All ETDs from UAB

Advisor(s)

Patricia Patrician

Committee Member(s)

Andres Azuero
Aoyjai Montgomery
Jill Stewart
Katherine Meese
Maria Shirey

School

School of Nursing

Document Type

Dissertation

Department (new version)

Nursing

Date of Award

1-7-2025

Abstract

Nurse well-being, a nurse’s perception of the balance and harmony among various life sectors, has emerged as a major research priority in response to the COVID-19 pandemic. Specifically, the well-being of nurse leaders is essential to ensure the hospital can maintain optimal outcomes such as nurse retention and quality patient care delivery. Although burnout and distress are highly prevalent among nurse leaders, fewer studies examine positive well-being as an outcome. A comprehensive understanding of well-being, including positive and negative components, is needed to improve well-being outcomes for nurse leaders thus improving their leadership and subsequent hospital outcomes. The purpose of this dissertation was to implement a wellness intervention for nurse leaders in rural hospitals. This objective was achieved with five specific aims. First, an integrative review was conducted to identify barriers and facilitators to U.S. nurse leader well-being. The second aim was to describe practice environments, well-being, resilience, and burnout levels of nurse leaders in rural hospitals. Next, we examined associations between nurse leader characteristics and their practice environments, well-being, resilience, and burnout. The fourth aim was to assess the feasibility of implementing a one-hour Community Resiliency Model® training in rural hospitals for nurse leaders. Finally, we explored the effect of the one-hour Community Resiliency Model® training on nurse leader well-being, resilience, and burnout levels. Among nurse leaders, those employed in rural hospitals are often underrepresented in research studies, limiting the knowledge base on well-being outcomes in this population. The findings from this dissertation contribute to addressing a critical gap in the existing body of knowledge.

Available for download on Sunday, January 03, 2027

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