Professional Stability of Nurses at Multidisciplinary |rban Medical Organizations

Maintaining the professional stability of a specialist, which determines their efficiency in conditions of stress and high emotional and physical burden that are typical for nurses working at multidisciplinary urban medical organizations, is an urgent task. In the context of the modern healthcare system, where the burden on specialists is growing, studying professional sustainability is becoming particularly relevant. Purpose: to analyze the professional stability of nurses at multidisciplinary urban medical organizations. Materials and methods. The professional sustainability of 50 nurses working at a multidisciplinary urban medical organization was assessed using a sociological method — a questionnaire developed by the authors of this study, which is based on the Connor-Davidson sustainability scale (CD-RISC), the Maslach Professional Burnout questionnaire (MBI), and the ProQOL professional life quality scale. Using published data on methods of correcting professional stability, a workshop was scientifically justified, and its effectiveness was evaluated. Results. The majority of nurses showed insufficient levels of factors forming professional stability, such as stress tolerance, support, self-regulation, and job satisfaction, as well as high levels of emotional burnout. Based on the obtained data, a workshop was developed. The activities carried out among 50 nurses proved to be effective: after the seminar, the nurses significantly increased their awareness levels by 2 times, self-regulation skills by 2.2 times, emotional stability by 1.8 times due to stress levels decreasing by 1.9 times, and professional burnout by 2.2 times. Conclusion. The study revealed a low level of professional resilience among most nurses due to insufficient stress tolerance, self-regulation, peer support, and job satisfaction. A high level of emotional burnout exacerbates this situation. The workshop increased the nurses' awareness and improved self-observation and understanding of reactions. Regular mindfulness practices have reduced stress and emotional burnout and improved self-regulation skills and emotional resilience. This improved the response to stressful situations, confidence, and team support.

1. Morshinin A.R. Forming professional resilience in future nurses. Secondary vocational education. 2008;12:50-53. (In Russ.)

2. Jo H.H., Hwang W.J. Factors Influencing on Problem Solving Ability of Nursing Students Experiencing Simulation Practice. Int J Environ Res Public Health. 2022;19(18):11744. https://doi.org/10.3390/ijerph191811744

3. Vaytyuk E.M. Methods of formation of professional activity of nurses. Problems of modern pedagogical education. 2022;74(1):337-339. (In Russ.)

4. Friganović A., Selič P., Ilić B., Sedić B. Stress and burnout syndrome and their associations with coping and job satisfaction in critical care nurses: a literature review. Psychiatr Danub. 2019; 31(Suppl 1):21-31. https://hrcak.srce.hr/262691

5. National Institute for Occupational Safety and Health. (2024. a). NIOSH Worker Well-Being Questionnaire (WellBQ) (pp. 1-87). https://www.cdc.gov/niosh/docs/2021-110/pdf/2021-110_revised052024.pdf?id=10.26616/NIOSHPUB2021110revised032024

6. Saijo Y., Chiba S., Yoshioka E. et al. Job stress and burnout among urban and rural hospital physicians in Japan. Australian Journal of Rural Health. 2013;21(4):225-231. https://doi.org/10.1111/ajr.12040

7. Atalla A.D.G., Mostafa W.H., Ali M.S.S. Inspiring nurses’ sustainability mindset: Exploring the Mediating Role of Organizational Culture on the relationship between Pro-social Leader behaviors and nurses’ sustainability consciousness. BMC Nurs. 2024;23(1):675. https://doi.org/10.1186/s12912-024-02314-z

8. Almazan J.U., Cruz J.P., Alamri M.S., Alotaibi J.S.M., Albougami A.S.B., Gravoso R., Abocejo F., Allen K., Bishwajit G. Predicting patterns of disaster-related resiliency among older adult Typhoon Haiyan survivors. Geriatr Nurs. 2018;39(6):629-634. https://doi.org/10.1016/j.gerinurse.2018.04.015

9. Smith G.D., Ng F., Li W.H.C. COVID‐19: Emerging compassion, courage and resilience in the face of misinformation and adversity. J Clin Nurs. 2020;29(9-10):1425-1428. https://doi.org/10.1111/jocn.15231

10. Frankl V.E. Man’s Search for Meaning. 5th ed. Moscow: AST; 2020:224 p. (In Russ.) https://imwerden.de/pdf/frankl_chelovek_v_poiskakh_smysla_1990.pdf

11. Yasko B.A., Skripnichenko L.S., Strikhanov S.N., Tedoradze D.D. Personal Predictors of Stress Resistance of Healthcare Professionals. Russian Psychological Journal. 2023;20(2):169-184. (In Russ.) https://doi. org/10.21702/rpj.2023.2.11

12. Mingazova E.N., Gureev S.A., Kugaevskaya T.S., Sadykova R.N., Mingazov R.N. Professional burnout in nurses as a universal issue in healthcare. Health Care Manager. 2025;2:111-119. (In Russ.) https://doi.org/10.21045/1811-0185-2025-2-111-119

13. Woo T., Ho R., Tang A., Tam W. Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis. J Psychiatr Res. 2020;123:9-20. https://doi.org/10.1016/j.jpsychires.2019.12.015

14. Migina L.E., Mysaev A.O., Uristemova A.K., Toleutaeva D.M. Stress and burnout in physicians and nurses of primary care units. Literature review. Science & Healthcare. 2022;24(2):149-155. (In Russ.) https://doi.org/10.34689/SH.2022.24.2.018

15. Saiki M., Matthews T.A., Kawakami N., Robbins W., Li J. Formulations of Job Strain and Psychological Distress: A Four-year Longitudinal Study in Japan. Saf Health Work. 2024;15(1):59-65. https://doi.org/10.1016/j.shaw.2024.01.001

16. Gabdrakipova L.R. Emotional burnout in medical workers. Bulletin of Magistracy. 2021;11-3(122):72-73. (In Russ.) https://www.elibrary.ru/item.asp?id=54240690

17. Khamisa N., Peltzer K., Oldenburg B. Burnout in relation to specific contributing factors and health outcomes among nurses: a systematic review. Int J Environ Res Public Health. 2013;10(6):2214-2240. https://doi.org/10.3390/ijerph10062214

18. Khudova I.Yu., Ulumbekova G.E. Healthcare workers “burn-out”: diagnostic, treatment, particularities during epidemy of COVID-19. Healthcare Management: News, Views, Education. Bulletin of VSHOUZ. 2021;7(1):42-62. (In Russ.) https://doi.org/10.33029/2411-8621-2021-7-1-42-62

19. Khalfin R.A., Smolnikova P.S., Stolkov A.S. Burnout among health care workers: a pressing problem for health care management. National Healthcare. 2023;4(2):40-46. (In Russ.) https://doi.org/10.47093/2713-069X.2023.4.2.40-46

20. Smolnikova P.S., Trunkova K.S., Mad’yanova V.V., Khalfin R.A. The prevalence of emotional burning-out syndrome of medical workers in the Russian Federation: Systematic review and meta-analysis. Problems of Social Hygiene, Healthcare, and History of Medicine. 2023;31(3):387-399. (In Russ.) https://doi.org/10.32687/0869-866X-2023-31-3-387-399

21. Ferry A.V., Wereski R., Strachan F.E., Mills N.L. Predictors of UK healthcare worker burnout during the COVID-19 pandemic. QJM. 2021;114(6):374-380. https://doi.org/10.1093/qjmed/hcab065

22. Tsou M.T., Pai T.P., Chiang T.M., Huang W.H., Lin H.M., Lee S.C. Burnout and metabolic syndrome among different departments of medical center nurses in Taiwan. J Occup Health. 2021;63(1):e12188. https://doi.org/10.1002/1348-9585.12188

23. Ham E., Seto M.C., Rodrigues N.C., Hilton N.Z. Workplace stressors and PTSD among psychiatric workers: The mediating role of burnout. Int J Ment Health Nurs. 2022;31(5):1151-1163. https://doi.org/10.1111/inm.13015

24. Ong Y.T., Sinnathamby A., Tan J.H., Ravindran N., Lim S.X., Hiew A.W.H., Ng S.Y., Ong S.Y.K., Krishna L.K.R. Towards a Clinically Relevant Appreciation of the Cost of Caring: A Study of Palliative Care Physicians in Malaysia. Am J Hosp Palliat Care. 2024;7:10499091241298281. https://doi.org/10.1177/10499091241298281

25. Miljeteig I., Førde R., Rø K.I., Bååthe F., Bringedal B.H. Moral distress among physicians in Norway: a longitudinal study. BMJ Open. 2024;14(5):e080380. https://doi.org/10.1136/bmjopen-2023-080380

26. Galbany-Estragués P., Millán-Martínez P. Shortage of nurses in Spain: from the global case to particular situation. SESPAS Report 2024. Gac Sanit. 2024;38:102376. https://doi.org/10.1016/j.gaceta.2024.102376

27. Belji Kangarlou M., Fatemi F., Paknazar F., Dehdashti A. Occupational Burnout Symptoms and Its Relationship With Workload and Fear of the SARS-CoV-2 Pandemic Among Hospital Nurses. Front Public Health. 2022;10:852629. https://doi.org/10.3389/fpubh.2022.852629

28. Lee N., Baernholdt M., Epstein B., Bissram J., Adapa K., Mazur L.M. Exploring Well-Being Disparities: A Comparative Analysis of Urban and Rural Clinicians Using the NIOSH Worker Well-Being Questionnaire. Workplace Health Saf. 2025;73(8):409-420. https://doi.org/10.1177/21650799251319366

29. Puzyreva L.O., Zhuravleva T.V. Personal predictors of professional burnout in employees of multifunctional public services centers. Bulletin of Kemerovo State University. Series: Humanities and Social Sciences. 2025;9(2):191-202. (In Russ.) https://doi.org/10.21603/2542-1840-2025-9-2-191-202.