Psychological Profiles of Successful Career Nurses: Implications for Managerial Psychology in an Era of Covid Challenge

We present findings from a 2020 follow-up study of 159 senior hospital nurses involved in the front-line care of COVID patients in urban centres in Northern England, prior to the “second wave” of COVID patients in November 2020. In 2020 further measures of adjustment stress (including PTSD), and self-actualization were added to earlier measures of personality adjustment, work-life stress, and career intention. Principal component and cluster analyses identified 3 main types in the 2020 follow-up cohort: A ‘Actualizing Professionals’; (N=59); B ‘Strong Professionals’ (N=55); C ‘Highly Stressed Nurses’ (N=30). The research model driving this research is that of Critical Realism which identifies the process of morphogenesis which creates a constructive dialogue for social change on behalf of nurses, who faced almost overwhelming stress in caring for COVID patients. We have identified two types of dedicated nurses with a hardy personality style which has helped them face severe stress in emerging as psychologically strong, self-actualizing individuals. These psychological profiles have implications for understanding and supporting women in a wider range of professional and managerial roles.

Nightmare experience and personality disorder functioning styles in healthy volunteers and nightmare disorder patients

Nightmares are prevalent in psychiatric disorders, and personality disorder features might be associated with nightmare experience, especially in nightmare disorder patients. The authors invited 219 healthy volunteers and 118 nightmare disorder patients to undergo tests of the Nightmare Experience Questionnaire (NEQ), the Parker Personality Measure (PERM), and the Plutchik-van Praag Depression Inventory. Compared to healthy volunteers, nightmare disorder patients scored significantly higher on annual nightmare frequency and NEQ Physical Effect, Negative Emotion, Meaning Interpretation, and Horrible Stimulation, and higher on PERM Paranoid, Schizotypal, Borderline, Histrionic, Narcissistic, Avoidant, and Dependent styles. Borderline, Schizotypal, and Passive-Aggressive styles in healthy volunteers and Dependent, Avoidant, Histrionic, and Paranoid in patients were significant predictors of some NEQ scales. Higher annual nightmare frequency, higher scale scores of nightmare experience and personality disorder styles, and more associations between the two were found in nightmare disorder patients, implying the need for personality-adjustment therapy for nightmare disorder.