{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T07:00:02Z","timestamp":1790060402849,"version":"4.0.1"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Family caregivers often face significant challenges in coping with the critical phases of their loved one's illness. These experiences can impose substantial burdens on their daily lives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study explores the mediating role of resourcefulness in the relationship between coping self\u2010efficacy and family caregivers' burden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A descriptive correlational research design is used to examine the relationship between the study variables and how demographic characteristics influence them.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study included 370 family caregivers, with a response rate of 61.7%. Approximately 41.6% of family caregivers were aged 30\u201339\u2009years, and more than half were male. Total family caregiver burden showed moderate negative correlations with total coping self\u2010efficacy (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u22120.683,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and total resourcefulness (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u22120.799,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Despite a strong negative correlation between family caregiver burden and personal resourcefulness (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u22120.937,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), a weak negative correlation with the social resourcefulness subscale (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u22120.263,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) was observed. Moreover, the path analysis model highlights the substantial effects of both personal resourcefulness (\u22120.380, CR\u2009=\u2009\u221236.022,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and social resourcefulness (\u22120.150, CR\u2009=\u2009\u221212.258,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) on reducing caregiver burden, indicating that resourcefulness is a negative predictor of caregiver burden.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Personal resourcefulness significantly mediates the adverse effect of caregiver burden on coping self\u2010efficacy, underscoring the potential of nursing interventions to support caregivers and improve ICU outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>Nursing interventions incorporate strategies such as family\u2010centred care, targeted education, coping\u2010skills training and collaborative goal setting to foster family reliance on personal resourcefulness, which plays a fundamental role in managing their burdens and surpasses the impact of social support alone.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70607","type":"journal-article","created":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T06:30:31Z","timestamp":1785565831000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Relationship Between Family Caregiver Coping Self\u2010Efficacy and Burden in the Intensive Care Unit: The Mediating Role of Resourcefulness"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2065-7494","authenticated-orcid":false,"given":"Shimmaa Mohamed","family":"Elsayed","sequence":"first","affiliation":[{"name":"Lecture on Critical Care and Emergency Nursing, Critical Care and Emergency Nursing Department, Faculty of Nursing Damanhour University  El Beheira Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,31]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0288149"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2015.01.012"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ams2.939"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.5114\/ait.2021.105728"},{"issue":"6","key":"e_1_2_12_6_1","first-page":"55","article-title":"Exploring Stress, Sleep Disturbances, and Fatigue Among Primary Family Caregivers in the ICU","volume":"65","author":"Chang P. Y.","year":"2018","journal-title":"Journal of Nursing"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/08998280.2024.2374126"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/HNP.0000000000000148"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-024-05221-9"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610217000059"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12780"},{"issue":"5","key":"e_1_2_12_12_1","doi-asserted-by":"crossref","first-page":"514","DOI":"10.51561\/cspsych.66.5.514","article-title":"Self\u2010efficacy v kontextu z\u00e1t\u011b\u017ee neform\u00e1ln\u00edch pe\u010dovatel\u016f","volume":"66","author":"Hany\u00e1\u0161ov\u00e1 H.","year":"2022","journal-title":"Ceskoslovenska Psychologie"},{"key":"e_1_2_12_13_1","first-page":"259","volume-title":"Resilience Framework: Resilience and Resourcefulness in the Face of Chronic Family Adversity","author":"Kumpfer K. L.","year":"2011"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2021.103134"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2023.e18908"},{"key":"e_1_2_12_16_1","first-page":"4162","volume-title":"Handbook of Disease Burdens and Quality of Life Measures","author":"Caregiver Burden Scale","year":"2010"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.70096"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003035"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2004.06.007"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1590\/0034-7167-2018-0616"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S197769"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010022\u201000966\u20103"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mhp.2018.01.001"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0040296"},{"key":"e_1_2_12_25_1","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1891\/jnum.14.1.57"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1348\/135910705X53155"},{"key":"e_1_2_12_28_1","first-page":"649","volume-title":"Zarit Burden Interview Assessing Caregiver Burden","author":"Zarit S. H.","year":"1980"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjem.2018.08.001"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-55733-0_5"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.31603\/nursing.v12i1.12828"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2020.05.535"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCE.0000000000000725"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.5935\/0103-507X.20180004"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCE.0000000000000625"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2021.03.001"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/2333393616631677"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2024.1435867"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.21802\/gmj.2020.4.14"}],"container-title":["Nursing in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.70607","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nicc.70607","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.70607","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T06:02:33Z","timestamp":1790056953000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nicc.70607"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,31]]},"references-count":38,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/nicc.70607"],"URL":"https:\/\/doi.org\/10.1111\/nicc.70607","archive":["Portico"],"relation":{},"ISSN":["1362-1017","1478-5153"],"issn-type":[{"value":"1362-1017","type":"print"},{"value":"1478-5153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,31]]},"assertion":[{"value":"2025-07-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70607"}}