Does personal resilience, social support, and organisational support have an influence on COVID-19-related anxiety in frontline nurses?

Bottom Line:

It is important to consider organisational support, social support, and personal resilience to reduce anxiety levels in healthcare providers during the COVID-19 pandemic.


Labrague, L.J. et al. COVID‐19 anxiety among frontline nurses: predictive role of organisational support, personal resilience and social support. Journal of Nursing Management (2020).

Date Published:

8 August 2020


The COVID-19 pandemic has caused a great deal of pressure on the healthcare systems consequently affecting the mental health and work performance of healthcare providers. Healthcare providers are more susceptible to anxiety given that during the disease outbreak, they are exposed to a greater number of traumatic events including patient suffering and death. Another source of anxiety includes the fear of becoming infected or unknowingly infecting others. This study was conducted to understand the relationship between personal resilience, social support, and organisational support on COVID-19 anxiety levels in registered nurses. A total number of 325 licensed registered nurses took part in the study. Four different standardized self-reported scales were used for data collection. The study found that 90% of frontline nurses believed that they were not properly prepared for the management of COVID-19 patients. Furthermore, 37.8% of nurses were identified to have abnormal levels of anxiety. However, personal resilience was found to be protective as higher resilience scores were associated with lower COVID-19 anxiety scale scores. Adequate social support and organisational support were also associated with decreased COVID-19 anxiety scores. Implications for nursing management include ensuring that nurse managers reinforce positive coping strategies and support nurses’ self-efficacy to build resilience. In addition, a safe work environment as well as proper training for managing patients during pandemics are vital for promoting organisational support. Social support may also provide an additional sense of security to help reduce anxiety and fear during disease outbreaks.

Summary by: Eugenia Yeung