clinical nurse specialist, coping, hospital merger, nurse resilience, research, resilience



  1. Russo, Cynthia MSN, RN-BC, APN-C
  2. Calo, Oriana MSN, RN-BC
  3. Harrison, Georgia DNP, MSN(Ed), RN, CCRN
  4. Mahoney, Kathleen PhD, MSN, RNC-OB, APN
  5. Zavotsky, Kathleen Evanovich PhD, RN, CCRN, CEN, ACNS-BC, FAEN


Objective: The aim of this study was to explore the relationship between resilience and coping in frontline nurses working in a healthcare system that has recently undergone a merger.


Background: Hospital mergers are common in the current healthcare environment. Mergers can provide hospital nurses the opportunity to use and develop positive coping strategies to help remain resilient during times of change.


Methods: An anonymous-survey, quantitative, exploratory, descriptive study design was used. Data were obtained from an electronic survey that was made available to all nurses working in a 3-hospital system located in the northeast.


Results: Overall, the results showed that, when nurses reported using positive coping strategies, they report higher levels of resilience. The levels of resilience also varied from campus to campus. The campus that has been through 2 recent mergers reported the highest levels of resilience.


Conclusion: This study suggests that, during times of change in the workplace, if nurses are encouraged to use positive coping strategies, they may have higher levels of resilience. This changing environment provides the clinical nurse specialists/clinical nurse educators the opportunity to foster and support frontline nurses in the use of healthy coping strategies and to help improve and maintain a high level of resilience, which is critical in today's healthcare environment.