REMEDIUMREMEDIUM1561-59362658-3534Joint-Stock Company Chicot187010.32687/1561-5936-2026-30-1-92-95Original ArticlePsychological resilience and stress factors among nurses and paramedics of the emergency medical care in the context of the COVID-19 pandemicBeikhchanElina E.beyhchan@mail.ruPshizovaBela M.pshizova.b@mail.ruDukhovaAlbina R.duhova.albina6759@yandex.ruShamugiaKamila R.kshamugiya@inbox.ruKuban State Medical University, Krasnodar, Russia30032026301929523032026Copyright © 2026,2026In this message presents the results of the analysis of specific stress factors and mechanisms of psychological adaptation among nurses and paramedics during the COVID-19 pandemic. Key professional and personal determinants of stress resistance are identified based on scientific publications and materials from a survey conducted among nurses and paramedics. Special attention is paid to the role of collegial support in conditions of isolation, self-regulation practices and organizational actions aimed at reducing the risk of emotional burnout in this category of medical professionals. Insufficiently studied aspects have been identified empirically, such as the dominant stress factor in the form of fear of infecting the family and low involvement in formal psychological care systems.professional stressstress factorstress resistanceparamedical personnelnurseparamedicemergency medical careCOVID-19 pandemicпрофессиональный стрессстресс-факторстрессоустойчивостьсредний медицинский персоналмедицинская сестрафельдшерпандемия COVID-191.Aksenova E. I., Kamynina N. N., Turzin P. S. Occupational stress of medical workers: review of foreign practices: expert review. Moscow, 2023. 48 p.2.Rogacheva T. V., Zalevsky G. V., Levitskaya T. E. Psychology of extreme situations and states: textbook. Tomsk, 2015. 276 p.3.Artamonova G. K., Loskutova E. E., Musha V. I. Psychological and pedagogical foundations of training EMERCOM of Russia employees for emergency situations. Vestnik Sankt-Peterburgskogo universiteta Gosudarstvennoi protivopozharnoi sluzhby MChS Rossii. 2023;1:135—139.4.Shadrina A. Yu., Ivanova N. G. Stress and stress tolerance of medical workers. Kronos. 2019;7(34):29—32.5.Center for the Study of Traumatic Stress. Support for the psychological well-being of health workers providing assistance to emergency victims [Internet]. URL:https://www.cstsonline.org/assets/media/documents/CSTS_Sustaining_The_Psychological_WellBeing_Of_Caregivers_RUS.pdf (date of access 04.01.2026)6.Shoigu Yu. S., editor. Psychology of extreme situations for rescuers and firefighters. Moscow, 2007. 319 p.7.Merzlyakova D. R. Psychological stability of a person in emergency situations: textbook. Izhevsk, 2014. 205 p.