (FNCB) scale in the Greek language, the validity, and internal consistency of the scale. Methods: Between November- December 2019, 329 Greek nurses from six public general hospitals completed the FNCB scale consisting of 32 items rating on a 5-point Likert scale. The scale was firstly translated in the Greek language, then back-translated in the English language and culturally adapted. To investigate the construct validity of the scale, exploratory factor analysis was carried out with principal component analysis. The test-retest reliability was performed while the internal consistency was checked through Cronbach's alpha coefficient. Statistical analysis was performed via the Statistical Program SPSS version 21.0. The statistical significance level was set up at 0.05. Results: The final Greek version of the FNCB Scale includes six factors which were revealed from the exploratory factor analysis: Workplace Circumstances, Workload/Management, Interest/Perceptions on Nursing Job,Nurse's Educational Background, Patient's Demographic Characteristics, and Patient's Clinical Characteristics. The internal consistency of the scale was excellent (Cronbach's alpha 0.95). Conclusions: The Greek version of the FNCB Scale is a valid and reliable questionnaire which can be used for the measure of factors affecting nurses' caring behavior.
Materia socio-medica, 2019
Introduction: Health-related quality of life is a major issue among patients with Multiple sclero... more Introduction: Health-related quality of life is a major issue among patients with Multiple sclerosis (MS). Aim: To explore the effect of fatigue and pain self-efficacy on health-related quality of life among patients with MS. Methods: Between March and May 2018, 85 MS patients from a large Hospital of Athens region completed the questionnaires: a) Missoula-VITAS Quality of Life Index-15, which examines 5 dimensions of quality of life, b) Pain Self Efficacy Questionnaire which measures the pain self-efficacy that an individual perceives, c) Fatigue Assessment Scale (FAS) which measures fatigue, d) a questionnaire about the sociodemographic elements. Statistical analysis was performed using the IBM SPSS Statistics version 21. The significance level was set up to 0.001. Results: Fatigue might predict the dimension of quality of life "Function" while Pain Self-Efficacy might, also, predict the dimension of quality of life "Interpersonal". A strong correlation was found between the dimensions of quality of life "Well-being" and "Transcendent" and between "Interpersonal" and Pain Self-Efficacy. The total score of fatigue was strongly correlated with Physical Fatigue and very strongly correlated with Mental Fatigue. Conclusion: Fatigue and Pain Self-Efficacy are important predictors of the dimensions of quality of life among patients with MS. Pain in MS has to be taken into serious consideration in every patient with MS.
PubMed, Apr 27, 2018
Background: Advanced cancer patients experience several physical or psychological symptoms which ... more Background: Advanced cancer patients experience several physical or psychological symptoms which require palliative care for alleviation. Purpose: To assess the prevalence and intensity of symptoms among cancer patients receiving palliative care in a Greek hospital and to examine the association between reported symptoms and social clinical and demographic characteristics. Material-methods: This descriptive research was conducted during a sixmonth period using a convenient sample of 123 advanced cancer patients. All participants were assessed for their symptoms using the Edmonton Symptom Assessment System (ESAS) with a questionnaire covering demographic and clinical characteristics. Results: The mean age was 63.8± 10.8 years, with lung and breast (58.5% and 11.4%, respectively) as the most common primary cancer types. The most severe symptoms were fatigue, sleep disturbance, dyspnea, depression and anxiety. Negative correlations were revealed between age and the following symptoms: pain (r = -0.354, p = 0.001), fatigue (r = -0.280, p = 0.002), nausea (r = -0.178, p = 0.049), anorexia (r = -0.188, p = 0.038), dyspnea (r = -0.251, p = 0.005), and depression (r = -0.223, p = 0.013). Advanced breast cancer patients scored higher in pain, fatigue and dyspnea compared to those with other cancers. Conclusions: Hospitalized cancer patients in Greece experience several symptoms during the last months of their life. These are influenced by demographic characteristics. Appropriate interventions are strongly advised with appropriate recognition and evaluation of symptoms by health professionals.
International journal of reliable and quality e-healthcare, 2021
Doctors are in continuous interaction with patients which leads to burnout syndrome. The purpose ... more Doctors are in continuous interaction with patients which leads to burnout syndrome. The purpose of this study was to investigate the levels of burnout syndrome among doctors and the role of medical specialty. Doctors (N=214) of various specialties and positions from two public hospitals completed the Maslach burnout inventory (MBI) which measures the burnout syndrome and its dimensions. Demographic and professional data were recorded. Data were analyzed via the IBM SPSS Statistics Version 21. The significance level was set at 0.05%. The overall index in the provincial hospital ranged at 2.13 while in the university at 2.07 (p=0.65). No significant statistical differences were observed between two hospitals regarding the dimensions of MBI. Internists showed lower level of personal accomplishment (Mean: 3.86, p=0.015) compared to all other specialties (Mean: 4.22, p=0.015). There was no significant statistical difference in the overall rate of burnout syndrome among the two hospitals, which was low for both hospitals. The factor “specialty” had an important effect on burnout syndrome.
American Journal of Nursing Science, Aug 2, 2017
Economic Indicators of the Situation of Rural Areas (as compared to city residents) such as avera... more Economic Indicators of the Situation of Rural Areas (as compared to city residents) such as average income, education, poverty, unemployment rates and employers who do not provide health insurance are some facts that making this population vulnerable. Factors that affect the "Health Condition" of "Rural Populations" are: disproportionately large numbers of young and elderly people, health risks, abuse, family violence and neglect, climatic (weather) Geographical isolation, lack of access to healthcare and lack of resources for mental health services The purpose of this retrospective study is to present dada from a Mental Health center of the Psychiatric Sector of a regional General Hospital in the 3-year period 2013-2015. Material and Methods: This is an epidemiological study. The collection of data was performed with a specially designed for the purpose of the study form that included the recording of data. In particular, race, age, gender, marital status were recorded. In addition, level of education, diagnosis according to ICD 10 and other clinical data. Results: Common mental disorders experienced by patients visiting the Mental Health Center were recurrent depressive episodes, schizophrenia, depressive disorder, obsessive compulsive disorder and bipolar disorder. Conclusions: This Mental Health Center, have treated both Greeks and foreigners, as well as patients residing outside of his sector. The main diagnoses for patients were recurrent depressive episodes, schizophrenia, depressive episodes, obsessive compulsive disorder and bipolar affective disorder. Most patients were instructed and suggested a follow up examination. About half of the patients were stable, one third had an improvement, and only 15% had deteriorated their condition. Patients who were aggravated were significantly younger and had a follow up examination.
From the mid-'80s, the phenomenon of increasing cases of tuberculosis (TB), due to immigratio... more From the mid-'80s, the phenomenon of increasing cases of tuberculosis (TB), due to immigration, in developed low prevalence of disease countries, is illustrated by many studies. The particular characteristics of the disease makes the treatment from National Health Systems as a matter of highest interest and the in-depth study of the phenomenon at the level of prevention, diagnosis, treatment and control as urgent. The aim of the study was to review the literature about the prevalence of TB due to immigration to European countries. The methodology of work included search of epidemiologic studies in the electronic data base Pub Med that was reported in the increase of tuberculosis cases because immigration in European countries. The search covers the period 1980-2008 and the words used were: “epidemiology”, “resurgence”, “tuberculosis”, “immigrants”, “Europe”. Results: In all studies was observed increase of frequency of TB in migrants compared with local populations and independent rate of disease transmission. Higher rates of disease were immigrants from Africa, Asia and Eastern Europe. The low socioeconomic level of migrants, drug and alcohol abuse, increased incidence of AIDS, increasing antimicrobial resistance and multi-management, delay in diagnosis and social problems
Cureus, Oct 31, 2021
Introduction: The working environment in hospitals has been characterized as very important for t... more Introduction: The working environment in hospitals has been characterized as very important for the improvement of the provided care and the nurses' job satisfaction. The aim of the current study was translation and cultural adaptation of the Individual Workload Perceptions Scale-Revised (IWPS-R) as well as the investigation of the validity and internal consistency of the scale. Methods: This is a cross-sectional, descriptive study involving 365 Greek nurses from two large hospitals in Athens, Greece. Nurses completed the Individual Workload Perceptions Scale-Revised, which is a selfadministered questionnaire consisting of 29 items on a five-point Likert-type scale. For the translation, the scale was first translated into the Greek language (forward translation) and then into the English language (backward translation) and culturally adapted. For the study of the construct validity, exploratory and confirmatory factor analyses were performed, while the criterion of the convergent validity was between the five factors of the scale. To study the reliability, the method of test-retest was performed while Cronbach's alpha coefficient was used to study the internal consistency of the scale. Data analysis was performed via the Statistical Package for the Social Sciences (SPSS), version 21.0 (IBM Corp., Armonk, NY). Results: According to the exploratory factor analysis, the Greek version of the Individual Workload Perceptions Scale-Revised consists of five factors (Manager Support, Peer Support, Unit Support, Workload, and Intent to Stay) explaining 51.4% of the total variance. From the confirmatory factor analysis, the model was equivalent to the original factorial structure of the IWPS-R. Τhe convergent validity revealed a positive correlation between all the domains of the scale (p < 0.001). The test-retest method showed that there are no significant differences between the first and the second measurements (intraclass correlation coefficient [ICC] = 0.990, p < 0.001). The internal consistency was very good (Cronbach's alpha coefficient = 0.878). Conclusions: The IWPS-R is a reliable and valid instrument for Greek nurses to measure the perceptions of the nursing working environment.
Medicine and Pharmacy Reports, May 13, 2022
Introduction. Severe mental disorders represent an important and large proportion of healthcare r... more Introduction. Severe mental disorders represent an important and large proportion of healthcare resource utilization and are associated with increased hospitalization rates and costs. Given the high percentage of total hospital days and costs associated with caring for people with psychotic disorders, a better understanding of the factors that determine the duration of hospitalization of patients with such disorders is imperative. Purpose. The aim of the present study was to investigate socio-demographic, clinical and psychosocial characteristics of patients with schizophrenia, admitted to a Greek public psychiatric hospital, and the relationship between these characteristics and duration of hospitalization among these patients. Methods. This is a cross-sectional study. The study sample consisted of 103 patients diagnosed with schizophrenia (F-20). The collection of data was performed by using the NEO-Five Factor Inventory, the Connor-Davidson Resilience Scale (CD-RISC25), Multidimensional Scale of Perceived Social Support, (MSPSS), Positive and Negative Syndrome Scale (PANSS), Global Assessment of Functioning scale (GAF) for assessing key personality factors, psychological resilience, social support, symptom severity and the severity of the disease, respectively. Descriptive analyses and inferential statistic methods were applied. Correlation between sociodemographic, psychosocial or clinical characteristics with the length of stay were explored. In addition, linear regression analysis was performed in order to examine predicting factors for the duration of hospitalization. All statistical analysis was performed using SPSS v.25. Results. The mean age of the sample was 43.9 (SD = ±11.4) years, 67% of patients were men, and the mean length of hospitalization was 40.7 days. Factors found to be significantly associated with length of stay in the overall sample include the previous admissions (p=0.010), the type of admission (compulsory or voluntary) (p=0.017), bed rest (p=0.043) and duration of bed rest (p=0.002), and the existence of social support networks especially from friends (p=0.018). Conclusions. Our findings indicate that basic psychosocial and clinical factors were associated with the duration of hospital stay. Duration of hospitalization results from a complex interface between characteristics and activities of the health system, patient, and clinician's influence on discharge timing, which requires additional study. Our findings further warrant the need for policymakers to consider sociodemographic status, psychosocial and clinical factors when allocating resources to hospitals caring for patients with severe mental disorders.
Healthcare, Dec 15, 2022
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Health science journal, 2014
Background: Patients' compliance consists a complex and multidimensional health issue, global... more Background: Patients' compliance consists a complex and multidimensional health issue, globally. At least three terms are used to describe the behavior of medication- taking. Aim: The aim of the present study was to review a conceptual analysis of patients' compliance to treatment. Method and Material: The methodology included research of studies published in electronic databases such as Pub Med, Medline, WHO, PsychInfo, Cochrane National Council on Patient Information and Education and Dovepress. The search covered the period 1970-2011. Results: Literature includes terminology analysis of terms 'patients' compliance and non-compliance', 'patients' adherence and non-adherence' and 'patients' concordance'. Approximately 115 articles were identified. The present sample comprises 43 articles analyzing the terminology of these terms. 11 of these are mentioned in the attitude of Nursing Science to the controversy about the terms. Conclusions: Compliance can be defined in various ways. The interpretation of the term depends on the philosophical context in which the concept is settled. The patient-centered approach facilitates the creation of an alliance between patient-therapist.
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Papers by Victoria Alikari
Aim: The aim of this study was to investigate the effect of coping strategies and psychological resilience on anxiety and depression among nurses.
Methods: In this descriptive and cross-sectional study, 378 nurses from two hospitals (a general and a psychiatric) in Greece completed the Patient Health Questionnaire-2 (PHQ-2), the Generalized Anxiety Disorder-2 (GAD-2), the Connor-Davidson Resilience Scale 25 (CD-RISC 25), and the Ways of Coping Questionnaire for evaluating the depression, anxiety, psychological resilience, and coping strategies, respectively. The study was carried out between October and December of 2019. Statistical analysis was performed with JASP version 0.14.01 and significance for all statistical tests was set at 0.05 or less.
Results: Psychological resilience was significantly correlated with anxiety (r = -0.127, p = 0.014), Positive approach (r = -0.466, p<0.001), Seeking social support (r = -0.228, p < 0.001), Avoidance/Escape (r = -0.121, p = 0.020). Anxiety was positively correlated with Seeking social support (r = -0.112, p = 0.030), Prayer/Daydream (r = -0.132, p = 0.030), Avoidance/Escape (r = -0.164, p < 0.001), and Assertive problem solving (r =-0.195, p < 0.0010). Psychological resilience, Avoidance, and Assertive problem-solving were significant predictors of increasing of anxiety (β = -0.128, p = 0.013, β = 0.130, p = 0.027, β = 0.131, p = 0.020, respectively). Avoidance (β = 0.209, p < 0.001) and age (β = 0.208, p = 0.029) were significant predictors of depression.
Conclusions: Psychological resilience and coping strategies have a significant effect on nurses' mental health.
Aim: The aim of this study was to investigate the effect of coping strategies and psychological resilience on anxiety and depression among nurses.
Methods: In this descriptive and cross-sectional study, 378 nurses from two hospitals (a general and a psychiatric) in Greece completed the Patient Health Questionnaire-2 (PHQ-2), the Generalized Anxiety Disorder-2 (GAD-2), the Connor-Davidson Resilience Scale 25 (CD-RISC 25), and the Ways of Coping Questionnaire for evaluating the depression, anxiety, psychological resilience, and coping strategies, respectively. The study was carried out between October and December of 2019. Statistical analysis was performed with JASP version 0.14.01 and significance for all statistical tests was set at 0.05 or less.
Results: Psychological resilience was significantly correlated with anxiety (r = -0.127, p = 0.014), Positive approach (r = -0.466, p<0.001), Seeking social support (r = -0.228, p < 0.001), Avoidance/Escape (r = -0.121, p = 0.020). Anxiety was positively correlated with Seeking social support (r = -0.112, p = 0.030), Prayer/Daydream (r = -0.132, p = 0.030), Avoidance/Escape (r = -0.164, p < 0.001), and Assertive problem solving (r =-0.195, p < 0.0010). Psychological resilience, Avoidance, and Assertive problem-solving were significant predictors of increasing of anxiety (β = -0.128, p = 0.013, β = 0.130, p = 0.027, β = 0.131, p = 0.020, respectively). Avoidance (β = 0.209, p < 0.001) and age (β = 0.208, p = 0.029) were significant predictors of depression.
Conclusions: Psychological resilience and coping strategies have a significant effect on nurses' mental health.