The graduate nurse is researching methods for maintaining resilience in stressful clinical situations. Which actions would the nurse employ, based on the core concept of resilience? Select all that apply
1. Reading professional journals and maintaining continuing education
2. Choosing to work at a facility where the nurse enjoys the environment.
3. Participating in a staff debriefing after a difficult interaction in the unit
4. Joining a unit-based council that focuses on quality improvement
5. Teaching a seminar to a group of peers on a topic that the nurse enjoys
Answer: 2, 3, 4
Explanation: The core concept of resilience in stressful clinical situations is based on protective factors. These protective factors include making good choices about work environments and taking steps to develop a strong working team. Actions that take steps to promote protective factors and resilience include choosing to work at a facility where the nurse enjoys the environment; participating in staff debriefings after difficult patient encounters; and participating in quality improvement measures that develop strong working teams. Reading professional journals and teaching a seminar are appropriate professional skills; however, these do not promote resilience when faced with stressful clinical situations.
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