In the continuous effort to minimize the devastating effects of coronavirus disease (COVID-19) and to curb the spread of the disease, hospital preparedness and resilience play significant roles in the psychological well-being of clinical nurses given that their work demands immediate action to adapt and adjust to stressors. Thus, this study investigates the hospital preparedness, psychological burden, and resilience of clinical nurses in addressing COVID-19 in Riyadh, Saudi Arabia. A total of 281 clinical nurses participated in the survey from April 2020 to June 2020. Results show that clinical nurses perceived a high self-assessed COVID-19 hospital preparedness (49.65, SD = 2.30); high self-assessed nurses' resilience (4.03, SD = 0.36); and most have normal levels of depression, anxiety, and stress. The variables were predicted to be statistically significant (F_18,262 = 4.14, p = 0.001) and accounted for 16.8% of the variance in the nurses' perception of hospital preparedness (R² = 0.221; adjusted R² = 0.168). The regression analysis was statistically significant (F_30,250 = 6.71, p = 0.001) and accounted for 38% of the variance in nurses' resilience (R² = 0.446, Adjusted R² = 0.380). The predictors of depression, anxiety, and stress show that the overall relationship was statistically significant at (F_23,257 = 6.71, p < 0.001), (F_23,257 = 6.675, p 0.000), and (F_23,257 = 6.692, p 0.000) with 31.9% of the variance (R² = 0.375, Adjusted R² = 0.319), 31.8% of the variance (R² = 0.374, Adjusted R² = 0.318), and 31.9 % of the variance (R² = 0.375, Adjusted R² = 0.319), respectively. The findings of this study helps in improving the continuing education program, psychological support, and mental health program to ensure that the needs of clinical nurses are addressed during the outbreak of a disease.

Aims This study explores nurses’ perceived spiritual well-being in the workplace during the COVID-19 pandemic. Background Nurses have been working heavy shifts under challenging workplace conditions during the COVID-19 pandemic, leading to anxiety and psychological stress. These various challenges at work place their spiritual well-being at risk. Design Thematic qualitative approach. Methods An unstructured individual online interview was conducted to collect data from 18 nurses from April to August 2021. Data were analyzed using the thematic approach. Results This study highlighted the four themes of spiritual well-being of nurses, namely, “Trust in God,” “spiritual encouragement,” “spiritual attributes in the workplace,” and “spiritual growth.” Conclusions The study concludes that spirituality is critical in helping nurses overcome the myriad of adversities they face as they assume their important roles during the ongoing pandemic. Implication for nursing management The study emphasizes that nurses’ spiritual aspect nurses during crises is equally important with the other aspects of a nurse’s life. Moreover, policies and interventions in hospitals must be implemented to ensure excellent levels of spiritual well-being among nurses.

Aim This study investigated the influence of structural empowerment and work ethics on work engagement among millennial Saudi clinical nurses. Background No extensive research has been conducted on the structural empowerment, work ethics, and work engagement of millennial nurses, especially in Arab countries such as Saudi Arabia. Design Correlational design Method A total of 250 millennial Saudi nurses participated in the online survey containing the Multidimensional Work Ethic Profile–Short Form, Conditions for Work Effectiveness Questionnaire-II, and Utrecht Work Engagement Scale. Results Descriptive analyses revealed the highest mean for “delay of gratification” for work ethics (M= 4.38, SD= 0.66), “access to opportunity” for structural empowerment (M= 4.28, SD = 0.78), and “dedication” dimension for work engagement (M= 5.02, SD=1.10). Regression analysis revealed that marital status, employment status, type of hospital, structural empowerment, and work ethics influenced the work engagement of millennial Saudi clinical nurses. Conclusions Personal and organizational factors, work ethics, and structural empowerment contribute to the work engagement of millennial Saudi clinical nurses. Implications for Nursing Management This study discusses the importance of formulating strategies such as recognition, rewards, and incentives for good nursing practice to foster the work engagement of millennial nurses.

This study aims to determine the influence of eHealth literacy on mental health promotion among Saudi nursing students. This cross-sectional study was conducted from 19 April to 21 May 2020. A total of 468 nursing students responded to the self-administered online survey. Two instruments, namely, the eHealth Literacy Scale and the Positive Mental Health Scale, were used. Statistical tools such as frequency, percentage, mean, and standard deviation were used for the descriptive analysis. Multiple regression analysis was employed to analyse the relationship between eHealth literacy, health promotion, and its predictors. The results showed that 30.3% of nursing students were dissatisfied with their general health. Students perceived high self-assessed eHealth literacy and positive mental health. Students in the 4th year had lower scores than those of students in the 2nd year. Nursing students perceived that the quarantine and public social distancing lowered their mental health scores. Finally, the eHealth literacy mean scores resulted in a 0.21-point increase in the positive mental health scores. The finding of the study shows that the eHealth literacy positively influnce the mental health status of Saudi Nursing students.