The Effects of Social Support, Organizational Support, and Resilience on the Physical and Mental Symptoms of the Nurses' Anxiety

Document Type : Original Article

Author

Department of Public Administration, Faculty of Management, Payame Noor University, Tehran, Iran

10.30476/jhmi.2025.104880.1253

Abstract

Introduction: Since nurses have direct contact with patients, they often experience anxiety during their work, and efforts should be made to reduce this anxiety. Therefore, this study aimed to investigate the effects of social support, organizational support, and resilience on the physical and mental symptoms of nurses’ anxiety in Hajar Hospital of Shahrekord during 2021-2022.
Methods: The current study method is practical regarding purpose and a descriptive survey in data collection. The statistical population of 330 nurses of Hajar Hospital of Shahrekord determined the sample size by Cochran’s formula (178 people) and available methods. The data were collected through standard questionnaires, including a resilience questionnaire by Connor and Davidson (2003), a social support questionnaire by Vaux et al. (1986), an organizational support questionnaire by Akgunduz et al. (2018), and an anxiety questionnaire by Alipour et al. (2020). The analysis method used in this research was the structural equation modeling technique with SmartPLS4 software.
Results: The findings of the research showed that organizational support has a negative and significant effect on mental and physical symptoms of anxiety among nurses. Also, nurses’ resilience has a negative and significant effect on mental and physical symptoms of anxiety among nurses. Also, social support has a negative and significant effect on mental and physical symptoms of anxiety among nurses.
Conclusion: Constant exposure to anxiety has negative consequences on the physical and mental health of nurses and should reduce nurses’ anxiety by taking practices such as increasing nurses’ resilience, organizational support, and social support.

Keywords

Main Subjects


  1. Lu J, Dou X, Yi Y, Yu Y, Zhou L. Prevalence and Determinants of Anxiety and Depression Among Healthcare Workers in Liaoning Province, China. Risk Manag Healthc Policy. 2024;17:983-93. doi: 10.2147/RMHP.S460118.

  2. Spielberger C. State-trait anxiety inventory. The Corsini encyclopedia of psychology. Hoboken: Wiley; 2010;1.

  3. Taherinia A, Khadem Hosseini P, Rahimi J, Mohsen Zadeh Y, Toufigh SJ. Role of Resilience in the Anxiety Symptoms of Coronary Healing Nurses in Alborz University of Medical Sciences. Alborz University Medical Journal. 2024;13:79-87. doi: 10.61186/aums.13.79. [Persian].

  4. Labrague LJ, De Los Santos JAA. COVID-19 anxiety among front-line nurses: Predictive role of organisational support, personal resilience and social support. J Nurs Manag. 2020;28(7):1653-61. doi: 10.1111/jonm.13121.

  5. Ullah I, Khan KS, Ali I, Ullah AR, Mukhtar S, de Filippis R, et al. Depression and anxiety among Pakistani healthcare workers amid COVID-19 pandemic: A qualitative study. Ann Med Surg (Lond). 2022;78:103863. doi: 10.1016/j.amsu.2022.103863.

  6. Holas P, Wojtkowiak N, Gambin M, Hansen K, Kmita G, Pisula E, et al. Factors associated with burnout in Polish healthcare workers during the COVID-19 pandemic. Front Public Health. 2022;10:1018612. doi: 10.3389/fpubh.2022.1018612.

  7. Luo M, Guo L, Yu M, Jiang W, Wang H. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - A systematic review and meta-analysis. Psychiatry Res. 2020;291:113190. doi: 10.1016/j.psychres.2020.113190.

  8. Modaresnezhad M, Andrews MC, Mesmer-Magnus J, Viswesvaran C, Deshpande S. Anxiety, job satisfaction, supervisor support and turnover intentions of mid-career nurses: A structural equation model analysis. J Nurs Manag. 2021;29(5):931-42. doi: 10.1111/jonm.13229.

  9. Rehman MZ-u, Shakoor K, Nawaz MA. Impact of depression and anxiety on employee performance: An empirical analysis. Pakistan Languages and Humanities Review. 2022;6(2):115-24. doi: 10.47205/plhr.2022(6-II)10.

  10. Li X, Yang P, Jiang Y, Gao D. Influence of fear of COVID-19 on depression: The mediating effects of anxiety and the moderating effects of perceived social support and stress perception. Front Psychol. 2022;13:1005909. doi: 10.3389/fpsyg.2022.1005909.

  11. Yu M, Tian F, Cui Q, Wu H. Prevalence and its associated factors of depressive symptoms among Chinese college students during the COVID-19 pandemic. BMC Psychiatry. 2021;21(1):66. doi: 10.1186/s12888-021-03066-9.

  12. Razmjooei P, Zarei R. The mediating role of Psychological Empowerment in the relationship of Perceived Organizational Support and Perceived Social Support with the Work Quality of Life. Psychological Models and Methods. 2018;9(33):71-86. [Persian].

  13. Nasiri F, Abdolmaleki S. Explaining the Relationship between Perceived Social Support and Quality of Life, Perceived Stress Mediator Role in Female-Headed Households in Sanandaj. Journal of Applied Sociology. 2017;27(4):99-116.

  14. Dong F, Huang W, Chu C, Lv L, Zhang M. Influence of workplace stress and social support on humanistic caring ability in Chinese nurses. Nurs Open. 2023;10(6):3603-12. doi: 10.1002/nop2.1606.

  15. Yu H, Gui L. Compassion fatigue, burnout and compassion satisfaction among emergency nurses: A path analysis. J Adv Nurs. 2022;78(5):1294-304. doi: 10.1111/jan.15034.

  16. Mo Y, Deng L, Zhang L, Lang Q, Liao C, Wang N, et al. Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. J Nurs Manag. 2020;28(5):1002-9. doi: 10.1111/jonm.13014.

  17. Labrague LJ, McEnroe Petitte DM, Leocadio MC, Van Bogaert P, Tsaras K. Perceptions of organizational support and its impact on nurses’ job outcomes. Nurs Forum. 2018. doi: 10.1111/nuf.12260.

  18. Pahlevan Sharif S, Ahadzadeh AS, Sharif Nia H. Mediating role of psychological well-being in the relationship between organizational support and nurses’ outcomes: A cross-sectional study. J Adv Nurs. 2018;74(4):887-99. doi: 10.1111/jan.13501.

  19. Veenema TG, Deruggiero K, Losinski S, Barnett D. Hospital Administration and Nursing Leadership in Disasters: An Exploratory Study Using Concept Mapping. Nurs Adm Q. 2017;41(2):151-63. doi: 10.1097/NAQ.0000000000000224.

  20. Bloom DE, Black S, Rappuoli R. Emerging infectious diseases: A proactive approach. Proc Natl Acad Sci U S A. 2017;114(16):4055-9. doi: 10.1073/pnas.1701410114.

  21. Zhang Y, Ma J, Xu Q, Rong Y, Lu S, Wang Z. Effects of sleep duration, perceived organisational support and personal resilience on anxiety in non-hospitalised residents during the COVID-19 pandemic: a survey study in Ningbo, China. BMJ Open. 2023;13(8):e073648. doi: 10.1136/bmjopen-2023-073648.

  22. Khoobi M, Abdulabbas Al-alwani AM. Investigating the relationship between stress, anxiety, depression and resilience in nurses working in the wards of Covid-19 in the teaching hospital of Al-Hillah, Iraq in 2021. Iranian Journal of Nursing Research. 2024;19(1):12-22. [Persian].

  23. Dehghanizadeh M, Jalali F, Badfar Chaleshtori S. The Effect of Resilience and Optimism on Emotional Exhaustion and Job Stress of Nurses in the Fighting against Epidemics. Health Management & Information Science. 2023;10(2):78-86.

  24. Cooper AL, Brown JA, Rees CS, Leslie GD. Nurse resilience: A concept analysis. Int J Ment Health Nurs. 2020;29(4):553-75. doi: 10.1111/inm.12721.

  25. Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003;18(2):76-82. doi: 10.1002/da.10113.

  26. Alipour A, Ghadami A, Alipour Z, Abdollahzadeh H. Preliminary validation of the Corona Disease Anxiety Scale (CDAS) in the Iranian sample. Health psychology. 2020;8(32):163-75.

  27. Vaux A, Phillips J, Holly L, Thomson B, Williams D, Stewart D. The social support appraisals (SS-A) scale: Studies of reliability and validity. American Journal of community psychology. 1986;14(2):195.

  28. Akgunduz Y, Alkan C, Gök ÖA. Perceived organizational support, employee creativity and proactive personality: The mediating effect of meaning of work. Journal of Hospitality and Tourism Management. 2018;34:105-14. doi: 10.1016/j.jhtm.2018.01.004.

  29. Davari A, Rezazadeh A. Structural equation modeling with PLS software. Tehran: Academic Jahad Publishing Organization; 2014. [Persian].

  30. Sarabi N, Hajatpour M, Masoudiyekta L, Moosavi A. Organizational Support, Anxiety, Depression, and Stress Among Nurses in COVID-19 and Non-COVID-19 Units: A Cross-sectional Study. Jundishapur Journal of Health Sciences. 2022;14(3):e127455. doi: 10.5812/jjhs-127455.

  31. Karatepe OM, Çolakoğlu Ü, Yurcu G, Kaya Ş. Do financial anxiety and generalized anxiety mediate the effect of perceived organizational support on service employees’ career commitment? International Journal of Contemporary Hospitality Management. 2024;36(4):1087-113. doi: 10.1108/IJCHM-08-2022-0929.

  32. Dingens C. The Role of Perceived Organizational Support in Anxiety and Depression. 2022:890-903.

  33. Ran L, Wang W, Ai M, Kong Y, Chen J, Kuang L. Psychological resilience, depression, anxiety, and somatization symptoms in response to COVID-19: A study of the general population in China at the peak of its epidemic. Soc Sci Med. 2020;262:113261. doi: 10.1016/j.socscimed.2020.113261.

  34. Petzold MB, Bendau A, Plag J, Pyrkosch L, Mascarell Maricic L, Betzler F, et al. Risk, resilience, psychological distress, and anxiety at the beginning of the COVID-19 pandemic in Germany. Brain Behav. 2020;10(9):e01745. doi: 10.1002/brb3.1745.

  35. Barzilay R, Moore TM, Greenberg DM, DiDomenico GE, Brown LA, White LK, et al. Resilience, COVID-19-related stress, anxiety and depression during the pandemic in a large population enriched for healthcare providers. Transl Psychiatry. 2020;10(1):291. doi: 10.1038/s41398-020-00982-4.

  36. Setiawati Y, Wahyuhadi J, Joestandari F, Maramis MM, Atika A. Anxiety and Resilience of Healthcare Workers During COVID-19 Pandemic in Indonesia. J Multidiscip Healthc. 2021;14:1-8. doi: 10.2147/JMDH.S276655.

  37. Stanton SC, Campbell L. Perceived social support moderates the link between attachment anxiety and health outcomes. PLoS One. 2014;9(4):e95358. doi: 10.1371/journal.pone.0095358.

  38. Ali MF, Kundra S, Alam MA, Alam M. Investigating stress, anxiety, social support and sex satisfaction on physical education and sports teachers during the COVID-19 pandemic. Heliyon. 2021;7(8):e07860. doi: 10.1016/j.heliyon.2021.e07860.

  39. Zyrianova Y, Kelly BD, Gallagher C, McCarthy C, Molloy MG, Sheehan J, et al. Depression and anxiety in rheumatoid arthritis: the role of perceived social support. Ir J Med Sci. 2006;175(2):32-6. doi: 10.1007/BF03167946.