Journal of Isfahan Medical School

Journal of Isfahan Medical School

Investigating the level of resilience in health personnel and its affecting factors in Arbaeen clinic (2023)

Document Type : Original Article(s)

Authors
Mansoor Soltani 1
Zahra Amouzeshi 2
Zahra Soltani nejad 3
Sajjad Salehian 4
Akram Khazai 5
Farzaneh Safajou 6
1 MSc in Nursing, Department of Anesthesia, School of Allied Medical Sciences, Birjand University of Medical Sciences Birjand, Iran
2 Assistant Professor of Medical Education, Department of Nursing, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran
3 MSc in Emergency nursing, Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran
4 MSc in Nursing, Department of Nursing, Tabas School of Nursing, Birjand University of Medical Sciences, Birjand, Iran
5 MSc in public Health Nursing, Birjand University of Medical Sciences, Birjand, Iran.
6 Assistant Pprofessor, Department of Midwifery, Qaen Faculty of Medical Sciences, Birjand University of Medical Sciences, Birjand, Iran
10.48305/jims.v43.i844.1771
Abstract
Background: Mass gatherings such as the Arba'een pilgrimage pose significant challenges to healthcare systems, including overcrowding, limited health facilities, and the risk of unforeseen incidents. In such high-pressure environments, the resilience of healthcare workers is a critical factor in mitigating stress and occupational burnout. This study aimed to assess the resilience level of healthcare staff working in clinics during the Arba'een 2023 ceremony and identify factors influencing it.
Methods: This descriptive-cross-sectional study was conducted on 96 healthcare workers at the Khosravi Border Pre-Hospital Center in Qasr-e Shirin (September 2023). Data were collected using a demographic questionnaire and the Connor-Davidson Resilience Scale (CD-RISC).
Findings: The mean overall resilience score of participants was 95.09 ± 13.34, indicating a moderate resilience level. The highest score was observed in the "perception of personal competence" subscale (30.79 ±5.22), while the lowest score was in the "spiritual effects" subscale (7.71 ±1.61). Among demographic variables, only education level and employment type showed statistically significant associations with resilience. Specifically, individuals with higher education and formal/contractual employment had significantly higher resilience scores compared to corporate/temporary staff.
Conclusion: This study revealed moderate resilience levels among healthcare staff at the Arba'een Clinic in Qasr-e Shirin. The findings underscore the need for targeted support programs to enhance resilience in high-stress environments, including stress-management training, improved job security, and accessible psychological services.

Highlights

Mansoor Soltani: Google Scholar, PubMed

Zahra Amouzeshi: Google Scholar, PubMed

Zahra Soltaninejad: Google Scholar

Sajjad Salehian: Google Scholar

Akram Khazai: Google Scholar, PubMed

Farzaneh Safajou: Google Scholar, PubMed

Keywords
Resilience
Health Personnel
Mass gathering
1.     Arbon P. Mass-gathering medicine: a review of the evidence and future directions for research. Prehosp Disaster Med 2007; 22(2): 131-5.
2.     Al-Tawfiq JA, Memish ZA. Mass gathering medicine: 2014 Hajj and Umra preparation as a leading example. Int J Infect Dis 2014; 27: 26-31.
3.     Memish ZA, Steffen R, White P, Dar O, Azhar EI, Sharma A, et al. Mass gatherings medicine: public health issues arising from mass gathering religious and sporting events. Lancet. 2019; 393(10185): 2073-84.
4.     Arezou K, Zohreh G, Davoud K-Z. Exploring challenges of health system preparedness for communicable diseases in Arbaeen mass gathering: a qualitative study. F1000Res 2018; 7: 1448.
5.     Hag Ranjbar F, Kakavand A, Barjali A, H. B. Resilience and quality of life of mothers with mental retarded children [in Persian]. Health Psychol 2011; 1(1): 177-87.
6.     Haji GSA. Meta-synthesis of arba'een walking studies in order to identify the pattern of effective factors [in Persian]. Modern Fundamental Studies of Islamic Civilization 2024; 7(1): 307-44.
7.     Ahmed QA, Barbeschi M, Memish ZA. The quest for public health security at Hajj: the WHO guidelines on communicable disease alert and response during mass gatherings. Travel Med Infect Dis 2009; 7(4): 226-30.
8.     Azadi S, Azad H. The Correlation of Social Support, tolerance and Mental Health in Children of Martyrs and war-disabled in Universities of Ilam [in Persian]. Iranian Journal of War and Public Health 2011; 3(4): 48-58.
9.     WHO. Managing health risks during mass gatherings 2023 [Available from: https://www.who.int/activities/managing-health-risks-during-mass-gatherings.
10.  Sayadi L, Mashayekhi A, Mohammadnejad E, Karimi-rozveh A. Relationship between Emotional Labour and Resiliency of Nurses in general wards [in Persian]. Iranian Journal of Psychiatric Nursing 2023; 10(6): 98-109.
11.  Asghari M, Kiyani R, Dalir L. Effectiveness of Brytonic exercises on depression and resilience of female coronary treatment unit in hospital [in Persian]. Mind, Movement and Behavior 2024; 2(2): 127-41.
12.  Soltani Shal R, Ahmadpour Z, Abbastabar Bozrudi MJ, Care M. Psychometric Characteristics of Multidimensional Measure of Nurses’ Personal Resilience. [in Persian]. Avicenna J Nurs Midwifery Care 2021; 29(1): 1-13.
13.  Soltani A, Aram M, Alaeddini F, Marzaleh MA. Challenges of health services during Arbaeen Pilgrimage in 2019. Diabetes 2021; 23(4): 0067.
14.  Peyravi M, Ahmadi Marzaleh M, Najafi H. An overview of health-related challenges in a mass gathering. Trauma Monthly 2020; 25(2): 78-82.
15.  Castillo‐González A, Velando‐Soriano A, De La Fuente‐Solana EI, Martos‐Cabrera BM, Membrive‐Jiménez MJ, Lucía RB, et al. Relation and effect of resilience on burnout in nurses: A literature review and meta‐analysis. Int Nurs Rev 2024; 71(1): 160-7.
16.  Nekoei, Arash and Sigurdsson, Jósef and Wehr, Dominik, The Economic Burden of Burnout (May 14, 2024). Available at SSRN: https://ssrn.com/abstract=4827359 or http://dx.doi.org/10.2139/ssrn.4827359.
17.  Sadeghian MH, Abdolvand M. Examining the relationship between resilience and spiritual health of the medical staff of hospitals accepting patients with the corona virus under the cover of Tehran University of Medical Sciences [in Persian]. J Hospital 2022; 3(21): 9-10.
18.  Khoobi M, Abdulabbas Al-alwani AM, Mohamad Khan Kermanshahi S. 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.
19.  Sanjar Mussavi N, Gomnami N, Karazhian E, Farajpour A. Investigating the Relationship between Professional Commitment and Resilience of Healthcare Personnel during the COVID-19 Epidemic Crisis in Healthcare Centers in Mashhad. Journal of Health. 2024; 14 (4) :421-28.
20.  Franco ZE. Heroism in times of crisis: Understanding leadership during extreme events. Handbook of heroism and heroic leadership: Routledge; 2016. p. 207-24.
21.  García‐Izquierdo M, Meseguer de Pedro M, Ríos‐Risquez MI, Sánchez MIS. Resilience as a moderator of psychological health in situations of chronic stress (burnout) in a sample of hospital nurses. J Nurs Scholarsh 2018; 50(2): 228-36.
22.  Chew QH, Wei KC, Vasoo S, Sim K. Psychological and coping responses of health care workers toward emerging infectious disease outbreaks: a rapid review and practical implications for the COVID-19 pandemic. J Clin Psychiatry 2020; 81(6): 20r13450-20r.
23.  Uccella L, Mascherona I, Semini S, Uccella S. Exploring resilience among hospital workers: a Bayesian approach. Front Public Health. 2024; 12: 1403721.
.
Journal of Isfahan Medical School
Volume 43, Issue 844
4th Week, February
January and February 2026
Pages 1771-1778

  • Receive Date 15 January 2025
  • Accept Date 07 February 2026