Volume 29, Issue 1 (Winter 2021)                   Avicenna J Nurs Midwifery Care 2021, 29(1): 1-13 | Back to browse issues page

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Soltani Shal R, Ahmadpour Z, Abbastabar Bozrudi M. Psychometric Characteristics of Multidimensional Measure of Nurses’ Personal Resilience. Avicenna J Nurs Midwifery Care 2021; 29 (1) :1-13
URL: http://nmj.umsha.ac.ir/article-1-1976-en.html
1- Assistant Professor of Psychology, Department of Psychology, Faculty of Literature and Humanities, University of Guilan, Rasht, Iran , soltani.psy@gmail.com
2- MA, Department of Psychology, Faculty of Literature and Humanities, University of Guilan, Rasht, Iran
3- MA Department of Psychology, Faculty of Psychology & Educational Science, University of Kharazmi, Alborz, Karaj
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✅ This study showed that the multidimensional measure of nurses’ personal resilience had appropriate psychometric properties and is a valid and reliable screening index to measure psychological resiliency of nurses. This index could facilitate the assessing of Well-Being in brief and practical way among nurses.

Extended Abstract:   (704 Views)

Nurses face too much stressors as work-rest cycle problems, overload responsibility, lack of vacation time and painful experiences of patients; therefore, resiliency can help them to appropriate and efficient cope with these stressors. But, there is no brief and practical scale to assess psychological resiliency among nurses in Iran. So, the aim of the present study was to evaluate the psychometric properties of the multidimensional measure of nurses’ personal resilience.


Materials and Methods

In this methodological study, 120 nurses from Amol’s hospitals were studied using a convenience sampling method who filled the multidimensional measure of nurses’ personal resilience. The multidimensional measure of nurses’ personal resilience is composed of 40 items. The psychometric properties were examined through the Nominal validity, Content Validity, Concurrent validity, Construct validity. The data was analyzed by SPSS 22 (SPSS Inc., Chicago, Ill., USA).



Nomianl and content validity were approved by five psychologists. The KMO index and Bartlett's test of sphericity indicated that correlation matrices were suitable for factor analysis. Factor analysis with Principal Component Analysis extracted one factor with 55.21% total variance. Internal consistency was confirmed by a Cronbach’s alpha of 0.86 and there was no change in number of components or dimensions and questions.
Table 1. Eigenvalue, percentage of variance of factors and compression percentage of expressed variance in factor analysis by principal components
Factor Eigenvalue Expressed variance (%) Expressed compression variance (%)
Determinant 12.88 32.19 32.19
Patience 3.61 9.03 41.22
Compatibility 3.21 8.03 49.25
Recovery 2.38 5.96 55.21
Table 2. Rotational factor matrix of a set of 20 questions in the Varimax method
Questions 1 2 3 4 5 6 7 8 9 10
Factor n. 1: Determinant 0.47 0.51 0.40 0.39 0.54 0.43 0.46 0.59 0.60 0.49
Questions 11 12 13 14 15 16 17 18 19 20
Factor n. 2: Patience 0.38 0.42 0.48 0.41 0.52 0.39 0.51 0.44 0.38 0.35
Questions 21 22 23 24 25 26 27 28 29 30
Factor n. 3: Compatibility 0.43 0.39 0.40 0.38 0.57 0.65 0.66 0.39 0.36 0.42
Questions 31 32 33 34 35 36 37 38 39 40
Factor n. 4: Recovery 0.47 0.35 0.39 0.44 0.49 0.33 0.62 0.38 0.42 0.47
Table 3. Correlation coefficients and Cronbach's alpha
  Total resilience score α
Determinant (Qs 1-10) 0.498 0.73
Patience (Qs 11-20) 0.631 0.82
Compatibility (Qs 21-30) 0.588 0.68
Recovery (Qs 31-40) 0.501 0.70
Total resilience score (All Qs) 0.628 0.86
Table 4. Results of Pearson correlation coefficients of factors with each other and the whole scale
Factor Factor n. 1 Factor n. 2 Factor n. 3 Factor n. 4
Determinant 1      
Patience 0.53 1    
Compatibility 0.68 0.72 1  
Recovery 0.73 0.66 0.82 1
The total scale 0.69 0.73 0.58 0.6

Multidimensional scale diagram of nurses' personal resilience
Figure 1. Multidimensional scale diagram of nurses' personal resilience


One of the important issues for specialists in nursing studies is to create appropriate tools for measuring psychological characteristics and interventions to increase their resilience; because nurses are prone to psychological disorders and physical illnesses due to the workplace stresses. According to some researchers, job stress is one of the main factors in reducing productivity in organizations and causing physical and psychological complications in employees, which is still very common among health care workers today [24]. The researchers have also concluded that nursing is one of the most stressful jobs which mostly leads to dissatisfaction and eventually resignation.
In this study it was shown that 51.5% of nurses had moderate stress and 5.9% had severe stress. About 40% had more than average psychological stress and 75.1% of them were dissatisfied with their job. There was also an inverse correlation between psychological stress and job satisfaction [25]; therefore, the study of nurses' personal resilience in clinical and research fields requires a comprehensive and appropriate questionnaire. In addition, cultural harmonization is one of the necessities of examining a psychological tool in different societies. In this regard, not using appropriate and reliable tools is one of the obstacles to proper and accurate review of nurses' resilience, which is also overcome by re-examining the validity and reliability of a scale in the new culture. This issue is even more important when we know that the multidimensional questionnaire of nurses' personal resilience is the only questionnaire that assesses the different dimensions of resilience in the nursing community; therefore, due to the importance of this issue, this questionnaire has been validated.
The aim of this study was to investigate the psychometric properties of the multidimensional scale of personal resilience of nurses in the Iranian nursing community. This scale has four subscales of decision making, tolerance, compatibility and recovery. Determining and perseverance is the goal of the nurse and is a cognitive decision for progress and success. Tolerance is conceptualized as the nurse's patience and personal capacity to withstand unpleasant, stressful, and difficult situations without giving up. Compatibility, the ability of the nurse to be flexible and associate, as well as the ability to cope with the stressful and changing environment and self-adjustment to adapt to changing circumstances are considered. Recovery is also considered as physical and mental recovery from previous setbacks and the ability to return to normalcy and the ability to regenerate despite problems.
The validity of the multidimensional scale of nurses' personal resilience in the present study shows the alignment of this study with previous studies [22]. The scale under study has good theoretical and experimental validity based on psychometric criteria and the obtained results are in line with the psychometric properties of most of the researches reported in this field [26-27]. One of the necessities of the present study was to investigate the psychometric properties of the multidimensional scale of personal resilience of nurses in the Iranian nursing community. According to the explanations of resilience and its factors, it can be said that personal resilience is considered as a source to protect people against the problems and harmful effects of workplace hardships.
Resilience is one of the sub-components of the concept of psychological capital that nurses can use to show less vulnerability to stressful events. Numerous comprehensive and review studies have reported that having resilience enables nurses to be more resilient to problems and less affected by daily events. They can also tend to choose challenging tasks and use their efforts and motivational resources to achieve their goals and resist obstacles and problems. Highly resilient nurses are constantly thinking about how to pursue and achieve their goals. They view their past experiences as preparation for the future, and they perform well in various aspects of their lives and consider themselves successful overall. High-resilience nurses can stay motivated, use alternative passages, and not stop when they encounter an obstacle. Nurses with high levels of resilience tend to develop new methods when dealing with problems. They can overcome negative emotional experiences faster and are more likely to experience positive emotions in the midst of their stressful events and activities. When faced with problems and even successes, these people continue on their way with more effort and make great efforts to achieve successes [26-24]. Therefore, examining the psychometric properties of a comprehensive scale to assess the resilience of nurses in various dimensions can pave the way for better services to this group of medical team and improve the provision of medical services and care to patients.



This study showed that the multidimensional measure of nurses’ personal resilience had appropriate psychometric properties and is a valid and reliable screening index to measure psychological resiliency of nurses. This index could facilitate the assessing of Well-Being in brief and practical way among nurses.



We thank all those who participated in this research and helped us do it. This research was conducted without the financial support of a specific organization or institution.


Conflicts of Interest

The authors declared no conflict of interest.

Type of Study: Original Research | Subject: Nursing
Received: 2019/12/29 | Accepted: 2020/07/26 | Published: 2020/10/11

1. Bahrami M. Nurses' quality of life in medical-surgical wards of an oncology center affiliated to the Isfahan University of Medical Sciences. Nursing Journal of the vulnerable. 2016;3(7):36-46.
2. Ansari H, Abbasi M. Health-related quality of life among nurses in Zahedan University of Medical Sciences Hospitals. J Hosp. 2015;14(3):47-55.
3. Mohammadi M, Mozaffari N, Dadkhah B, Etebari Asl F, Etebari Asl Z. Study of work-related quality of life of nurses in Ardabil Province Hospitals. J Healthc Manag. 2017;19(3):108-6.
4. Aghakhani N, Pouriran M, Ataei L, Aliafsari E, Soheili A. Correlation between night shift and lowback pain in nurses who work in educational hospitals in Tabriz, Iran. Urmia Nurs. Midwifery Fac. 2014;12(7):515-21.
5. Stevanin S, Palese A, Bressan V, Vehviläinen‐Julkunen K, Kvist T. Workplace‐related generational characteristics of nurses: A mixed‐method systematic review. J Adv Nurs. 2018;74(6):1245-63. [DOI:10.1111/jan.13538] [PMID]
6. Cruz JP. Quality of life and its influence on clinical competence among nurses: a self‐reported study. J Clin Nurs. 2017 Feb;26(3-4):388-99. [DOI:10.1111/jocn.13402] [PMID]
7. Li Y, Cao F, Cao D, Liu J. Nursing students' post‐traumatic growth, emotional intelligence and psychological resilience. Int J Ment Health Nurs. 2015;22(5):326-32. [DOI:10.1111/jpm.12192] [PMID]
8. Mealer M, Schmiege SJ, Meek P. The Connor-Davidson Resilience Scale in critical care nurses: a psychometric analysis. J Nurs Meas. 2016;24(1):28-39. [DOI:10.1891/1061-3749.24.1.28] [PMID] [PMCID]
9. Brennan EJ. Towards resilience and wellbeing in nurses. British J Nurs. 2017;12;26(1):43-7. [DOI:10.12968/bjon.2017.26.1.43] [PMID]
10. Delgado C, Upton D, Ranse K, Furness T, Foster K. Nurses' resilience and the emotional labour of nursing work: An integrative review of empirical literature. Int J Nurs Stud. 2017;70:71-88. [DOI:10.1016/j.ijnurstu.2017.02.008] [PMID]
11. Mealer M, Hodapp R, Conrad D, Dimidjian S, Rothbaum BO, Moss M. Designing a resilience program for critical care nurses. AACN Adv Crit Care. 2017;28(4):359-65. [DOI:10.4037/aacnacc2017252] [PMID] [PMCID]
12. Mealer M, Jones J, Meek P. Factors affecting resilience and development of posttraumatic stress disorder in critical care nurses. Am J Crit Care. 2017 May;26(3):184-92. [DOI:10.4037/ajcc2017798] [PMID] [PMCID]
13. Foster K, Cuzzillo C, Furness T. Strengthening mental health nurses' resilience through a workplace resilience programme: A qualitative inquiry. Int J Ment Health Nurs. 2018;25(5-6):338-48. [DOI:10.1111/jpm.12467] [PMID]
14. Ungar M. Resilience across cultures. Br J Soc Work. 2008.;8(2):218-35. [DOI:10.1093/bjsw/bcl343]
15. Thomas LJ, Asselin M. Promoting resilience among nursing students in clinical education. Nurse Educ Pract. 2018;28:231-4. [DOI:10.1016/j.nepr.2017.10.001] [PMID]
16. Reyes AT, Andrusyszyn MA, Iwasiw C, Forchuk C, Babenko-Mould Y. Resilience in nursing education: An integrative review. J Nurs Edu. 2015;54(8):438-44. [DOI:10.3928/01484834-20150717-03] [PMID]
17. Rushton CH, Batcheller J, Schroeder K, Donohue P. Burnout and resilience among nurses practicing in high-intensity settings. Am J Crit Care 2015;24(5):412-20. [DOI:10.4037/ajcc2015291] [PMID]
18. Sanders ED. Nursing resilience: A nursing opportunity. Nurs Admin Q. 2015;39(2):132-6. [DOI:10.1097/NAQ.0000000000000091] [PMID]
19. Shimoinaba K, O'Connor M, Lee S, Kissane D. Nurses' resilience and nurturance of the self. Int J Palliat Nurs. 2015;21(10):504-10. [DOI:10.12968/ijpn.2015.21.10.504] [PMID]
20. Mokhlesi SS, Kariman N, Ebadi A, Khoshnejad FA, Dabiri F. Psychometric properties of the questionnaire for urinary incontinence diagnosis of married women of Qom city in 2015. J Rafsanjan Uni Med Sci. 2017;15(10):955-66.
21. Wei W, Taormina RJ. A new multidimensional measure of personal resilience and its use: C hinese nurse resilience, organizational socialization and career success. Nurs Inq. 2014;21(4):346-57. [DOI:10.1111/nin.12067] [PMID]
22. Mohammadbeigi A, Mohammadsalehi N, Aligol M. Validity and reliability of the instruments and types of measurments in health applied researches. J Rafsanjan Uni Med Sci. 2015;13(12):1153-70.
23. Rayan A, Mo'men SISAN OB. Stress, workplace violence, and burnout in nurses working in King Abdullah Medical City during Al-Hajj season. J Nurs Re. 2019;27(3):e26. [DOI:10.1097/jnr.0000000000000291] [PMID] [PMCID]
24. Hazavehei MM, Moghimbeigi A, Hamidi Y. Assessing stress level and stress management among Hamadan hospital nurses based on precede model. Horiz Transl Med Sci. 2012;18(2):78-85.
25. Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health. 2007;30(4):459-67. [DOI:10.1002/nur.20199] [PMID]

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