Post-traumatic growth and influencing factors among frontline nurses fighting against COVID-19

Occup Environ Med. 2021 Feb;78(2):129-135. doi: 10.1136/oemed-2020-106540. Epub 2020 Oct 15.


Objective: To explore the level and influencing factors of frontline nurses' post-traumatic growth (PTG) during COVID-19 epidemic.

Methods: A cross-sectional survey was conducted in February 2020 in three hospitals in China. The Post-traumatic Growth Inventory (PTGI) was used to investigate the PTG of frontline nurses. Data on related factors, including demographic characteristics and subjective variables, were collected. The Event-Related Rumination Inventory was used to assess rumination. Pearson's or Spearman's correlation was calculated for bivariate analysis. Independent sample t-tests or one-way analysis of variance and multiple linear regression analysis were used to examine the related factors.

Results: A total of 179 frontline nurses were recruited, and 167 were included in the analyses. The mean PTG score was 70.53±17.26. The bivariate analyses showed that deliberate rumination was modestly positively correlated with PTG (r=0.557, p<0.01), while intrusive rumination had a modest negative correlation with PTG (r=-0.413, p<0.01). Multiple linear regression demonstrated that working years, self-confidence in frontline work, awareness of risk, psychological intervention or training during the epidemic and deliberate rumination were the main influencing factors of PTG among frontline nurses and accounted for 42.5% of the variance (F=31.626, p<0.001).

Conclusions: The PTG of frontline nurses was at a medium to high level and was influenced by working years, self-confidence in frontline work, awareness of risk, psychological intervention or training and deliberate rumination. It is necessary to strengthen psychological guidance and training for frontline nurses and promote their deliberate rumination on epidemic events to improve their PTG.

Keywords: cross sectional studies; epidemiology; health care workers; mental health; rehabilitation.

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Awareness
  • COVID-19*
  • China
  • Cross-Sectional Studies
  • Epidemics
  • Female
  • Humans
  • Male
  • Nurses / psychology*
  • Occupational Stress*
  • Posttraumatic Growth, Psychological*
  • Psychological Trauma*
  • Regression Analysis
  • SARS-CoV-2
  • Self Concept
  • Thinking