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In this
issue
WELCOME
NURSING SCIENCE
EDUCATION
Advancing Patient Safety Through Systemization: Expanding the ICON Initiative Across Houston Methodist
Empowered to Grow: A Nurse’s Journey Through Opportunity and Transformation
PRACTICE
Power To Pivot: How Technology Is Transforming Nursing at Houston Methodist Cypress Hospital
Meet the Virtual Nursing Teams
PROFESSIONAL DEVELOPMENT
What Is the Grit Scale?
Developing Tools for Mental Resiliency
Preparing for Complexity: Advancing Cath Lab Nursing Through Structured Fellowship Training
MAGNET
FROM OUR TEAMS
ABOUT DISCOVERN
NURSING SCIENCE
Resilience in Nursing
By Joanne D. Muyco, DNP, RN, NE-BC, NPD-BC, CNOR
Nurse Scientist – Houston Methodist Hospital

Nurses are the largest workforce in healthcare, and play a critical role in maintaining the quality, safety and stability of the healthcare system. Nurses deliver safe, complex, high-quality care despite the growing, evolving demands of the healthcare system. Workplace stressors are inherent in the nursing practice. However, nurses experience some of the highest levels of occupational stress and may come to view continuous and prolonged exposure to workplace stressors as simply an acceptable and inevitable norm for the profession.1-3 Despite continued advancements in healthcare programs, practices, technologies and staffing models, nursing workload stressors, demands and resources have not improved and remain stagnant.4-6 Advances in healthcare technologies and improvements in clinical practice have been counterbalanced by increased patient volume, higher patient acuity, greater unit and organizational demands, and an expansion of nursing tasks, duties and responsibilities.4-6 As the demand for nurses and nursing care continues to grow, nurses are now at an even greater risk of experiencing burnout and turnover.
Currently, burnout amongst the nursing workforce ranges between 30% and 50%, and nurse turnover modestly increased to 17.6% nationwide over the past year.7-8 The costs associated with nurse turnover have a significant financial impact, costing organizations between $4.2 and $6.2 million a year in losses.9 In addition, nurse turnover has a negative impact on patient care quality, increasing adverse patient safety events and medical errors.10 This highlights the importance of addressing nurse well-being as a system-level priority. Healthcare systems have worked diligently to address individual, unit and system-level stressors and identify evidence-based strategies that enhance and strengthen nurses’ ability to respond to workplace stressors. One such strategy is using nurse resilience as a focal point for strengthening professional well-being.
Nurse resilience may seem abstract and difficult to define. The American Psychological Association defines resilience as “the process and outcome of successfully adapting to difficult or challenging experiences, especially through mental, emotional, and behavioral flexibility and adjustment to internal and external demands.”11 Other definitions of resilience include an individual’s ability to adapt to and handle demanding and stressful situations or environments through behaviors that support and facilitate flexibility and adaptation.12 Another defines resilience as the ability to successfully cope with adverse situations and circumstances.13 Press Ganey14 defines resilience in two domains: activation (nurses find their work meaningful and purposeful) and deactivation (nurses are able to disconnect from work). Another, more specific definition of nurse resilience is described in a concept analysis by Cooper et al.15, in which the study team identified six key attributes of nurse resilience: social support, self-efficacy, work-life balance/self-care, humor, optimism and realism. While there is no agreed-upon definition, the literature strongly supports building and enhancing nurse resilience to counter negative outcomes stemming from workplace stress.
Resilience may look and feel different for individual nurses and can be influenced by practice environments, years of experience, specialty and even country of origin.16-17 Clinical frontline nurses may see resilience in daily practice — navigating demanding shifts, caring for highly complex and acute patients, prioritizing care and managing competing priorities and interruptions, while still managing to carve out time to eat and go to the bathroom. Nurse leaders may see resilience as the ability to successfully navigate the latest staffing challenge, budget crisis or pandemic. Resilience for a new graduate nurse looks quite different from that of a more experienced, tenured nurse.1,18 Similarly, resilience for an ICU nurse may differ from that of an oncology nurse or a perioperative nurse.6
Some believe that resilience is an innate personality characteristic or trait that only certain individuals can access or possess. Resilience, however, is not a fixed personality trait but a dynamic process that can be developed over time.19-20 Resilience exists on a continuum and can ebb and flow depending on the experience or circumstance. Most importantly, resilience is something that you can work on and build upon to promote personal and professional well-being.
Interventions to build resilience exist at the individual, unit and system levels. Individual interventions such as journaling, mindfulness-based stress reduction, deep breathing and self-care practices help build resilience at the personal level.16-17,20-21 Unit and team-based interventions may include peer support programs, resilience retreats, toolkits, mentorship, huddles, debriefs and monthly forums.16-17,20-21 Meanwhile, system-level interventions may include meaningful recognition programs, nursing workload redesigns, policies and procedures, leadership visibility and role modeling, educational support and resources, employee assistance programs, recharge rooms and benefits supporting access to psychological support services.16-17,20-21
More than a buzzword, resilience encompasses more than simply getting through difficult situations or experiences. Resilience is a multi-layered, multi-faceted, dynamic process. No single intervention is sufficient. Strengthening resilience requires coordinated strategies across individual, unit and system levels, listening to nurses' voices and empowering nurses with resources and support that enhance their resilience. Nursing resilience begins internally and is nurtured through supportive infrastructures and policies that are connected and aligned across the team, organization and healthcare system. Without this support, nurse resilience weakens. Resilience and nurses’ ability to cultivate it are critical to building a healthy workforce and sustaining high-quality patient care.
References:
- Brouette, B., Vandenhouten, C.L., Willems, S., & Nelson, K. (2020). The impact of mindfulness strategies for nurses in a residency program. Journal for Nurses in Professional Development, 36(2), 94-98. https://doi.org/10.1097/NND.0000000000000607
- Chesak, S.S., Morin, K.H., Cutshall, S., Carlson, M., Joswiak, M., Ridgeway, J.L., Vickers, K.S., & Sood, A. (2021). Feasibility and efficacy of integrating resiliency training into a pilot nurse residency program. Nurse Education in Practice, 50, 1-7. https://doi.org/10.1016/j.nepr.2020.102959
- Mintz-Bender, R., Anderson, S., Sweatt, L., & Song, H. (2021). Exploring strategies to build resiliency in nurses during work hours. Journal of Nursing Administration, 51(4), 185-191. https://doi.org/10.1097/NNA.0000000000000996
- Yuan, Z., Wang, J., Xie, W., He., H., & Teng, M. (2023). The levels and related factors of mental workload among nurses: A systematic review and meta-analysis. International Journal of Nursing Practice, 29, e13148. https://doi.org/10.1111/ijn.13148
- Jennings, B.M., Baernholdt, M., & Hopkinson, S.G. (2022). Exploring the turbulent nature of nurses’ workflow. Nursing Outlook, 70(3), 440-450. https://doi.org/10.1016/j.outlook.2022.01.002
- Teng, M., Yuan, Z., He, H., & Wang, J. (2023). Levels and influencing factors of mental workload among intensive care unit nurses: A systematic review and meta-analysis. International Journal of Nursing Practice, 30, 313167. https://doi.org/10.1111/ijn.13167
- Seidel, L.W., Dane, F.C., & Carter, K.F. (2021). Brief mindfulness practice course for healthcare providers. Journal of Nursing Administration, 51(7/8), 395-400. https://doi.org/10.1097/NNA.0000000000001035
- NSI Nursing Staffing Solutions. (2026). NSI National Health Care Retention & RN Staffing Report. https://nsinursingsolutions.com/Documents/Library/NSI_National_Health_Care_Retention_Report.pdf
- Jun, J., Ojemeni, M.M., Kalamani, R., Tong, J., & Crecelius, M.L. (2021). Relationship between nurse burnout, patient and organizational outcomes: Systematic review. International Journal of Nursing Studies, 119, 103933. https://doi.org/10.1016/j.ijnurstu.2021.103933
- Li, L.Z., Yang, P., Singer, S.J., Pfeffer, J., Mathur, M.B., & Shanafelt, T. (2024). Nurse burnout and patient safety, satisfaction, and quality of care: A systematic review and meta-analysis. JAMA Network Open, 7(11), e2443059. https://doi.org/10.1001/jamanetworkopen.2024.43059
- American Psychological Association. APA Dictionary of Psychology. https://dictionary.apa.org/resilience
- Hart, P.L., Brannan, J.D., & De Chesnay, M. (2014). Resilience in nurses: An integrative review. Journal of Nursing Management, 22, 720-734. https://doi.org/10.1111/j.1365-2834.2012.01485.x
- Henshall, C., Davey, Z., & Jackson, D. (2020). Nursing resilience interventions—A way forward in challenging healthcare territories. Journal of Clinical Nursing, 29(19-20), 3597-3599. https://doi.org/10.1111/jocn.15276
- Press Ganey. (2025). Nurse resilience in 2024. https://www.pressganey.com/resources/e-books/nurse-resilience-2024/
- Cooper, A.L., Brown, J.A., Rees, C.S., & Leslie, G.D. (2020). Nurse resilience: A concept analysis. International Journal of Mental Health, 29, 553-575. https://doi.org/10.1111/inm.12721
- Adan, C. (2025). Organizational support and strategies to address nurse burnout and enhance resilience. Nursing Management (Harrow), 32(3), 31-36. https://doi.org/10.7748/nm.2024.e2142
- Butler, S. (2025). Understanding burnout in nurses: Identification and coping strategies. British Journal of Nursing, 34(4), 220-224. https://doi.org/10.12968/bjon.2024.0244
- Randall, P.S., De Gagne, J.C., Lee, E., Slack, J., Lee, Y., & Ledbetter, L. (2023). The experience of resilience in newly graduated nurses: A qualitative metasynthesis. Nurse Education in Practice, 70, 103681. https://doi.org/10.1016/j.nepr.2023.103681
- Han, P., Duan, X., Jiang, J., Zeng, L., Zhang, P., & Zhao, S. (2023). Experience in the development of nurses’ personal resilience: A meta-synthesis. Nursing Open, 10, 2780-2792. https://doi.org/10.1002/nop2.1556
- Badawy, W., Zinhom, H., & Shaban, M. (2026). Perceptions of resilience among nurses: A qualitative study based on the Society-to-Cells Framework. Journal of Advanced Nursing, 82(4), 3563-3574. https://doi.org/10.1111/jan.16739
- George, N., Warshawsky, N.E., & Doucette, J. (2024). Nursing resilience: An evidence-based approach to strengthening professional well-being. Journal of Nursing Administration, 54(10), 554-560. https://doi.org/10.1097/NNA.0000000000001488

