The Association between Well-being Behaviors and Resilience in Health Care Workers.
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2021-05-27
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Abstract
Engaging in well-being behaviors may promote resilience, which can protect against burnout. This descriptive, correlational analysis utilized baseline data from health care workers enrolled in the Web-based Implementation of the Science for Enhancing Resilience longitudinal study (N = 2,383). The study aimed to describe the association of (a) types of well-being behaviors (regular exercise, yoga, meditation, spent time with a close friend, vacation) and (b) total number of well-being behaviors with resilience (emotional thriving and emotional recovery), covarying for sociodemographic and professional characteristics. General linear model findings indicated that each well-being behavior was significantly associated with greater emotional thriving, while only exercise and spending time with friends were significantly related to greater emotional recovery. Emotional thriving and emotional recovery were also significantly higher among health care workers reporting more well-being behaviors. Engaging in well-being behaviors may be one part of the solution toward increasing resilience in health care workers that warrants further investigation.
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Rink, Lesley C, Susan G Silva, Kathryn C Adair, Tolu O Oyesanya, Janice C Humphreys and J Bryan Sexton (2021). The Association between Well-being Behaviors and Resilience in Health Care Workers. Western journal of nursing research. p. 1939459211017515. 10.1177/01939459211017515 Retrieved from https://hdl.handle.net/10161/23674.
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Scholars@Duke
Lesley Rink
Lesley Rink is a PhD student at Duke University School of Nursing. Her research interests are in contemplative sciences with a focus on mindfulness-based practices. As a nurse in the Surgery Trauma ICU at UNC Health Care for more than three years, she has conducted research projects for both health care providers and patients with an aim to assess changes in stress levels with brief mindfulness-based interventions.
She has presented her research findings at national and local nursing conferences. Lesley has frequently presented across the UNC Health Care System sharing information on stress reduction and resilience tools for health care providers. Her passion for mindfulness-based interventions to reduce stress has inspired her research and pursuit of a PhD in Nursing. She has a personal daily mindfulness meditation practice, has attended multiple silent meditation retreats, and has completed mindfulness-based stress reduction and integrative health coaching courses at Duke Integrative Medicine. Lesley plans to continue integrating her mindfulness education and experience here at the Duke School of Nursing. Lesley graduated with honors from the Duke University School of Nursing Accelerated Bachelor of Science in Nursing program in 2015 and was inducted into the Sigma Theta Tau Honors Society.
Before her nursing career, Lesley received her Bachelor of Science in Criminology and spent eight years working in public policy, budgetary development, and legislative advocacy work at the North Carolina General Assembly and the University of North Carolina System Office.
Susan Gray Silva
Dr. Silva is an Associate Research Professor in the Duke University School of Nursing and School of Medicine, with specialty training in neurobehavioral assessment, cognitive neuropsychology, and biostatistics. Within the PhD Program in the School of Nursing, Dr. Silva mentors students and teaches courses in General Linear Models, Generalized Linear Mixed Models, Mediator and Moderator Analyses, and Longitudinal Data Analysis. She also teaches a course in Quantitative Methods for Evaluating Health Care Practices course in the Doctor of Nursing Practices program and guides students in the design and analysis of quality improvement projects and implementation science studies.
Prior to joining the faculty in the School of Nursing in August 2009, Dr. Silva was a faculty statistician in the Clinical Trials Statistics Group and a mental health researcher in the Division of Neurosciences at Duke Clinical Research Institute (DCRI) and the Division of Medical Psychology in the Department of Psychiatry and Behavioral Sciences at Duke. While at DCRI, her focus was on the design and analysis of multi-center neuropsychiatric clinical trials.
Before coming to Duke in 1999, Dr. Silva was the Director of the Neurobehavioral Assessment Core and Associate Director of the Data Management & Biostatistics Core for the National Institute of Mental Health-funded Neuroscience Clinical Research Center at the University of North Carolina-Chapel Hill.
Dr. Silva served as the Statistical PI for the NIMH’s Treatment for Adolescents with Depression Study (TADS), NIMH’s Substance Use Outcomes Following Treatment for Adolescent Depression (SOFTAD) study, NIMH’s Child and Adolescent Psychiatry Trials Network (CAPTN). She was a statistical co-investigator for NIDA’s National Drug Abuse Treatment Clinical Trials Network (CTN), NICHD’s Reproductive Medicine Network (RMN), and SAMHSA’s National Center for Child Traumatic Stress. Dr. Silva has been a member of the NIMH's Data and Safety Board for Child and Adolescent Interventions and Health Services since 2002.
As a researcher and statistician, Dr. Silva's focus has been on the application of (1) multi-level mixed-effects trajectory models for longitudinal data, (2) ecological momentary assessment; (3) moderator and mediator analyses, and (4) structural equation modeling for complex moderated mediation analyses.
Tolulope Oyesanya
Dr. Oyesanya is an Associate Professor at Duke University School of Nursing. Her research program centers on care of patients with traumatic brain injury (TBI) in acute and post-acute treatment settings, as well as support of their family caregivers. Her current research focuses on transitional care needs of patients with TBI, with an emphasis on improving patient and family quality of life post-discharge and self- and family-management of care.
Dr. Oyesanya earned her BSN, MSN, and PhD in Nursing from University of Wisconsin-Madison. She completed a post-doctoral fellowship in Brain Injury Research at Shepherd Center in Atlanta, GA. Her research has been supported by federally- and internally funded awards. Dr. Oyesanya is actively involved in several professional organizations, including serving as Chair of the Mentoring Task Force and Chair-Elect of the Career Development Networking Group of the American Congress of Rehabilitation Medicine and as a member of the Association of Rehabilitation Nurses and the International Brain Injury Association.
Janice Carrol Humphreys
Janice Humphreys, PhD, RN, FAAN, is a Professor in the School of Nursing. She came to Duke in 2013 from the University of California, San Francisco (UCSF) School of Nursing, where she was Professor and Vice-Chair for Academic Personnel in the Department of Family Health Care Nursing. From 2013 until 2018, Dr. Humphreys served as the Associate Dean for Academic Affairs at the Duke University School of Nursing. Dr. Humphreys earned bachelor’s degrees in both nursing and psychology at Purdue University, and then completed her M.S. in pediatric nursing at UCSF with support from a National Health Service Corps Scholarship. She subsequently contributed two years of service as a pediatric nurse practitioner at the Guilford County (North Carolina) Health Department then moved to Detroit, where she taught and completed her PhD at Wayne State University. She taught for six years at Eastern Michigan University and then returned to UCSF as a member of the faculty in 1994. Her UCSF career was distinguished by excellence in research, teaching, and community service, and by leadership in shared governance responsibilities of the School of Nursing, the UCSF campus, and the University of California system.
Dr. Humphreys’ research focuses on the health effects of intimate partner violence on women and their children and is rooted in over 30 years of nursing practice with these vulnerable populations. Initially her research described the breadth and depth of multidimensional responses to violence (including resilience) in battered women and their children. Her most recent studies address chronic pain, depression, lifetime trauma exposure, and posttraumatic stress disorder in abused women as well as the relationship between intimate partner violence and telomere length, a measure of cell aging. She is recognized nationally and internationally as an expert on intimate partner violence, and has an extensive record of collaborative research in this field with colleagues from all over the world.
As a long-standing member of the UCSF Center for Symptom Management, Dr. Humphreys has also been instrumental in development of the Theory of Symptom Management. Interest in this theory and its implication for intervention research has grown, and she has presented on this subject recently in Switzerland and China. She has taught courses at both the master’s and doctoral levels on symptom management, qualitative research methods, theory development, and family violence.
Dr. Humphreys’ publications include over 80 peer-reviewed research articles and book chapters, several of which have won national or international awards. She is the co-editor (with Jacquelyn Campbell) of Family Violence and Nursing Practice, a text developed to serve as a resource for undergraduate, graduate, and practicing health care professionals, which is now in its 2nd edition (2011). For many years she served on the board of the Nursing Network on Violence Against Women International. She is a founding member of the Enfermeras del Anillo del Pacifico en Investigación sobre Violencia de Pareja [Nursing Research on Pacific Rim Intimate Partner Violence]. Dr. Humphreys is a charter member and former Board Member of the Academy on Violence and Abuse. In 2006, she was inducted as a Fellow of American Academy of Nursing, and she has served as Co-chair for the Academy’s Expert Panel on Violence.
John Bryan Sexton
Bryan is the Director of the Duke Center for the Advancement of Well-being Science. He leads the efforts around research, training and coaching, guiding quality improvement and well-being activities.
A psychologist member of the Department of Psychiatry, Bryan is a psychometrician and spends time developing methods of assessing and improving safety culture, teamwork, leadership and especially work-force well-being. Currently, he is disseminating the results from a successful NIH R01 grant that used RCTs to show that we can cause enduring improvements in healthcare worker well-being.
A perpetually recovering father of four, he enjoys running, using hand tools on wood, books on Audible, and hearing particularly good explanations of extremely complicated topics.
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