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Anteayer Journal of Advanced Nursing

Exploring society‐to‐cells resilience among community members: A multidisciplinary study in outpatient clinics with diverse participant demographics

Abstract

Aim

This study explores and understands community members' resilience in outpatient clinics, considering various dimensions and types of resilience.

Design

A cross-sectional study.

Methods

This study was conducted in Saudi outpatient clinics from September to December 2023 and included 384 individuals chosen through systematic random sampling. Various tools were used, such as Social Cohesion and Trust Scale, Community Resilience Assessment Tool, Community Assessment of Psychic Experiences, Environmental Resilience Assessment, Economic Resilience Index, Connor-Davidson Resilience Scale, Brief Resilience Scale, Resilience Scale for Adults and Healthcare Resilience Index.

Results

Participants displayed a robust overall resilience level, as indicated by Total Connor–Davidson Resilience Scale score of 63.0 ± 9.0. Additionally, they demonstrated commendable levels of resilience in Total Brief Resilience Scale (56.04 ± 8.6), Resilience Scale for Adults (82.5 ± 7.2) and Healthcare Resilience Index (45.8 ± 5.5). These findings offer significant insights into psychological and emotional well-being of the study population, highlighting their adaptive capacities and coping mechanisms across various life domains.

Conclusion

This study provides valuable insights into the multidimensional nature of resilience in outpatient settings. The cross-sectional design sets the groundwork for future longitudinal investigations, highlighting the need for a holistic approach to understanding and promoting resilience.

Impact

This study holds immediate implications for participants and their communities. It underscores the adaptive capacities and coping mechanisms prevalent in the outpatient population by revealing commendable resilience levels. This insight enhances individuals' psychological and emotional well-being, contributing positively to the overall resilience and communal strength. Additionally, this study sheds light on how resilience among community members in Saudi Arabia relates to international advanced nursing communities, providing insight into their work.

Patient or Public Contribution

Patients who have received outpatient services in the past 6 months were purposively chosen to ensure a diverse representation across age, gender and socio-economic backgrounds in this study.

The Climate‐Asthma Connection: Examining the Influence of Climate Change Anxiety on Asthma Control and Quality of Life: A Multi‐National Study

ABSTRACT

Aims

This study aims to identify the impact of climate change anxiety and asthma control on asthmatics' quality of life and examine the moderating role of climate change anxiety in this linkage.

Method

A multi-national cross-sectional study was conducted in four Arabian countries on 1266 asthmatics selected by convenience sampling. Data were collected from November 2023 to February 2024 using a climate anxiety scale, mini-asthma quality of life questionnaire, and an asthma control questionnaire.

Results

Climate anxiety was higher among middle-aged participants, as well as those with longer disease durations and previous hospitalisations. Climate anxiety showed strong negative correlations with asthma control (r = −0.704, p ≤ 0.05) and asthma quality of life (r = − 0.638, p ≤ 0.05). Climate anxiety and asthma control are powerful predictors of quality of life among asthmatics. Climate anxiety moderates the relationship between asthma control and quality of life, making it less positive (B = −0.094, p > 0.001). Covariates such as gender, age, comorbidities, employment status, disease duration, and previous hospitalisation showed significant associations with asthma quality of life.

Implications for Nursing Practice

Assessment and mitigation of climate anxiety among asthmatics is a key strategy for controlling asthma and improving the quality of life. So, nurses must incorporate climate anxiety assessment into the care plan for asthmatics.

Impact

Climate change is a global concern, and insights into how climate-related psychological stressors exacerbate asthma symptoms and overall health outcomes are necessary. The findings provide actionable data for healthcare professionals to underscore the need for integrated healthcare approaches considering environmental and psychological factors.

Reporting Method

This study adheres to strengthening the reporting of observational studies in epidemiology (STROBE) statement.

Patient or Public Contribution

Clients with asthma across multiple nationalities actively contributed to our paper.

The Mediating Effect of Emotional Intelligence on the Association Between Gender Role Conflict and Turnover Intentions in Nursing Practice

ABSTRACT

Aim

To examine whether emotional intelligence mediates the relationship between gender role conflict and turnover intentions among nurses in university medical clinics.

Design

Cross-sectional correlational study using structural equation modelling.

Methods

Total-population sampling was used to invite all registered nurses employed at King Faisal University medical clinics (Eastern Province, Saudi Arabia). Participants completed Arabic versions of the Gender Role Conflict Scale, Wong and Law Emotional Intelligence Scale and Turnover Intention Scale-6. Data collection occurred in February 2025. Confirmatory factor analyses supported construct validity. Mediation was tested with bootstrapped indirect effects (5000 samples).

Results

Ninety nurses participated (63.3% women; mean age 27.3 years). Gender role conflict correlated positively with turnover intentions (r = 0.47, p < 0.01) and negatively with emotional intelligence (r = −0.42, p < 0.01). Emotional intelligence correlated negatively with turnover intentions (r = −0.39, p < 0.01). The structural model showed good fit (CFI = 0.92, TLI = 0.91, RMSEA = 0.043, SRMR = 0.039). Gender role conflict had a direct positive association with turnover intentions (β = 0.33, p < 0.01) and an indirect effect via reduced emotional intelligence (indirect estimate = 0.18; 95% CI 0.12–0.26), supporting partial mediation.

Conclusion

Emotional intelligence partially explains how gender role conflict relates to nurses' intentions to leave. Targeted development of emotional competencies, alongside organisational strategies that address gendered role expectations, may help reduce turnover.

Impact

Findings identify a modifiable psychological pathway linking gendered stressors and turnover. Embedding emotional intelligence training in education and practice and addressing gender role conflict through inclusive policies may improve retention and quality of care.

Reporting Method

STROBE.

Patient or Public Contribution

None.

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