Resilience training for nurses


Resilience is defined as “the process of adapting well in the face of adversity, trauma, tragedy, threats, or significant sources of stress”1.  Resilience has been shown to have a protective effect against nurse turnover, stress-related disorders, emotional exhaustion, conflict, and burnout – all of which are important considerations for nurses, particularly during the COVID-19 pandemic where many nurses have experienced increased workloads, stress, anxiety, and burnout2,3.

A recent meta-analysis by Zhai et al (2021)4 sought to better understand changes in resilience in nurses following resilience training.  A total of 13 studies, collectively examining 576 participants who received resilience training, were included in the analysis.

The results indicated improvements in several scores following resilience training for nurses.  Resilience scores and mindfulness improved from preintervention to postintervention, while stress levels, burnout scores, anxiety and depression scores and negative affect all decreased.

While the results of the study were positive, the authors did highlight that due to varied training contents, schedules, and tools to measure outcomes, only a generalized assessment of the outcomes could be performed.

The growing body of evidence in support of resilience training for nurses suggests that resilience training may be a useful tool for organizations to offer to their employees, and for individuals working in health care to participate in.

Read more about some of the tools and information offered by HPCO to build resilience and decrease stress among nurses and others working in hospice and palliative care.


  1. American Psychological Association. (n.d.). Building your resilience. American Psychological Association. Retrieved December 10, 2021, from
  2. Stelnicki, A. M., Carleton, R. N., & Reichert, C. (2020). Nurses’ mental health and well-being: COVID-19 impacts. Canadian Journal of Nursing Research52(3), 237-239.
  3. Raoofi, S., Kan, F. P., Rafiei, S., Khani, S., Hosseinifard, H., Tajik, F., … & Ghashghaee, A. (2021). Anxiety during the COVID-19 pandemic in hospital staff: systematic review plus meta-analysis. BMJ Supportive & Palliative Caredoi: 10.1136/bmjspcare-2021-003125
  4. Zhai, X., Ren, L. N., Liu, Y., Liu, C. J., Su, X. G., & Feng, B. E. (2021). Resilience Training for Nurses: A Meta-analysis. Journal of Hospice & Palliative Nursing23(6), 544-550.  DOI: 10.1097/NJH.0000000000000791