Abstract

Background: Emergency department (ED) nurses work in high-stakes environments that increase exposure to stress, trauma, and burnout. Identifying protective factors that strengthen well-being is essential to building and sustaining healthy work environments.

Purpose: This study examined how years of experience, social support, and resilience influence burnout, secondary traumatic stress, and compassion satisfaction among ED nurses across the United States.

Methods: A cross-sectional design was used. Participants completed a demographic form, the Professional Quality of Life Scale (ProQOL), the Connor–Davidson Resilience Scale (CD-RISC), and the Lubben Social Network Scale. Data were analyzed using multiple and hierarchical regression to identify predictive relationships and measurable effects on professional quality of life.

Results: Resilience and social support significantly predicted lower burnout and higher compassion satisfaction (p < .05). Years of experience were positively correlated with resilience and inversely related to burnout. The model for secondary traumatic stress was not significant, suggesting additional organizational or situational factors may mediate this outcome.

Implications for Practice: Strengthening resilience and social connection offers a practical, scalable approach to enhancing professional well-being. Nurse leaders and interprofessional teams can apply these findings through mentorship, peer-support rounds, debriefing after critical events, and wellness education in orientation and continuing development.

Translation and Innovation: An evidence-informed Resilience–Support–Satisfaction Framework is proposed to guide collaborative initiatives that promote healthy work environments. Future projects will evaluate this model through interventions that enhance resilience and compassion satisfaction.

Conclusion: Resilience and social support are measurable determinants of well-being among ED nurses. Interdisciplinary investment in these domains can translate evidence into sustainable strategies that protect nurses and strengthen workplace culture.

Notes

References:

Bae, S.R., Hong, H.J., Chang, J.J., & Shin, S.H. (2021). The association between Korean clinical nurses’ workplace bullying, positive psychological capital, and social support on burnout. International Journal of Environmental Research and Public Health18(21), 11583-. https://doi.org/10.3390/ijerph182111583

Galanis, P., Katsiroumpa, A., Vraka, I., Siskou, O., Konstantakopoulou, O., Katsoulas, T., Gallos, P., & Kaitelidou, D. (2023). Social support improves nurses’ resilience: A cross-sectional study in Greece. International Journal of Caring Sciences16(2), 585–593.

Jose, S., Dhandapani, M., & Cyriac, M. C. (2020). Burnout and resilience among frontline nurses during COVID 19 pandemic: A cross-sectional study in the emergency department of a tertiary care center, North India. Indian Journal of Critical Care Medicine24(11), 1081–1088. https://doi-org.ezp.slu.edu/10.5005/jp-journals-10071-23667

Kilinc, T., & Sis Celik, A. (2021). Relationship between the social support and psychological resilience levels perceived by nurses during the COVID 19 pandemic: A study from Turkey. Perspectives in Psychiatric Care57(3), 1000–1008. https://doi.org/10.1111/ppc.12648

Woo, M., & Kim, D. (2021). Factors associated with secondary traumatic stress among nurses in regional trauma centers in South Korea: A descriptive correlational study. Journal of Emergency Nursing47, 400–411. https://doi-org.ezp.slu.edu/10.1016/j.jen.2020.08.006

Zhang, Y., Guan, C., Jiang, J., Zhu, C., & Hu, X. (2023). Mediating effect of resilience on the relationship between perceived social support and burnout among Chinese palliative nurses. Journal of Clinical Nursing32(13–14), 3887–3897. https://doi.org/10.1111/jocn.16532

Description

This presentation shares national findings on resilience, social support, and burnout among emergency nurses and translates the evidence into actionable, interprofessional strategies that strengthen well-being and foster sustainable healthy work environments. It introduces the evidence-informed Resilience–Support–Satisfaction Framework to guide workforce wellness and leadership practice.

Author Details

Timothy R. Burns, PhD, RN, CEN

Sigma Membership

Upsilon Omega

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Cross-Sectional

Research Approach

Quantitative Research

Keywords:

Emergency Nurses, Social Support, Psychological Stress, Hardiness, Resilience, Compassion Fatigue, Stress/Coping, Coping, Interprofessional Relations, Interprofessional/Interdisciplinary, Workforce

Conference Name

Creating Healthy Work Environments

Conference Host

Sigma Theta Tau International

Conference Location

Washington, DC, USA

Conference Year

2026

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2026-04-28

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Resilience, Social Support, and Burnout: Building Healthy Work Environments for Emergency Nurses

Washington, DC, USA

Background: Emergency department (ED) nurses work in high-stakes environments that increase exposure to stress, trauma, and burnout. Identifying protective factors that strengthen well-being is essential to building and sustaining healthy work environments.

Purpose: This study examined how years of experience, social support, and resilience influence burnout, secondary traumatic stress, and compassion satisfaction among ED nurses across the United States.

Methods: A cross-sectional design was used. Participants completed a demographic form, the Professional Quality of Life Scale (ProQOL), the Connor–Davidson Resilience Scale (CD-RISC), and the Lubben Social Network Scale. Data were analyzed using multiple and hierarchical regression to identify predictive relationships and measurable effects on professional quality of life.

Results: Resilience and social support significantly predicted lower burnout and higher compassion satisfaction (p < .05). Years of experience were positively correlated with resilience and inversely related to burnout. The model for secondary traumatic stress was not significant, suggesting additional organizational or situational factors may mediate this outcome.

Implications for Practice: Strengthening resilience and social connection offers a practical, scalable approach to enhancing professional well-being. Nurse leaders and interprofessional teams can apply these findings through mentorship, peer-support rounds, debriefing after critical events, and wellness education in orientation and continuing development.

Translation and Innovation: An evidence-informed Resilience–Support–Satisfaction Framework is proposed to guide collaborative initiatives that promote healthy work environments. Future projects will evaluate this model through interventions that enhance resilience and compassion satisfaction.

Conclusion: Resilience and social support are measurable determinants of well-being among ED nurses. Interdisciplinary investment in these domains can translate evidence into sustainable strategies that protect nurses and strengthen workplace culture.