{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:52:59Z","timestamp":1787014379820,"version":"build-2736575974"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,6,7]],"date-time":"2021-06-07T00:00:00Z","timestamp":1623024000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Nursing Review"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To describe the impact of the COVID\u201019 pandemic on stress, resilience and depression in health professionals from a public hospital in Barcelona, Spain after the first peak of pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The COVID\u201019 pandemic in Spain has pushed boundaries in health systems and, especially, for health professionals. Analysis of resilience as an individual resource and it is essential to understand the mechanisms that make staff react unfavourably to stressors caused by the pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A descriptive cross\u2010sectional study was designed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Health professionals supervised by the nursing department, including registered nurses, health care assistants, health technicians, final year nurse student nurses, foreign nurses, and other nurse\u2010related health workers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The study complies with the STROBE checklist for cross\u2010sectional studies. An online survey was administered to all health professionals supervised by the nursing department between 6 and 27 May 2020. The survey included the ER\u201014 Resilience Scale, the widely\u2010used PHQ\u20109 depression scale, the Spanish version of the Nursing Stress Scale, and an\n                      <jats:italic>ad<\/jats:italic>\n                      \u2010\n                      <jats:italic>hoc<\/jats:italic>\n                      questionnaire to obtain sociodemographic and occupational variables.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 686 participants answered the survey. Resilience was high or very high in health professionals, with an inverse correlation with stress and depression scores. Personal on fixed shifts showed better resilience. The most stressed health professionals were full\u2010time registered nurses, followed by health care assistants. Up to 25% of nursing professionals had depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our study showed a high degree of resilience among nurse professionals despite the overwhelming nature of the COVID\u201019 pandemic. Relevant signs of depression and stress were detected among participants. Occupational factors heavily influenced nurses\u2019 resilience, stress and depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing &amp; Health Policy<\/jats:title>\n                    <jats:p>Government policy shifts are needed in Spain to improve nurses\u2019 workforce conditions, enhance the ratio of nurses to patient numbers, and avoid workforce losses. Maintaining the resilience of health professionals would assist in improving their health and their capacity to possible future emergency situations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/inr.12693","type":"journal-article","created":{"date-parts":[[2021,6,8]],"date-time":"2021-06-08T16:23:38Z","timestamp":1623169418000},"page":"461-470","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Impact of the COVID\u201019 pandemic on stress, resilience and depression in health professionals: a cross\u2010sectional study"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9317-3565","authenticated-orcid":false,"given":"Isabel","family":"Manzanares","sequence":"first","affiliation":[{"name":"Epilepsy Unit Department of Neurology Hospital Cl\u00ednic de Barcelona Barcelona Spain"},{"name":"Institut d\u2019Investigacions Biomediques August Pi i Sunyer (IDIBAPS Barcelona 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