Abstract
BACKGROUND: The ever-changing health care landscape and emerging disease threats in recent years have significantly strained the global health care system. Nurse practitioners (NPs) face greater challenges at work today than ever. However, over time, poor working conditions affect NPs' coping mechanisms, organizational cohesion, and ability to maintain control over their professional and personal lives. PURPOSE: To explore the relationships between organizational commitment, coping, and resilience among Taiwanese NPs and assess the mediating role of coping. METHODOLOGY: Cross-sectional design, convenience sampling. We conducted an online questionnaire survey and recruited 610 Taiwanese NPs. The survey featured questions about organizational commitment, coping, and resilience. RESULTS: Taiwanese NPs exhibited moderate to high resilience and organizational commitment levels. The most commonly reported coping strategy was emotional adjustment. Organizational commitment and coping were found to be important predictors of resilience. The overall regression prediction model exhibits 28% exploratory power. The final mediation model confirms that coping, directly and indirectly, influenced resilience while partially mediating the influence of organizational commitment on resilience. CONCLUSIONS: Taiwanese NPs should cultivate awareness of positive behaviors and emotion-focused coping strategies. Strengthening coping abilities and organizational commitment can enhance their resilience in recovering from major incidents. IMPLICATIONS: To reduce the lasting psychological impact of unexpected workplace stressors on NPs, hospital administrators should prioritize their awareness and utilization of positive and negative coping strategies. Developing a supportive working environment based on organizational cohesion, reinforcing positive coping behaviors, and enhancing resilience can further strengthen their ability to recover from adversity.