Akademik Veri Yönetim Sistemi
BMC Nursing, cilt.24, sa.1, 2025 (SCI-Expanded, SSCI, Scopus)
Background: Nurse managers often operate in environments volatile, uncertain, complex, and ambiguous (VUCA) healthcare environments. Psychological resilience is essential for sustaining effective nursing leadership and ensuring service quality under such conditions. This study examined the associations between nurse managers’ perceptions of work environment characteristics and psychological resilience, with a focus on the mediating role of perceived VUCA environment. Methods: This cross-sectional and correlational study was conducted with 388 nurse managers from seven regions of Türkiye were recruited through online snowball sampling. Data were collected using the Nurse Manager Information Form, the Nurse Manager Practice Environment Scale, the VUCA Scale, and the Brief Resilience Scale. In addition to Pearson’s correlation analysis, direct and indirect effects between variables were analyzed with Hayes PROCESS Macro (Model 4). Results: The direct effect of nurse managers’ overall work environment score on perceived VUCA environment was found to be significantly negative (β=-0.126, p = 0.025), while its effect on psychological resilience was significantly positive (β = 0.180, p < 0.001). Perceived VUCA environment had also a significant negative direct effect on psychological resilience (β=-0.370, p = 0.001). Finally, the indirect effect of the work environment on psychological resilience, partially mediated by the perceived VUCA environment, was statistically significant (β = 0.047, 95%CI [0.002, 0.094]). This finding indicates that a positive perception of the work environment among nurse managers increases their psychological resilience both directly and by reducing their perception of the VUCA environment. Conclusions: The findings of this study highlight the importance of supporting nurse managers in effectively navigating their work environments and enhancing their capacity to adapt to VUCA conditions, thereby enhancing psychological resilience. This study highlights the need for comprehensive strategies that take into account the challenges faced by nurse managers in VUCA environments and transform these challenges into opportunities for development in nursing management. Clinical trial number: Not applicable.