Abstract
Aim(s): To explore the perceptions of resilience among nurses using the Society-to-Cells Resilience Theory and examine how multilevel factors influence their ability to maintain resilience in high-stress environments. Design: A qualitative study using semi-structured interviews. Methods: Sixteen registered nurses from various healthcare settings in the Asir region, Saudi Arabia, participated in face-to-face interviews conducted from February to April 2024. The interviews were analysed thematically to identify key factors affecting resilience at individual, familial, institutional and societal levels. Results: Four key themes emerged: individual coping strategies, family and social support, institutional support mechanisms and societal recognition. Nurses identified personal coping methods, such as mindfulness and exercise, as essential for maintaining resilience. Family and social networks played a crucial role in emotional support. Institutional factors, such as adequate staffing and leadership support, were vital to resilience, while a lack of societal recognition negatively impacted nurses' well-being. Conclusion: Resilience in nursing is a multifaceted process influenced by individual, institutional and societal factors. Supportive work environments, adequate resources and recognition of nurses' contributions are critical in fostering resilience. Implications for the Profession and/or Patient Care: The findings emphasise the need for healthcare institutions to implement policies and support mechanisms that address both the personal and professional challenges nurses face. Promoting resilience can improve nurse retention, job satisfaction and patient care outcomes. Reporting Method: This study adhered to the Standards for Reporting Qualitative Research (SRQR) guidelines. Patient or Public Contribution: No patient or public contribution.
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Badawy, W., Zinhom, H., & Shaban, M. (2026). Perceptions of Resilience Among Nurses: A Qualitative Study Based on the Society-To-Cells Framework. Journal of Advanced Nursing, 82(4), 3563–3574. https://doi.org/10.1111/jan.16739
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