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Vallone F, Cattaneo Della Volta MF, Zurlo MC. Stress dimensions, patterns of coping, and psychopathological risk among nurses: a person-centred approach. BMC Nurs 2024; 23:569. [PMID: 39148064 PMCID: PMC11328495 DOI: 10.1186/s12912-024-02250-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2024] [Accepted: 08/09/2024] [Indexed: 08/17/2024] Open
Abstract
BACKGROUND Nurses are increasingly demanded to achieve gold-standards of care with fewer resources. Dealing effectively with stress experienced in their daily-work-life is thus crucial. This study is based on the Demands-Resources-and-Individual-Effects (DRIVE) Nurses Model and applied the person-centred approach with a twofold objective: 1. to identify patterns of coping strategies (Problem-Focused; Seek-Advice; Self-Blame; Wishful-Thinking; Escape/Avoidance) adopted by nurses to deal with perceived stress; 2. to explore potential differences in perceived Demands (Effort), Resources (Rewards, Job-Control, Social-Support), and Psychopathological Symptoms (Anxiety, Phobic-Anxiety, Obsessive-Compulsive, Somatization, Depression, Interpersonal-Sensitivity, Hostility, Psychoticism, Paranoid-Ideation) according to the emerged patterns. METHOD This cross-sectional study was reported by using the STROBE Checklist. Overall, 265 nursing professionals completed self-report measures. Non-hierarchical k-means-cluster-analysis was employed to derive patterns of coping. MANOVAs were used to test differences in Demands, Resources, and Psychopathological Symptoms according to the emerged patterns. RESULTS Three stable and meaningful patterns of coping were identified and labelled as Active/Solution-Oriented, Dysregulated/Emotion-focused, and Passive/Disengaged. Nurses belonging to Dysregulated/Emotion-focused group emerged to be at higher risk (higher effort/psychopathological suffering; lower resources) - followed by Passive/Disengaged group - in comparison with nurses belonging to Active/Solution-Oriented group. CONCLUSION Fostering nurses' awareness of their latent coping patterns and supporting active approaches/emotional regulation strategies for stress management should represent a key goal when defining interventions promoting nurses' health within/beyond the healthcare settings.
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Affiliation(s)
- Federica Vallone
- Department of Humanities, University of Naples Federico II, Via Porta di Massa 1, Naples, 80133, Italy
| | | | - Maria Clelia Zurlo
- Dynamic Psychology Laboratory, Department of Political Science, University of Naples Federico II, Via Rodinò 22, Naples, 80138, Italy.
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Goudarzian AH, Nikbakht Nasrabadi A, Sharif-Nia H, Farhadi B, Navab E. Exploring the concept and management strategies of caring stress among clinical nurses: a scoping review. Front Psychiatry 2024; 15:1337938. [PMID: 38863606 PMCID: PMC11165118 DOI: 10.3389/fpsyt.2024.1337938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Accepted: 05/10/2024] [Indexed: 06/13/2024] Open
Abstract
Objective The concept of caring stress and its specific management has received less attention than other dimensions of stress in nurses. Therefore, to clarify the concept of caring stress, a scoping review study was designed. This scoping review aimed to investigate the concept of caring stress among clinical nurses and examine the strategies used for its management. Methods This review employed a scoping review methodology to comprehensively map the essential concepts and attributes of the phenomenon by drawing on a wide range of sources. International databases including PubMed, Scopus, Web of Science, Google Scholar, and Scientific Information Database (SID) were searched to gather relevant studies published until October 1, 2023. MESH terms included "caring stress", "care", "stress", "nurse", and "stress management" were used. Two reviewers independently collected data from full-text papers, ensuring that each paper underwent assessment by at least two reviewers. Results Out of 104,094 articles initially searched, 22 articles were included in this study. High workloads, transmitting the infection, stressful thoughts, stressful emotions, and stressful communications were the significant concepts and factors of caring stress among nurses. Also, rest breaks during patient care shifts, playing music in the ward, and denial of critical situations were examples of positive and negative coping and management ways to reduce caring stress. Conclusion Effective stress management strategies can lead to better patient care and safety. Stressed nurses are more likely to make errors or become less vigilant in their duties, impacting patient outcomes. By addressing caring stress, clinical practice can prioritize patient well-being. Further research is required to delve deeper into this critical issue concerning nurses in the future.
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Affiliation(s)
- Amir Hossein Goudarzian
- Department of Psychiatric Nursing, School of nursing and midwifery, Tehran University of Medical Science, Tehran, Iran
- Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
| | - Alireza Nikbakht Nasrabadi
- Department of Medical-Surgical Nursing and Basic Sciences, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Hamid Sharif-Nia
- Psychosomatic Research Center, Mazandaran University of Medical Sciences, Sari, Iran
- Department of Nursing, Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
| | - Bahar Farhadi
- School of Medicine, Islamic Azad University, Mashhad Branch, Mashhad, Iran
| | - Elham Navab
- Department of Critical Care and Geriatric Nursing, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
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Xing L, Lu Y, Zhang H, Shi Z, Chang S, Liu W, Kou J, Zhang H. Mediating effect of psychological capital on the relationship between mental health literacy and coping styles among newly recruited nurses. BMC Nurs 2024; 23:178. [PMID: 38486261 PMCID: PMC10938680 DOI: 10.1186/s12912-024-01828-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Accepted: 02/26/2024] [Indexed: 03/18/2024] Open
Abstract
BACKGROUND Newly recruited nurses face multiple sources of stress and their coping styles need to be focused on to ensure good mental health. This study aimed to examine the relationship among mental health literacy, psychological capital and coping styles in newly recruited nurses. METHODS A cross-sectional study was conducted in August and September 2022. A total of 315 newly recruited nurses were recruited in a tertiary hospital in Henan Province, central China, employing the convenience sampling method. The self-reported questionnaires were sent through a QR code, including the Mental Health Literacy Scale for Healthcare Students, Psychological Capital Questionnaire, and Simplified Coping Style Questionnaire. Pearson correlation analysis was used to evaluate the relationships among the variables. Mediation analysis was performed to identify the mediating effect of psychological capital on the relationship between mental health literacy and coping styles. RESULTS Positive coping showed a positive relationship with psychological capital and mental health literacy, while negative coping showed a negative relationship with psychological capital and mental health literacy. For positive coping, psychological capital was a partial mediator with an effect of 0.140, accounting for 62.8%. For negative coping, a full mediating effect was shown by psychological capital between mental health literacy and negative coping, with an indirect effect of -0.048. CONCLUSION Psychological capital plays a partial and complete mediating role between mental health literacy and different coping styles among newly recruited nurses. Diversified training and personalized guidance in improving mental health literacy and increasing psychological capital simultaneously can be provided to newly recruited nurses continuously to adjust their coping styles.
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Affiliation(s)
- Liyuan Xing
- Department of Nursing, Henan Provincial People's Hospital, No.7, Weiwu Road, 450003, Zhengzhou, China
- Department of Nursing, Zhengzhou University People's Hospital, Zhengzhou, China
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, China
- Henan University People's Hospital, Zhengzhou, China
| | - Ying Lu
- Department of Nursing, Henan Provincial People's Hospital, No.7, Weiwu Road, 450003, Zhengzhou, China
- Department of Nursing, Zhengzhou University People's Hospital, Zhengzhou, China
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, China
- Henan University People's Hospital, Zhengzhou, China
| | - Haixin Zhang
- Department of Nursing, Henan Provincial People's Hospital, No.7, Weiwu Road, 450003, Zhengzhou, China
- Department of Nursing, Zhengzhou University People's Hospital, Zhengzhou, China
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, China
- Henan University People's Hospital, Zhengzhou, China
| | - Zhiyi Shi
- Department of Nursing, Henan Provincial People's Hospital, No.7, Weiwu Road, 450003, Zhengzhou, China
- Department of Nursing, Zhengzhou University People's Hospital, Zhengzhou, China
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, China
- Henan University People's Hospital, Zhengzhou, China
| | - Shuying Chang
- Department of Nursing, Henan Provincial People's Hospital, No.7, Weiwu Road, 450003, Zhengzhou, China
- Department of Nursing, Zhengzhou University People's Hospital, Zhengzhou, China
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, China
- Henan University People's Hospital, Zhengzhou, China
| | - Weihua Liu
- Department of Nursing, Henan Provincial People's Hospital, No.7, Weiwu Road, 450003, Zhengzhou, China
- Department of Nursing, Zhengzhou University People's Hospital, Zhengzhou, China
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, China
- Henan University People's Hospital, Zhengzhou, China
| | - Jie Kou
- Department of Nursing, Henan Provincial People's Hospital, No.7, Weiwu Road, 450003, Zhengzhou, China
- Department of Nursing, Zhengzhou University People's Hospital, Zhengzhou, China
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, China
- Henan University People's Hospital, Zhengzhou, China
| | - Hongmei Zhang
- Department of Nursing, Henan Provincial People's Hospital, No.7, Weiwu Road, 450003, Zhengzhou, China.
- Department of Nursing, Zhengzhou University People's Hospital, Zhengzhou, China.
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, China.
- Henan University People's Hospital, Zhengzhou, China.
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Eriksson M, Johannesson E, Kerekes N, Emilsson M, Pennbrant S, Nunstedt H. Development and Psychometric Test of the Salutogenic Survey on Sustainable Working Life for Nurses: Identifying Resistance Resources against Stress. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:198. [PMID: 38397688 PMCID: PMC10888578 DOI: 10.3390/ijerph21020198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 01/25/2024] [Accepted: 02/06/2024] [Indexed: 02/25/2024]
Abstract
Extensive research shows nurses' work environment to be particularly stressful. This study develops, explores, and psychometrically tests a new profession-specific questionnaire identifying generalised and specific resistance resources, that make it possible to measure resources to manage work-related stress. An exploratory study design was employed. The questionnaire development was inspired by the MEASURE approach and the salutogenic theory of health. Building on the results from a literature review of nursing research and salutogenesis, supplemented by twelve interviews with hospital nurses, an item pool was generated. The first version was pilot-tested in a group of nurses who were studying to become specialist nurses. The second version of the questionnaire was psychometrically tested on a sample of registered nurses in close patient care (n = 475), analysed using confirmatory factor analysis to test seven predefined domains of the questionnaire. The analysis revealed a first order seven-domain model of 21 items: job satisfaction, professional role, work motivation, commitment, belonging in the workplace, factors and conditions for remaining in the profession, and workload. The structure of the questionnaire indicates its usefulness in clinical practice for measuring resistance resources.
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Affiliation(s)
- Monica Eriksson
- Department of Health Sciences, University West, SE-46186 Trollhättan, Sweden; (M.E.); (N.K.); (M.E.); (S.P.)
| | - Elias Johannesson
- Department of Social and Behavioural Studies, University West, SE-46186 Trollhättan, Sweden;
| | - Nóra Kerekes
- Department of Health Sciences, University West, SE-46186 Trollhättan, Sweden; (M.E.); (N.K.); (M.E.); (S.P.)
| | - Maria Emilsson
- Department of Health Sciences, University West, SE-46186 Trollhättan, Sweden; (M.E.); (N.K.); (M.E.); (S.P.)
- Department of Social and Behavioural Studies, University West, SE-46186 Trollhättan, Sweden;
- Region Västra Götaland, Intensive Care Unit, NU Hospital Group, SE-46173 Trollhättan, Sweden
| | - Sandra Pennbrant
- Department of Health Sciences, University West, SE-46186 Trollhättan, Sweden; (M.E.); (N.K.); (M.E.); (S.P.)
| | - Håkan Nunstedt
- Department of Health Sciences, University West, SE-46186 Trollhättan, Sweden; (M.E.); (N.K.); (M.E.); (S.P.)
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Meneguin S, Alves IG, Camargo HTF, Pollo CF, Segalla AVZ, de Oliveira C. Comparative Study of the Quality of Life and Coping Strategies in Oncology Patients. Eur J Investig Health Psychol Educ 2024; 14:339-350. [PMID: 38391490 PMCID: PMC10887505 DOI: 10.3390/ejihpe14020023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Revised: 01/26/2024] [Accepted: 01/30/2024] [Indexed: 02/24/2024] Open
Abstract
BACKGROUND Despite the current data on morbidity and mortality, a growing number of patients with a diagnosis of cancer survive due to an early diagnosis and advances in treatment modalities. This study aimed to compare the quality of life and coping strategies in three groups of patients with cancer and identify associated clinical and sociodemographic characteristics. METHODS A comparative study was conducted with outpatients at a public hospital in the state of São Paulo, Brazil. The 300 participants were assigned to three groups: patients in palliative care (Group A), patients in post-treatment follow-up with no evidence of disease (Group B), and patients undergoing treatment for cancer (Group C). Data collection involved the use of the McGill Quality of Life Questionnaire and the Ways of Coping Questionnaire. No generic quality-of-life assessment tool was utilized, as it would not be able to appropriately evaluate the impact of the disease on the specific group of patients receiving palliative care. RESULTS Coping strategies were underused. Participants in the palliative care group had poorer quality of life, particularly in the psychological well-being and physical symptom domains. Age, currently undergoing treatment, and level of education were significantly associated with coping scores. Age, gender, income, and the absence of pharmacological pain control were independently associated with quality-of-life scores. Moreover, a positive association was found between coping and quality of life. CONCLUSION Cancer patients in palliative care generally report a lower quality of life. However, male patients, those who did not rely on pharmacological pain control, and those with higher coping scores reported a better perception of their quality of life. This perception tended to decrease with age and income level. Patients currently undergoing treatment for the disease were more likely to use coping strategies. Patients with higher education and quality-of-life scores also had better coping scores. However, the use of coping strategies decreased with age.
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Affiliation(s)
- Silmara Meneguin
- Department of Nursing, Botucatu Medical School, São Paulo State University, São Paulo 18618-970, Brazil
| | - Izadora Gama Alves
- Department of Nursing, Botucatu Medical School, São Paulo State University, São Paulo 18618-970, Brazil
| | | | - Camila Fernandes Pollo
- Department of Nursing, Botucatu Medical School, São Paulo State University, São Paulo 18618-970, Brazil
| | | | - Cesar de Oliveira
- Department of Epidemiology & Public Health, University College London, London WC1E 6BT, UK
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Wästerhed J, Ekenberg E, Hagiwara MA. Ambulance nurses' experiences as the sole caregiver with critical patients during long ambulance transports: an interview study. Scand J Trauma Resusc Emerg Med 2024; 32:6. [PMID: 38263118 PMCID: PMC10807097 DOI: 10.1186/s13049-024-01178-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Accepted: 01/09/2024] [Indexed: 01/25/2024] Open
Abstract
BACKGROUND Working in rural areas involves tackling long distances and occasional lack of supportive resources. Ambulance nurses are faced with the responsibility of making immediate autonomous decisions and providing extended care to critically ill patients during prolonged ambulance transport to reach emergency medical facilities. This study aims to expose the experiences of ambulance nurses acting as primary caregivers for critically ill patients during lengthy ambulance transfers in rural regions. METHOD Fifteen nurses employed in an ambulance service within sparsely populated rural areas were subjected to semi-structured interviews. The collected data underwent qualitative content analysis. RESULT The analysis resulted in one overarching theme with two categories. The theme is 'Safety in the Professional Role,' and the two categories are 'Working in sparsely populated areas presents challenges' and 'Rare events: when routine cannot be established.' The findings suggest that working as an ambulance nurse in a rural setting poses various challenges that can be highly stressful. Delivering care to critically ill patients during extended ambulance transports requires the knowledge, experience, and careful planning of the healthcare provider in charge. CONCLUSIONS The findings underscore the necessity for thorough planning and adaptable thinking when attending to critically ill patients during extended transport scenarios. The absence of supporting resources can render the task demanding. Nevertheless, participants reported an inherent tranquility that aids them in maintaining focus amid their responsibilities.
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Affiliation(s)
- Jenny Wästerhed
- Centre for Prehospital Research Faculty of Caring Science, Work Life and Social Welfare Boras, University of Borås, Borås, Sweden
| | - Erika Ekenberg
- Centre for Prehospital Research Faculty of Caring Science, Work Life and Social Welfare Boras, University of Borås, Borås, Sweden
| | - Magnus Andersson Hagiwara
- Centre for Prehospital Research Faculty of Caring Science, Work Life and Social Welfare Boras, University of Borås, Borås, Sweden.
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Silva MT, Occhi-Alexandre IGP, Teixeira LC. Association Between Vocal Symptoms, Communication, Work Environment, and Sense of Coherence in Hospital Health Professionals. J Voice 2023:S0892-1997(23)00370-3. [PMID: 38129270 DOI: 10.1016/j.jvoice.2023.11.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Revised: 11/08/2023] [Accepted: 11/09/2023] [Indexed: 12/23/2023]
Abstract
OBJECTIVE This study aimed to associate the presence of vocal symptoms with sociodemographic and occupational data, work environment self-perception, oral communication wearing a face mask, and the sense of coherence (SOC). METHOD This cross-sectional analytical observational study included 66 health professionals from a Brazilian hospital. They answered an online questionnaire on sociodemographic aspects, self-perception of the physical work environment, and oral communication at work. The Voice Symptom Scale (VoiSS) and Sense of Coherence Scale (SOC-13) were also applied. The significance level was set at 5% for the statistical analysis. RESULTS The self-perception of vocal symptoms was 62%. Professionals who considered the noise in their work environment unsatisfactory had more vocal symptoms (P = 0.005), especially in the limitation (P = 0.013) and physical (P = 0.028) domains of the VoiSS. Professionals with higher self-perceived vocal symptoms also reported incoordination between breathing, speech, and articulation (P = 0.041) and self-perceived difficulty being heard with a protective mask (P = 0.033). Professionals with a higher self-perceived score in the limitation domain of the VoiSS also had a higher self-perceived effort to speak with a mask (P = 0.035) and a higher self-perception that other people find it difficult to hear them with a face mask (P = 0.050). There was a weak negative correlation between VoiSS and SOC (P < 0.05) and between its domains (P < 0.05). CONCLUSION Self-perception of voice symptoms is high among health professionals in a Brazilian public hospital. The presence of these symptoms is related to the perception of a noisy work environment and communication difficulties due to the use of a face mask. The lower the ability to cope with stressful situations, the larger the presence of voice symptoms among health professionals.
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Affiliation(s)
- Melyssa Tamietti Silva
- School of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.
| | | | - Letícia Caldas Teixeira
- School of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
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Zhang Y, Peng Q, Dong W, Hou C, Chen C. Professional identity and sense of coherence affect the between compassion fatigue and work engagement among Chinese hospital nurses. BMC Nurs 2023; 22:472. [PMID: 38093239 PMCID: PMC10717496 DOI: 10.1186/s12912-023-01596-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Accepted: 11/06/2023] [Indexed: 12/17/2023] Open
Abstract
BACKGROUND With the continuous improvement of people's health needs, the public's requirements for medical care are also getting higher and higher. Work engagement is a positive psychological state related to the work. It is very important to maintain nurses' work engagement, however, due to many factors, the level of nurses' work engagement is not high and nursing managers should identify the influencing factors of work engagement, and take positive measures to fully improve nurses' work engagement. OBJECTIVES To explore the influence of compassion fatigue, professional identity and sense of coherence on nurses' work engagement. METHODS From January 2022 to June 2022, convenience sampling was used to select clinical nurses from 9 tertiary hospitals in Henan Province of China as the research objects for a questionnaire survey. Statistical methods included descriptive statistical analysis, Pearson correlation analysis and the PROCESS Macro Model 4 and 7 in regression analysis. RESULTS The results showed that compassion fatigue was significantly negatively correlated with sense of coherence, professional identity and work engagement (P<0.01), professional identity was significantly positively correlated with sense of coherence and work engagement (P<0.01), and there was a significant positive correlation between sense of coherence and work engagement (P<0.01). Professional identity played a partial mediating role between compassion fatigue and work engagement, accounting for 46.40% of the total effect; meanwhile, sense of coherence moderated the effect of compassion fatigue on professional identity and formed a moderated mediation model. CONCLUSIONS Compassion fatigue has a negative predictive effect on nurses' work engagement. Professional identity and sense of coherence further explained the relationship of compassion fatigue on compassion fatigue and work engagement through mediating and moderating effects.
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Affiliation(s)
- Yiming Zhang
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, People's Republic of China
- Department of Health and Wellness, Nanyang Vocational College of Science and Technology, Nanyang, People's Republic of China
| | - Qianwen Peng
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, People's Republic of China
| | - Wanglin Dong
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, People's Republic of China
| | - Cui Hou
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, People's Republic of China.
| | - Chaoran Chen
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, People's Republic of China.
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Cleary M, West S, Hungerford C. Mental Health Nurses Overcoming Adversity: A Discursive Review. Issues Ment Health Nurs 2023; 44:944-950. [PMID: 37616589 DOI: 10.1080/01612840.2023.2236698] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/26/2023]
Abstract
The mental health nursing profession has experienced various challenges since its inception. This discursive review considers these challenges, including how mental health nurses have and can continue to overcome adversity as individuals and as a profession. The discussion examines the influence of the profession's historical involvement in institutionalization and coercive care; the continuing impact of stigma; and the increasing demand for mental health services, amidst chronic staff shortages. Collectively, mental health nurses must harness strong therapeutic relationships, intra- and multi-disciplinary collaboration, personal and professional resilience, education that prepares them for the future, and sector-wide planning and innovation, to respond positively to these challenges. These approaches will support mental health nurses to overcome adversity and achieve positive outcomes for the profession and people with the lived experience of mental illness.
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Affiliation(s)
- Michelle Cleary
- School of Nursing, Midwifery & Social Sciences, Central Queensland University, Sydney, NSW, Australia
| | - Sancia West
- School of Nursing, Midwifery & Social Sciences, Central Queensland University, Sydney, NSW, Australia
| | - Catherine Hungerford
- School of Nursing, Midwifery & Social Sciences, Central Queensland University, Sydney, NSW, Australia
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Kabunga A, Kigongo E, Udho S, Auma AG, Okalo P, Apili B, Halimah N, Nalwoga V. Chronic stress and coping mechanisms among nurses in Lango sub-region, northern Uganda. Nurs Open 2023; 10:6101-6107. [PMID: 37199048 PMCID: PMC10415976 DOI: 10.1002/nop2.1831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 02/05/2023] [Accepted: 05/05/2023] [Indexed: 05/19/2023] Open
Abstract
AIM This study aimed to assess chronic stress and coping mechanisms among nurses in Lango sub-region, northern Uganda, conducted between May and June 2022. DESIGN Institutional-based cross-sectional design conducted between May and June 2022. METHODS The study included 498 participants recruited from six health facilities. A 12-Item Short Form Survey tool was used to collect data on chronic stress, while a researcher-developed questionnaire was used to collect data on coping strategies. Descriptive statistics, binary logistic regression and multiple regression were conducted for data analysis. A p-value of 0.05 was considered statistically significant. RESULTS Out of 498 participants, 153 (30.7%) were aged between 31 and 40 years, 341 (68.5%) were female, 288 (57.8%) were married, and 266 (53.4%) had less than Diploma. Of the 498 participants, 351 (70.5%) experienced chronic stress. The protective factors against chronic stress were being married (AOR: 0.132; 95% CI: 0.043-0.408; p < 0.001), optimizing shift length (AOR: 0.056; 95% CI: 0.027-0.115; p < 0.001), religiosity/Spirituality (AOR: 2.750; 95% CI: 1.376-5.497; p = 0.004), and regular exercise and breaks (AOR: 0.405; 95% CI: 0.223-0.737; p = 0.003).
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Affiliation(s)
- Amir Kabunga
- Department of Psychiatry, Faculty of MedicineLira UniversityLiraUganda
| | - Eustes Kigongo
- Department of Environmental Health and Disease ControlLira UniversityLiraUganda
| | - Samson Udho
- Department of Nursing and Midwifery, Faculty of Nursing and MidwiferyLira UniversityLiraUganda
| | - Ann Grace Auma
- Department of Nursing and Midwifery, Faculty of Nursing and MidwiferyLira UniversityLiraUganda
| | - Ponsiano Okalo
- Department of Psychiatry, Faculty of MedicineLira UniversityLiraUganda
| | - Brenda Apili
- Department of Psychiatry, Faculty of MedicineLira UniversityLiraUganda
| | - Namata Halimah
- Department of Mental HealthMakerere UniversityKampalaUganda
| | - Viola Nalwoga
- Department of Psychiatry, Faculty of MedicineLira UniversityLiraUganda
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11
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Curyło M, Rynkiewicz-Andryśkiewicz M, Andryśkiewicz P, Mikos M, Lusina D, Raczkowski JW, Partyka O, Pajewska M, Sygit K, Sygit M, Cipora E, Kaczmarski M, Gawiński Ł, Banaś T, Strzępek Ł, Juszczyk G, Krzych-Fałta E, Bandurska E, Ciećko W, Zabojszcz M, Zdziarski K, Knyszyńska A, Kosior DA, Marczak M, Czerw A, Kozłowski R. Acceptance of Illness and Coping with Stress among Patients Undergoing Alcohol Addiction Therapy. J Clin Med 2023; 12:4767. [PMID: 37510882 PMCID: PMC10381120 DOI: 10.3390/jcm12144767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 06/30/2023] [Accepted: 07/14/2023] [Indexed: 07/30/2023] Open
Abstract
(1) Background: Acceptance of illness is a process in which a person with an illness accepts its presence and treats it as an integral part of their life. With regard to alcoholism, acceptance of illness is one of the important elements of the healing process. (2) Methods: The study group consisted of 104 residents in an addiction treatment ward. Questionnaires SOC-29, AIS and PSS-10 were used to check levels of coherence, stress and acceptance of illness. The analysis was based on regression analysis. Patient age was analysed as a moderator of correlations between perceived indicators. Moderation analysis was based on the simple moderation model. (3) Results: The level of perceived stress correlated negatively with all areas of the sense of coherence and with acceptance of illness. All areas of the sense of coherence correlated with acceptance of illness positively. (4) Conclusions: The acceptance of illness by the patient is a factor that can be motivating for further treatment, through a positive approach to illness and strengthening the sense of control in experiencing it. The combination of strengthening behavioural, cognitive and motivational resources can be used in the treatment of people experiencing the challenges of addiction to alcohol.
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Affiliation(s)
- Mateusz Curyło
- Department of Internal Medicine, Rehabilitation and Physical Medicine, Medical University of Lodz, 90-647 Lodz, Poland
- Medical Rehabilitation Department, The Ministry of the Interior and Administration Hospital, 30-053 Krakow, Poland
| | - Marlena Rynkiewicz-Andryśkiewicz
- Department of Treatment of Alcohol Abstinence Syndromes, Independent Public Healthcare Facility in Lezajsk, 37-300 Lezajsk, Poland
| | - Przemysław Andryśkiewicz
- Department of Treatment of Alcohol Abstinence Syndromes, Independent Public Healthcare Facility in Lezajsk, 37-300 Lezajsk, Poland
| | - Marcin Mikos
- Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, 30-705 Krakow, Poland
| | - Dariusz Lusina
- Department of Orthopedics and Traumatology, University Hospital in Krakow, 30-688 Krakow, Poland
| | - Jan W Raczkowski
- Department of Internal Medicine, Rehabilitation and Physical Medicine, Medical University of Lodz, 90-647 Lodz, Poland
| | - Olga Partyka
- Department of Economic and System Analyses, National Institute of Public Health NIH-National Research Institute, 00-791 Warsaw, Poland
- Department of Health Economics and Medical Law, Medical University of Warsaw, 02-091 Warsaw, Poland
| | - Monika Pajewska
- Department of Economic and System Analyses, National Institute of Public Health NIH-National Research Institute, 00-791 Warsaw, Poland
- Department of Health Economics and Medical Law, Medical University of Warsaw, 02-091 Warsaw, Poland
| | - Katarzyna Sygit
- Faculty of Health Sciences, Calisia University, 62-800 Kalisz, Poland
| | - Marian Sygit
- Faculty of Health Sciences, Calisia University, 62-800 Kalisz, Poland
| | - Elżbieta Cipora
- Medical Institute, Jan Grodek State University in Sanok, 38-500 Sanok, Poland
| | - Mateusz Kaczmarski
- Medical Institute, Jan Grodek State University in Sanok, 38-500 Sanok, Poland
| | - Łukasz Gawiński
- Department of Management and Logistics in Health Care, Medical University of Lodz, 90-131 Lodz, Poland
| | - Tomasz Banaś
- Department of Radiotherapy, Maria Sklodowska-Curie Institute-Oncology Centre, 31-115 Cracow, Poland
| | - Łukasz Strzępek
- Clinical Department of General and Oncological Surgery, St. Raphael Hospital Krakow, 30-693 Krakow, Poland
| | - Grzegorz Juszczyk
- Department of Public Health, Medical University of Warsaw, 02-091 Warsaw, Poland
| | - Edyta Krzych-Fałta
- Department of Basic of Nursing, Faculty of Health Sciences, Medical University of Warsaw, 01-445 Warsaw, Poland
| | - Ewa Bandurska
- Center for Competence Development, Integrated Care and e-Health, Medical University of Gdansk, 80-204 Gdansk, Poland
| | - Weronika Ciećko
- Center for Competence Development, Integrated Care and e-Health, Medical University of Gdansk, 80-204 Gdansk, Poland
| | - Michał Zabojszcz
- Collegium Medicum, Jan Kochanowski University, 25-317 Kielce, Poland
| | - Krzysztof Zdziarski
- Subdepartment of Social Medicine and Public Health, Department of Social Medicine, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland
| | - Anna Knyszyńska
- Department of Humanities and Occupational Therapy, Pomeranian Medical University in Szczecin, 71-103 Szczecin, Poland
| | - Dariusz A Kosior
- Mossakowski Medical Research Institute, Polish Academy of Sciences, 02-106 Warsaw, Poland
| | - Michał Marczak
- Collegium of Management, WSB University in Warsaw, 03-204 Warsaw, Poland
| | - Aleksandra Czerw
- Department of Economic and System Analyses, National Institute of Public Health NIH-National Research Institute, 00-791 Warsaw, Poland
- Department of Health Economics and Medical Law, Medical University of Warsaw, 02-091 Warsaw, Poland
| | - Remigiusz Kozłowski
- Department of Management and Logistics in Health Care, Medical University of Lodz, 90-131 Lodz, Poland
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Iddrisu M, Poku CA, Mensah E, Attafuah PYA, Dzansi G, Adjorlolo S. Work-related psychosocial challenges and coping strategies among nursing workforce during the COVID-19 pandemic: a scoping review. BMC Nurs 2023; 22:210. [PMID: 37337228 DOI: 10.1186/s12912-023-01368-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 06/02/2023] [Indexed: 06/21/2023] Open
Abstract
BACKGROUND Nurses and midwives have been stretched by the COVID-19 pandemic amidst the heroic roles they have played during the peak of the COVID-19 pandemic. Nurses stood tall among their peers in the healthcare industry saving lives. The pandemic has had a toll on nurses physically, psychologically, and socio-economically. The numerous deaths have traumatized nurses coupled with the fear of possible infection. Nurses have seen their colleagues and loved ones lose their lives to the pandemic, nevertheless, they still render care to patients no matter the circumstances. Due to that, it is imperative to ascertain the extent to which nurses who are much needed in healthcare delivery have been affected by this pandemic. This scoping review used Arksey and O'Malley's review methodology to investigate the nature of work-related psychosocial challenges nurses encountered during the peak of the pandemic, noting the major contributors to the challenges and the coping strategies used to address them. METHODS We performed a scoping review and searched for articles from five databases including PUBMED, CINAHL, SCOPUS, Google Scholar, and Grey literature from December 2019 to December 2021. A total of 7,334 articles were retrieved for the study but 45 met the inclusion criteria. RESULTS Work-related psychosocial challenges identified included stress, burnout (emotional exhaustion and depersonalization), Post-Traumatic Stress Disorder, depression, sleeplessness, and anxiety. Factors that accounted for the challenges were inadequate personal protective equipment (PPEs), discomfort using the PPEs, extreme workload, and fatigue. Nurses experienced job insecurity, business closure, and separation from family and loved ones, and these contributed to their challenges. Strategies used to deal with the challenges centred on emotion-focused and problem-focused coping. CONCLUSIONS The study recommends regular counselling and support for all nurses working at the frontline to help them better cope with the devastating effects of the pandemic so that they could build resilience towards future pandemics.
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Affiliation(s)
- Merri Iddrisu
- School of Nursing and Midwifery, University of Ghana, Accra, Ghana
| | - Collins Atta Poku
- School of Nursing and Midwifery, University of Ghana, Accra, Ghana.
- Department of Nursing, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
| | - Eva Mensah
- School of Nursing and Midwifery, University of Ghana, Accra, Ghana
| | | | - Gladys Dzansi
- School of Nursing and Midwifery, University of Ghana, Accra, Ghana
| | - Samuel Adjorlolo
- School of Nursing and Midwifery, University of Ghana, Accra, Ghana
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Abu-Kaf S, Kalagy T, Portughies N, Braun-Lewensohn O. Job satisfaction and well-being among college-educated Bedouin Arab and ultra-Orthodox women in the Israeli workforce: the roles of individual, familial, communal, and organizational resources. Arch Womens Ment Health 2023; 26:177-189. [PMID: 36971871 PMCID: PMC10040923 DOI: 10.1007/s00737-023-01308-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/15/2023] [Indexed: 03/28/2023]
Abstract
Over the past two decades, increasing numbers of Bedouin Arab and ultra-Orthodox women have been integrated into the Israeli labor market. The integration of these women from traditional and minority communities into the general workforce involves significant coping on the practical, social, and emotional levels. This study examined factors that may facilitate the integration of college-educated Bedouin Arab and ultra-Orthodox women in the Israeli labor market. The sample included 304 ultra-Orthodox women and 105 Bedouin Arab women, who were employed in a variety of fields. Participants completed questionnaires designed to collect data on demographics, sense of personal coherence (SOC), family quality of life, sense of community coherence (SOCC), diversity climate, inclusive management, job satisfaction, and well-being. The ultra-Orthodox women reported higher levels of most of the resources; whereas the Bedouin Arab women reported higher levels only of inclusive management. Hierarchical regressions showed that income, SOC, and inclusive management each contributed significantly to job satisfaction. Levels of well-being were explained by SOC, family quality of life, and inclusive management. This study highlights the importance of individual, familial, and organizational resources for the integration into the workforce of female members of minority groups.
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Affiliation(s)
- Sarah Abu-Kaf
- Conflict Management & Resolution Program, Ben-Gurion University of the Negev, 8410501, Beer Sheva, Israel.
| | - Tehila Kalagy
- Conflict Management & Resolution Program, Ben-Gurion University of the Negev, 8410501, Beer Sheva, Israel
- Department of Public Policy and Management, Ben-Gurion University of the Negev, 8410501, Beer Sheva, Israel
| | - Nirit Portughies
- Conflict Management & Resolution Program, Ben-Gurion University of the Negev, 8410501, Beer Sheva, Israel
| | - Orna Braun-Lewensohn
- Conflict Management & Resolution Program, Ben-Gurion University of the Negev, 8410501, Beer Sheva, Israel
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Ortenburger D, Mosler D, Langfort J, Wąsik J. Feeling of Meaningfulness and Anxiety of Taekwon-Do Fighters in a Salutogenic Notion. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15658. [PMID: 36497735 PMCID: PMC9736312 DOI: 10.3390/ijerph192315658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Revised: 11/17/2022] [Accepted: 11/23/2022] [Indexed: 06/17/2023]
Abstract
This study aimed to examine the relation between the feeling of meaningfulness and also the characteristics of engaged participation (namely, the frequency of participation in voluntary groupings) and the level of anxiety among those who train a group of elite taekwon-do fighters. The research encompassed 58 people, all of whom were taekwon-do ITF (International Taekwon-do Federation) athletes at an elite level. The Questionnaire of Life Orientation (SOC-29) and the Inventory of the State and Features of Anxiety were used. The data were supplemented by the authors' own questions referring to activities in the field of taekwon-do. The group of taekwon-do fighters chosen was internally divided with regard to the level of the state of anxiety and the feeling of meaningfulness (p < 0.01). It was found that, together with the growth in the values stipulated in the accepted model, the frequency of taekwon-do groupings (β = -0.38), as well as the feeling of meaningfulness (β = -0.31), the value of the level of intensification of the state of anxiety dropped. The data revealed that, together with age, the level of anxiety decreased and the feeling of meaningfulness increased. The difference in the levels of anxiety between women and men was statistically non-significant (p > 0.05). The research findings illustrate that the feeling of meaningfulness and participation in groupings constitute a differentiating factor in terms of the intensification of the average level of anxiety in the elite taekwon-do group. More frequent participation in training goes hand-in-hand with the greater feeling of meaningfulness; perhaps, this is associated with the specific training, which, among other factors, favours adaptation to challenges and actions under pressure.
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15
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Stefanowicz-Bielska A, Słomion M, Rąpała M. Analysis of Strategies for Managing Stress by Polish Nurses during the COVID-19 Pandemic. Healthcare (Basel) 2022; 10:healthcare10102008. [PMID: 36292455 PMCID: PMC9601545 DOI: 10.3390/healthcare10102008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2022] [Revised: 10/08/2022] [Accepted: 10/09/2022] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic is having a negative impact on the mental health of nurses around the world. The aim of the study was to assess the sense of fear and the degree of exposure to SARS-CoV-2 infection and to estimate the influence of various factors on the fear of SARS-CoV-2. We analysed methods and strategies for coping with stress used by Polish nurses during the COVID-19 pandemic. METHODS The study was conducted using a diagnostic survey, which included a self-constructed questionnaire and a standardized psychological questionnaire: Brief-Cope. RESULTS A total of 361 nurses confirmed their participation in the study. Most of the nurses were ages 31 to 50 (48.2%), lived in a city (83.7%), and had a master's degree in nursing (45.7%). Nurses ≥ 51 years of age, with ≥ 21 years of work experience and with secondary education in nursing and master of nursing were more likely than other nurses to agree with the statement, I am afraid of contracting the SARS-CoV-2 (appropriately p = 0.009, p = 0.007, p = 0.014). During the outbreak of COVID-19, nurses most often took action to improve the situation, reflecting on and planning what to do. The most frequent means of coping with stress by Polish nurses during the COVID-19 outbreak were problem-focused strategies. The least frequent strategy was the use of substances (taking substances to alleviate unpleasant emotions), considered to be the least effective, but useful in some situations. CONCLUSIONS Most nurses were afraid of being infected with COVID-19. The most frequently used strategies for coping with stress by Polish nurses during the COVID-19 pandemic were problem-focused strategies. Nurses should receive psychological support and assistance from the employer in improving their working conditions.
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Affiliation(s)
- Anna Stefanowicz-Bielska
- Division of Internal and Pediatric Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences with the Institute of Maritime and Tropical Medicine, Medical University of Gdansk, 80-211 Gdansk, Poland
- Correspondence:
| | - Magdalena Słomion
- Division of Internal and Pediatric Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences with the Institute of Maritime and Tropical Medicine, Medical University of Gdansk, 80-211 Gdansk, Poland
| | - Małgorzata Rąpała
- Department of Pediatric Surgery, Marciniak Hospital, 50-041 Wroclaw, Poland
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Costeira C, Ventura F, Pais N, Santos-Costa P, Dixe MA, Querido A, Laranjeira C. Workplace Stress in Portuguese Oncology Nurses Delivering Palliative Care: A Pilot Study. NURSING REPORTS 2022; 12:597-609. [PMID: 35997467 PMCID: PMC9396982 DOI: 10.3390/nursrep12030059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Revised: 08/08/2022] [Accepted: 08/10/2022] [Indexed: 11/22/2022] Open
Abstract
Oncology nurses often face complex end-of-life issues, underlining their need for specific training in palliative care. In this context, nurses experience several emotional and psychological dilemmas, which are often difficult to manage and result in high levels of workplace stress. This study aimed to determine the levels and work-related factors of workplace stress among oncology nurses. A descriptive baseline study was performed as part of a large four-phase study based on quantitative data collected from Portuguese oncology nurses. Of the 32 participating nurses, most were women, and the mean age was 42.69 ± 10.04 years. Overall, nurses revealed moderate levels of stress. Younger nurses with less professional experience had difficulties dealing with issues related to death and dying. This pilot study supported the development of a program of six Stress Management Training Workshops (SMTW) to reduce stress and increase adaptative strategies. Assessing workplace stress among oncology nurses should be the focus of intervention by managers and institutional leaders.
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Affiliation(s)
- Cristina Costeira
- School of Health Sciences of Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal
- Centre for Innovative Care and Health Technology (ciTechCare), Rua de Santo André—66–68, Campus 5, Polytechnic of Leiria, 2410-541 Leiria, Portugal
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal
| | - Filipa Ventura
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal
| | - Nelson Pais
- Portuguese Oncologic Institute of Coimbra—Pain Unit, 3004-011 Coimbra, Portugal
| | - Paulo Santos-Costa
- The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal
| | - Maria Anjos Dixe
- School of Health Sciences of Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal
- Centre for Innovative Care and Health Technology (ciTechCare), Rua de Santo André—66–68, Campus 5, Polytechnic of Leiria, 2410-541 Leiria, Portugal
| | - Ana Querido
- School of Health Sciences of Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal
- Centre for Innovative Care and Health Technology (ciTechCare), Rua de Santo André—66–68, Campus 5, Polytechnic of Leiria, 2410-541 Leiria, Portugal
- Center for Health Technology and Services Research (CINTESIS), NursID, University of Porto, 4200-450 Porto, Portugal
| | - Carlos Laranjeira
- School of Health Sciences of Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal
- Centre for Innovative Care and Health Technology (ciTechCare), Rua de Santo André—66–68, Campus 5, Polytechnic of Leiria, 2410-541 Leiria, Portugal
- Research in Education and Community Intervention (RECI I&D), Piaget Institute, 3515-776 Viseu, Portugal
- Correspondence:
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Cybulska AM, Rachubińska K, Stanisławska M, Grochans S, Cymbaluk-Płoska A, Grochans E. Analysis of Factors Related to Mental Health, Suppression of Emotions, and Personality Influencing Coping with Stress among Nurses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:9777. [PMID: 36011413 PMCID: PMC9408163 DOI: 10.3390/ijerph19169777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/23/2022] [Revised: 08/06/2022] [Accepted: 08/08/2022] [Indexed: 06/15/2023]
Abstract
(1) The specificity of a nurse's work, apart from performing medical procedures, is characterized by intensive contacts with other people. Stress is an inevitable part of a nurse's job and can affect their physical and mental health. Thus, strategies for coping with stress play an important role in improving health or well-being by reducing the level of stress. (2) The aim of the study was to evaluate the impact of coping strategies in predicting the overall health of nurses. The study also assessed the impact of personality traits and emotional control (anger, depression, anxiety) on the choice of coping with stress among nurses. (3) The study included 811 nurses from the West Pomeranian Voivodeship, with an average age of 40 (SD = 9.8), working mainly in hospitals (82%). The research was carried out with a diagnostic survey method, using the Coping Inventory for Stressful Situations questionnaire, NEO-Five Factor Inventor, Courtland Emotional Control Care Scale, General Health Questionnaire 30, and a demographic questionnaire. (4) Among the surveyed nurses, the dominant style of coping with stress was the style focused on emotions (MT 0.43), followed by the style focused on avoidance (MT 0.42). There were mental problems among 46.1% of the respondents. Nurses with mental problems according to GHQ-30 were characterized by a high intensity of coping styles focused on emotions (30.2%), avoiding (18.7%), and engaging in alternative activities (32.3%) (p = 0.000). (5) Most of the surveyed nurses have a tendency to cope with stress through an emotional-focused style, which may be associated with a higher level of occupational stress.
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Affiliation(s)
- Anna Maria Cybulska
- Department of Nursing, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland
| | - Kamila Rachubińska
- Department of Nursing, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland
| | - Marzanna Stanisławska
- Department of Nursing, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland
| | - Szymon Grochans
- Department of Biochemistry and Medical Chemistry, Pomeranian Medical University in Szczecin, Powstańców Wielkopolskich 72 Street, 70-111 Szczecin, Poland
| | - Aneta Cymbaluk-Płoska
- Department of Gynecological Surgery and Gynecological Oncology of Adults and Adolescents, Pomeranian Medical University, 70-111 Szczecin, Poland
| | - Elżbieta Grochans
- Department of Nursing, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland
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Jin Y, Bi Q, Song G, Wu J, Ding H. Psychological coherence, inclusive leadership and implicit absenteeism in obstetrics and gynecology nurses: a multi-site survey. BMC Psychiatry 2022; 22:525. [PMID: 35922834 PMCID: PMC9351111 DOI: 10.1186/s12888-022-04137-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 06/27/2022] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND Implicit absenteeism is very common among clinical nurses. We aimed to evaluate the role of psychological coherence in the inclusive leadership and implicit absenteeism among obstetrics and gynecology nurses, to provide evidence to the clinical management of nurses. METHODS Through the convenience sampling method, a survey of gynecology nurses in tertiary hospitals in 16 cities of Anhui Province, China was conducted using the General Information Questionnaire, the Stanford Implicit Absence Scale, the Inclusive Leadership Scale and the Sense of Coherence Scale. Statistical analysis was performed by SPSS 20. RESULTS A total of 1080 nurses were included with an effective response rate of 93.5%. The average score of nurses' recessive absenteeism in this study was (16.8 ± 0.15). The average of inclusive leadership score was (34.25 ± 7.23). The average score of psychological coherence score of obstetrics and gynecology nurses was (55.79 ± 8.28). Pearson correlation analysis showed that there was a relationship between implicit absenteeism behavior, inclusive leadership, and the level of psychological coherence in obstetrics and gynecology nurses (all P < 0.05). Linear regression analysis indicated that psychological coherence played a partial mediating role between inclusive leadership and obstetrics and gynecology nurses' implicit absenteeism (all P < 0.05). CONCLUSIONS Obstetrics and gynecology nurses have serious recessive absenteeism with low sense of psychological coherence and inclusive leadership. Nursing managers should improve the psychological coherence through effective interventions, thereby reducing the incidence of implicit absenteeism.
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Affiliation(s)
- Yu Jin
- Hefei, China ,grid.59053.3a0000000121679639Binhu Healthcare Center, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001 China
| | - Qingquan Bi
- Department of Geriatrics, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230001, China.
| | - Guiqi Song
- Department of Education, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230001, China.
| | - Jun Wu
- Department of Geriatrics, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230001, China.
| | - Hui Ding
- grid.59053.3a0000000121679639Department of Education, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001 China
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Sommovigo V, Bernuzzi C, Setti I. Helping others not always helps ourselves: the relationship between victim incivility and emergency workers' burnout through work-to-family conflict. INTERNATIONAL JOURNAL OF WORKPLACE HEALTH MANAGEMENT 2022. [DOI: 10.1108/ijwhm-09-2021-0183] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
PurposeThis study aims to analyse whether and when victim incivility may be related to work-to-family conflict and then burnout among emergency workers.Design/methodology/approachA total of 304 Italian emergency workers from five firehouses and six emergency rooms completed questionnaires, examining: victim incivility, work-to-family conflict, social support seeking and burnout symptoms. Descriptive analyses, confirmatory factor analyses and structural equation models were conducted.FindingsVictim incivility was positively associated with burnout symptoms, both directly and indirectly, as mediated by work-to-family conflict. Additionally, social support seeking exacerbated (rather than mitigated) the impact of work-to-family conflict on burnout symptoms.Practical implicationsOrganisations can greatly benefit from implementing family-friendly practices and providing their workers with training programmes on how to deal with difficult victims.Originality/valueThis study contributes to the existing literature on workplace incivility and work–life interface by supporting for the first time the notion that victim incivility can spill over into emergency workers' family domain and by clarifying how and when victim incivility is related to burnout symptoms.
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Hansson J, Landstad BJ, Vinberg S, Hedlund M, Tjulin Å. Small business managers and Covid-19-The role of a sense of coherence and general resistance resources in coping with stressors. PLoS One 2022; 17:e0265029. [PMID: 35302995 PMCID: PMC8932562 DOI: 10.1371/journal.pone.0265029] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Accepted: 02/20/2022] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND The response of small business managers to an external event such as the pandemic can have a profound effect on the work environment, health and well-being for themselves and their employees. Previous research on small business managers during the pandemic has mainly focused on traditional pathogenic effects, and there is a lack of studies looking at the issue from a salutogenic health promotion perspective. The aim of this study is to explore whether a sense of coherence and general resistance resources were experienced by small business managers in Sweden and Norway during the Covid-19 pandemic. METHODS A qualitative design was applied through exploratory interviews with 16 managers of small businesses in Sweden and Norway. A content analysis of the interviews was conducted using the sense of coherence concept by Aaron Antonovsky, with the three main components of comprehensibility, meaningfulness and manageability acting as a conceptual framework for the analysis process. RESULTS Within the three main sense-of-coherence categories, six general resistance resources were identified as being important for the managers to handle uncertainty during the pandemic. These were understanding rules and regulations, social support, optimism, proactivity, problem-solving and flexibility and cooperation. CONCLUSIONS The small business managers handled the pandemic in a way that worked well in their contexts, and the pandemic generally did not have a negative effect on their businesses or themselves. A salutogenic approach, through which the managers focused on identifying and using resources, was an important factor for managing stressors and adversity during the pandemic. Hence, the concept of salutogenesis may be used as an intervention to foster better health in small businesses, both at a personal and organisational level in order to handle future challenges effectively.
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Affiliation(s)
- Josefine Hansson
- Department of Health Sciences, Faculty of Human Sciences, Mid Sweden University, Östersund, Sweden
| | - Bodil J. Landstad
- Department of Health Sciences, Faculty of Human Sciences, Mid Sweden University, Östersund, Sweden
- Unit of Research, Education and Development, Östersund Hospital, Östersund, Sweden
| | - Stig Vinberg
- Department of Health Sciences, Faculty of Human Sciences, Mid Sweden University, Östersund, Sweden
| | - Marianne Hedlund
- Department of Social Work and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway
| | - Åsa Tjulin
- Department of Health Sciences, Faculty of Human Sciences, Mid Sweden University, Östersund, Sweden
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21
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Kupcewicz E. Global Self-Esteem and Stress Intensity in a Group of Polish Nurses-A Mediatory Role of a Sense of Coherence. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19020975. [PMID: 35055796 PMCID: PMC8776026 DOI: 10.3390/ijerph19020975] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Revised: 01/10/2022] [Accepted: 01/13/2022] [Indexed: 12/10/2022]
Abstract
(1) Owing to their resistance resources, nurses can reduce the effects of stress, increase their commitment to work and improve their functioning in the face of challenges in the workplace. The aim of this study was to determine the mediatory role of a general sense of coherence and a sense of comprehensibility, manageability and meaningfulness correlated with global self-esteem and the perceived stress intensity in a group of Polish nurses aged 45–55 years. (2) The research using the diagnostic survey method was conducted on a group of 176 nurses (M = 49.1; SD = 3.1) working in seven hospitals located in Olsztyn (Poland). The following were used for data collection: Perceived Stress Scale - PSS-10, Rosenberg’s Self-Esteem Scale and Antonovsky’s Sense of Coherence (SOC-29) Questionnaire. (3) According to 21.02% of the nurses, their stress level at the workplace was low, 44.89% reported it was medium and 34.09% reported it was high. The self-esteem of nearly half of the nurses included in the study (48.30%) was at a medium level, 31.82% felt it was high and 19.89% felt it was low. The mediation analysis showed that a general sense of coherence and a sense of comprehensibility, manageability and meaningfulness have a mediator status in a correlation between global self-esteem and stress intensity. However, their mediatory role is partial. It is desirable for safe work environment promotion programmes to reinforce nurses’ personal resources, which can be helpful in coping with stressors.
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Affiliation(s)
- Ewa Kupcewicz
- Department of Nursing, Collegium Medicum University of Warmia and Mazury in Olsztyn, 10-719 Olsztyn, Poland
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22
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Pan C, Wang H, Chen M, Cai Y, Li P, Xiao C, Tang Q, Koniak-Griffin D. Stress and Coping in Nurses Taking Care of People Living with HIV in Hunan, China: A Descriptive Qualitative Study. Neuropsychiatr Dis Treat 2022; 18:303-315. [PMID: 35210777 PMCID: PMC8860345 DOI: 10.2147/ndt.s341151] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Accepted: 01/27/2022] [Indexed: 01/22/2023] Open
Abstract
BACKGROUND/PURPOSE Nurses engaged in the care of people living with HIV (PLWH) are commonly exposed to workplace stress. This study aimed to explore the stress experiences and coping strategies among nurses taking care of PLWH in China. METHODS Nurses were recruited from the AIDS department of a public, general, third-grade class-A hospital, which has the largest HIV care department in the Hunan Province of China. Thirty-three nurses working in the AIDS Department were recruited in this qualitative study. Eight nurses participated in a focus group and 25 nurses underwent in-depth individual interviews aimed at characterizing the nurse's feelings and struggles with stress during caregiving for PLWH. The interviews were audio-recorded, transcribed verbatim, anonymized, and imported into NVivo 8.0 software. The data were coded and subjected to thematic analysis. RESULTS Concerns about occupational exposure, heavy workload, mental health problems and risk behaviors of patients, and discrimination towards nurses caring for PLWH were the four main sources of stress. The negative impact of stress included problems with emotion regulation, somatic health and sleep, and work performance. Some participants also reported a positive impact of work stress on their mental health. Using personality strengths, problem-solving, help-seeking, concealing and avoiding/suppression were common coping strategies employed by nurses caring for PLWH. CONCLUSION Our findings help characterize the stress experienced by nurses caring for PLWH in the Chinese cultural context, and may inform specific interventions to help manage stress and promote mental health of nurses.
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Affiliation(s)
- Chen Pan
- Department of Clinical Psychology, The Third Xiangya Hospital of Central South University, Changsha, People's Republic of China
| | - Honghong Wang
- Department of Fundamental Nursing, Xiangya School of Nursing, Central South University, Changsha, People's Republic of China
| | - Minzhen Chen
- Department of AIDS, The First Hospital of Changsha, Changsha, People's Republic of China
| | - Yu Cai
- Department of Clinical Psychology, The Third Xiangya Hospital of Central South University, Changsha, People's Republic of China
| | - Peihuan Li
- College of Resources of Environment, Hunan Agricultural University, Changsha, People's Republic of China
| | - Changgen Xiao
- Department of Applied Psychology, Hunan University of Chinese Medicine, Changsha, People's Republic of China
| | - Qiuping Tang
- Department of Clinical Psychology, The Third Xiangya Hospital of Central South University, Changsha, People's Republic of China
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Gębska M, Kołodziej Ł, Dalewski B, Pałka Ł, Sobolewska E. The Influence of the COVID-19 Pandemic on the Stress Levels and Occurrence of Stomatoghnatic System Disorders (SSDs) among Physiotherapy Students in Poland. J Clin Med 2021; 10:jcm10173872. [PMID: 34501318 PMCID: PMC8432109 DOI: 10.3390/jcm10173872] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Revised: 08/26/2021] [Accepted: 08/27/2021] [Indexed: 12/23/2022] Open
Abstract
Background: This study is a quantitative analysis examining the impact of the COVID-19 pandemic on the occurrence of stress and stomatognathic system disorders (SSDs) among students of physiotherapy. Objective: To assess stress severity, strategies of coping with stress and the presence of type D personality among physiotherapy students including those with symptoms of stomatognathic system disorders. Material and Methods: The research was conducted from October to December 2020 on a sample of 188 students of physiotherapy. The data were collected using a survey form related to the occurrence of SS disorders symptoms and standardized psychological questionnaires, such as the Perceived Stress Scale (PSS)-10, Mini-Cope, and the type-D Scale (DS14), developed for the purpose of this study. Results: Women experiencing at least one of the SS disorder-related symptoms were characterized by a significantly higher level of stress and a type D personality (p < 0.05). Among men, these differences were not statistically significant (p > 0.05). On the basis of the strategies of coping with stress, i.e., positive self-reevaluation, discharging and blaming oneself, and taking psychoactive substances, it is possible to predict the intensity of stress during the pandemic in the group of the examined students. Among the reported symptoms of SS, headache was a significant predictor of stress, which was accompanied by an increase in the intensity of stress by nearly 0.2 measurement points. Students with higher levels of stress showed more symptoms of type D personality, and those with more severe symptoms of SS showed higher levels of stress. Conclusions: People prone to stress and having type D personality traits should be assessed for the presence of SS disorders.
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Affiliation(s)
- Magdalena Gębska
- Department of Rehabilitation Musculoskeletal System, Pomeranian Medical University, 70-204 Szczecin, Poland; (M.G.); (Ł.K.)
| | - Łukasz Kołodziej
- Department of Rehabilitation Musculoskeletal System, Pomeranian Medical University, 70-204 Szczecin, Poland; (M.G.); (Ł.K.)
| | - Bartosz Dalewski
- Department of Dental Prosthetics, Pomeranian Medical University, 70-204 Szczecin, Poland; (B.D.); (E.S.)
| | - Łukasz Pałka
- Private Dental Practice, 68-200 Żary, Poland
- Correspondence: ; Tel.: +48-608882535
| | - Ewa Sobolewska
- Department of Dental Prosthetics, Pomeranian Medical University, 70-204 Szczecin, Poland; (B.D.); (E.S.)
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