scholarly journals When and how do hospital nurses cope with daily stressors? A multilevel study

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0240725
Author(s):  
Fermín Martínez-Zaragoza ◽  
Gemma Benavides-Gil ◽  
Tatiana Rovira ◽  
Beatriz Martín-del-Río ◽  
Silvia Edo ◽  
...  
Keyword(s):  
Social Support ◽  
Coping Strategies ◽  
Repeated Measures ◽  
Coping Style ◽  
Coping Styles ◽  
Direct Care ◽  
University Hospitals ◽  
Coping With Stress ◽  
Control Effort ◽  
Working Day

Background During their workday, nurses face a variety of stressors that are dealt with using different coping strategies. One criticism of the contextual models of work stress is that they fail to focus on individual responses like coping with stress. Neverthless, little is know about the momentary determinants of coping in nurses. Objectives To identify the momentary predictors of problem-focused approaching coping and emotion-focused approaching coping, as well as those for seeking social support and refusal coping strategies, during the working day in nurses. Design This study uses descriptive, correlational, two-level design with repeated measures. Settings Wards of two University hospitals. Participants A random cohort of 113 nurses was studied. Methods An ecological momentary assessment was made of demand, control, effort, reward, nursing task, coping, mood and fatigue, and of coping style by questionnaire. Multilevel two-level statistical analyses were performed in order to identify both within person and between person relationships. Results Different momentary types of coping were associated with different tasks. The problem-focused coping could be explained by the direct care and medication tasks, demand, planning coping style, mood, and negatively by acceptation coping style. Emotion-focused coping could be explained by documentation and medication tasks (negatively), mood, demand, distraction, and disengagement coping styles. Seeking social support coping could be explained by the task of communication, mood, fatigue (negatively), and seeking emotional support as a coping style. Refusal coping could be explained by mood, and the coping style of focusing and venting emotions. Refusal coping is not specific to any task. Conclusions The choice of the coping strategy depends on the task, of their appraisal and on the different styles of coping.

scholarly journals The Features of Coping with a Specific Challenging Situation (COVID-19 pandemic)

2021 ◽  
Vol 27 (2) ◽  
pp. 84-91
Author(s):  
I. O. Kuvaeva ◽  
◽  
A. M. Strelnikova ◽  
Keyword(s):  
Social Support ◽  
Coping Strategies ◽  
Coping Style ◽  
Coping Styles ◽  
Coping Behavior ◽  
Social Avoidance ◽  
Ways Of Coping ◽  
Empirical Results ◽  
Ways Of Coping Questionnaire ◽  
Challenging Situation

The empirical results of the research devoted to the problem of coping behavior with stressful and the pandemic situations among youth (n=100) are discussed. The instruments are the following: Coping Inventory for Stressful Situations (Endler N.S., Parker J.D.A.) and Ways of Coping Questionnaire (Lazarus R., Folkman S.). The problem-oriented coping style is predominant among participants aged 17-31. Significant differences in coping strategies related to pandemic between the respondents who have been exposed to COVID-19 and respondents who were not infected with COVID-19 were not found (p>0.50). Respondents who have been exposed to COVID-19 demonstrated social avoidance style in stressful situations (p=0.021). The structure of coping behavior in group of participants who have been exposed to a new coronovirus infection included a greater number of correlations between stable coping styles and strategies for overcoming the pandemic situation. The female respondents demonstrated higher rate of avoidance behaviour and tend to seek social support more often than male respondents.

scholarly journals How the Lagged and Accumulated Effects of Stress, Coping, and Tasks Affect Mood and Fatigue during Nurses’ Shifts

2020 ◽  
Vol 17 (19) ◽  
pp. 7277
Author(s):  
Fermín Martínez-Zaragoza ◽  
Jordi Fernández-Castro ◽  
Gemma Benavides-Gil ◽  
Rosa García-Sierra
Keyword(s):  
Coping Strategies ◽  
Repeated Measures ◽  
Negative Mood ◽  
Direct Care ◽  
Negative Effects ◽  
Control Effort ◽  
Support Seeking ◽  
Ecological Momentary ◽  
Demand Control ◽  
Lagged Effect

Nurses experience significant stress and emotional exhaustion, leading to burnout and fatigue. This study assessed how the nurses’ mood and fatigue evolves during their shifts, and the temporal factors that influence these phenomena. Performing a two-level design with repeated measures with moments nested into a person level, a random sample of 96 nurses was recruited. The ecological momentary assessment of demand, control, effort, reward, coping, and nursing tasks were measured in order to predict mood and fatigue, studying their current, lagged, and accumulated effects. The results show that: (1) Mood appeared to be explained by effort, by the negative lagged effect of reward, and by the accumulated effort, each following a quadratic trend, and it was influenced by previously executing a direct care task. By contrast, fatigue was explained by the current and lagged effect of effort, by the lagged effect of reward, and by the accumulated effort, again following quadratic trends. (2) Mood was also explained by problem-focused and emotion-focused coping strategies, indicative of negative mood, and by support-seeking and refusal coping strategies. (3) Fatigue was also associated with direct care and the prior effect of documentation and communication tasks. We can conclude that mood and fatigue do not depend on a single factor, such as workload, but rather on the evolution and distribution of the nursing tasks, as well as on the stress during a shift and how it is handled. The evening and night shifts seem to provoke more fatigue than the other work shifts when approaching the last third of the shift. These data show the need to plan the tasks within a shift to avoid unfinished or delayed care during the shift, and to minimize accumulated negative effects.

scholarly journals Coping Styles of Young People Dealing with Traumatic Events Reflected in Fairy Tales

2017 ◽  
Vol 6 (4) ◽  
pp. 90-104
Author(s):  
M.A. Odintsova ◽  
N. Radchikova ◽  
M.G. Kulyatskaya
Keyword(s):  
Social Support ◽  
Young People ◽  
Coping Strategies ◽  
Fairy Tales ◽  
Coping Style ◽  
Fairy Tale ◽  
Coping Styles ◽  
Social Contact ◽  
Support Strategy ◽  
Age Range

The study examines the coping styles of adolescents (young people) (N=43, 37 f/6 m, age range 17-20, median age = 18) in deal with a traumatic life event, as reflected in standardized questionnaires and fairy tales written by themselwes, through the use of projective technique called "А person in the rain". Several types of traumatic life events in youth assessments were distinguished. It was found out that respondents with the victimized coping style use: the strategy of search for social support; strategy of social contact; cautious, aggressive, antisocial and indirect actions; avoidance; getting stuck in the situation and focusing on emotions; and passivity. The respondents with a hardiness coping style use the strategy of search for social support; strategy of social contact; acceptance of the situation; growth; development; renovation; assertive and careful actions. The respondents with an unformed coping style use the strategies of adoption, growth and development; updates; activity; a strategy of experience acquisition; focusing on emotions; loss of self; and escape into fantasy. The study shows that today’s young people are able to withstand the events associated with the trauma, using a fairly extensive arsenal of coping strategies. The fairy tale is an indicator allowing to diagnose styles and coping strategies specific to adolescents (young people) as well as contributing to the gentle and careful reduction of acute negative emotional experiences, encouraging the search for constructive ways to overcome them.

scholarly journals Stress and Psychological Distress in Emerging Adulthood: A Gender Analysis

2020 ◽  
Vol 9 (9) ◽  
pp. 2859
Author(s):  
M. Pilar Matud ◽  
Amelia Díaz ◽  
Juan Manuel Bethencourt ◽  
Ignacio Ibáñez
Keyword(s):  
Social Support ◽  
Psychological Distress ◽  
Emerging Adulthood ◽  
Chronic Stress ◽  
Coping Style ◽  
Coping Styles ◽  
Emerging Adult ◽  
Self Esteem ◽  
Stress Coping ◽  
Emotional Coping

Emerging adulthood is a critical period of life that entails many life transitions in living arrangements, relationships, education and employment, which can generate stress and psychological distress in the emerging adult. The aim of the present study was to assess the relevance of stress, coping styles, self-esteem and perceived social support in the distress of emerging adult women and men. The sample consists of 4816 people (50% females) from the Spanish general population, ranging in age from 18 to 29 years old. All participants were assessed through questionnaires and scales that assess psychological distress, stress, coping styles, self-esteem and social support. Women scored higher than men in psychological distress, chronic stress, minor daily hassles, emotional coping style and social support, whereas men scored higher than women in rational and detachment coping styles and in self-esteem. Psychological distress was significantly predicted in women and men by high emotional coping style, lower self-esteem, high number of life events, and less social support. Another statistically significant predictor in men was less detachment coping style, whereas in women it was high chronic stress. The results of this research are relevant to healthcare professionals interested in improving the mental health of the emerging adult.

The burden of multiple sclerosis and patients’ coping strategies

2017 ◽  
Vol 8 (1) ◽  
pp. 38-40 ◽  
Author(s):  
Lorena Lorefice ◽  
Giuseppe Fenu ◽  
Jessica Frau ◽  
Giancarlo Coghe ◽  
Maria Giovanna Marrosu ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Social Support ◽  
Coping Strategies ◽  
Disease Duration ◽  
Negative Impact ◽  
Coping Styles ◽  
Emotional Responses ◽  
Psychosocial Interventions ◽  
Adaptive Responses ◽  
Disability Status

ObjectivesMultiple sclerosis (MS) is a chronic disease that mainly affects young people. Patients with MS experience several emotional responses to changed perceptions of themselves and manage this situation in ways focused on controlling the overall burden of disease. This present study aimed to evaluate differences between patients with MS and healthy controls (HCs) in coping styles, identifying the MS clinical features that influence adaptive responses.MethodsPatients with MS, according to the McDonald 2010 criteria, and HCs were recruited. Coping strategies were assessed using the Coping Orientation to the Problems Experienced (COPE-NVI; Italian version) questionnaire.ResultsA cohort of 135 patients with MS (female: 89/135, 65.9%) and 94 HCs (female: 64/94, 68%) were enrolled. Impaired social support and problem solving was noted for MS group (p=0.005). In the MS group, the social support worsened with increasing disease duration (p=0.002) independently of the level of disability. Associations between a higher Expanded Disability Status Scale score and avoidance strategies (p<0.01), as well between avoidance strategies and a previous depression diagnosis (p<0.001) were reported.ConclusionOur findings highlight the negative impact of MS on various aspects of patients’ life. Therefore, psychosocial interventions are needed to increase adaptive coping mechanisms aimed to manage the burden of MS.

Increasing Wellbeing through a Parenting Program: Role of Gender and Partnered Attendance

2015 ◽  
Vol 32 (2) ◽  
pp. 120-141
Author(s):  
Samantha Thomson ◽  
Erica Frydenberg ◽  
Jan Deans ◽  
Rachel P-T Liang
Keyword(s):  
Coping Strategies ◽  
Repeated Measures ◽  
Program Effectiveness ◽  
Coping Styles ◽  
Parenting Program ◽  
Mixed Methods Design ◽  
Social Emotional ◽  
Program Outcomes ◽  
Data Set

Coping skills provide a resource for tackling stress in everyday situations, including those relating to parenting. The aim of this article is to establish whether parents who experienced a 10-hour universal social emotional parenting program — Families Coping (FC) — benefit through increased productive coping strategies, decreased nonproductive coping strategies, and increased parent wellbeing, within a positive parenting framework. It is also of interest to see whether gender and/or partner attendance makes a difference in program outcomes such as coping styles and wellbeing. The data set combined two groups of parents (N = 23) of preschool-aged children from an early learning centre in inner-metropolitan Melbourne in 2013 and 2014 who undertook the FC parenting program. A mixed methods design was employed, where parents completed pre- and post-program questionnaires on coping and wellbeing. Results were considered with respect to gender and partner attendance. A one-way repeated-measures multiple analysis of variance (RM-MANOVA) showed a significant increase in one productive parenting style (Dealing with the Problem), a significant decrease in nonproductive parent coping, and a significant increase in parent wellbeing. Comparison of results between gender and partner attendance groups showed minimal differences in program effectiveness. Qualitative data mostly confirmed the key findings.

scholarly journals How the Lagged and Accumulated Effects of Stress, Coping and Task Affect Mood and Fatigue during Nurse’s Shifts

2020 ◽  
Author(s):  
Fermín Martínez-Zaragoza ◽  
Jordi Fernández-Castro ◽  
Gemma Benavides-Gil ◽  
Rosa García-Sierra
Keyword(s):  
Coping Strategies ◽  
Repeated Measures ◽  
Negative Mood ◽  
Direct Care ◽  
Stress Coping ◽  
Support Seeking ◽  
Ecological Momentary ◽  
Momentary Assessment ◽  
And Task ◽  
Lagged Effect

Nurses experience significant stress and emotional exhaustion, leading to burnout and fatigue. This study assessed how the nurses&rsquo; mood and fatigue evolves during their shifts, and the lagged and accumulated factors that influence these phenomena. A two-level design with repeated measures was applied to a sample of 113 nurses, performing an ecological momentary assessment of different parameters and multilevel longitudinal two-level modelling of the data. Accordingly, mood appeared to be explained by effort, by the negative lagged effect of reward and by accumulated effort, each following a quadratic trend, and it was influenced by previously executing a direct care task. By contrast, fatigue was explained by the current and lagged effect of effort, by the lagged effect of reward and by accumulated effort, again following quadratic trends. Fatigue was also associated with direct care, and the prior effect of documentation and communication tasks. Mood was also explained by problem-focused and emotion-focused coping strategies, indicative of negative mood, and by support-seeking and refusal coping strategies. Hence, mood and fatigue do not depend on a single factor like workload but rather, on the evolution and distribution of tasks, as well as on the stress during a shift and how it is handled.

scholarly journals The Mediating Roles of Coping Styles and Resilience in the Relationship between Perceived Social Support and Posttraumatic Growth among Primary Caregivers of Schizophrenic Patients: A Cross-sectional Study

2020 ◽  
Author(s):  
Wu Chen ◽  
Yaping M.D ◽  
Songcui Ma ◽  
Guojian Jing ◽  
Wei Zhou ◽  
...  
Keyword(s):  
Social Support ◽  
Posttraumatic Growth ◽  
Indirect Effect ◽  
Coping Style ◽  
Perceived Social Support ◽  
Coping Styles ◽  
Primary Caregivers ◽  
Positive Coping ◽  
Schizophrenic Patients ◽  
The Relationship

Abstract Background: Despite the substantial burden of caring schizophrenic patients, primary caregivers can also experience posttraumatic growth (PTG) which may buffer their negative experience. Influencing factors of PTG and their functional pathways among primary caregivers of schizophrenic patients remain unclear. This study is designed to test the simple and serial mediating roles of coping styles and resilience in the relationship between perceived social support and PTG among those primary caregivers.Methods: A cross-sectional study was conducted from October 2018 to January 2019, and 365 primary caregivers (self-reported) of schizophrenic patients were analyzed. Measures used to assess their perceived social support, coping styles, resilience, and PTG were the Perceived Social Support Scale, the Simplified Coping Style Questionnaire, the Connor-Davidson Resilience Scale, and the Posttraumatic Growth Inventory, respectively. Structural equation modeling was used to run the analysis.Results: The average scores of PTG (range: 0-5), perceived social support (range: 1-7), positive coping style (range: 0-3), negative coping style (range: 0-3), resilience (range: 0-4) reported by primary caregivers was (2.91 ± 0.99), (4.80 ± 1.26), (1.79 ± 0.65), (1.49 ± 0.56), and (2.46 ± 0.66), respectively. The fitness indices of measurement and structural models were satisfactory. Three indirect pathways totally explained 55.56% variance of the PTG. The indirect effect of positive coping style between perceived social support and PTG was 0.20 [95% confidence interval (CI) 0.05 to 0.37], and this simple mediation pathway explained 27.78% variance of PTG. The indirect effect of resilience between perceived social support and PTG was 0.11 [95% CI 0.01 to 0.20], and this simple mediation pathway explained 15.28% variance of PTG. The indirect effect of positive coping style and then resilience between perceived social support and PTG was 0.09 [95% CI 0.01 to 0.17], and this serial mediation pathway explained 12.50% variance of PTG. Conclusions: Both simple and serial mediation roles of positive coping style and resilience are established in the relationship between perceived social support and PTG among primary caregivers of schizophrenic patients. Positive coping style and resilience are two important targets for future interventional studies, and interventions on them may bring the synergistic effect on improving PTG.

scholarly journals Symptoms of post-traumatic stress disorder and depression among Eritrean refugees in Ethiopia: identifying direct, meditating and moderating predictors from path analysis

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e021142 ◽  
Author(s):  
Berhanie Getnet ◽  
Girmay Medhin ◽  
Atalay Alem
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Sense Of Coherence ◽  
Coping Style ◽  
Coping Styles ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Task Oriented ◽  
Exposure To Trauma

ObjectiveThis study aimed at testing the significance of mediating and moderating roles of sense of coherence, adaptive coping styles and social support in the relationship between exposure to trauma and psychological symptoms in a refugee population in sub-Saharan Africa.MethodsA cross-sectional survey design was employed to collect data. The study was carried out in Mai Aini refugee camp in Ethiopia. A total of 562 adult Eritrean refugees aged 18–74 years were selected randomly to screen for depression and post-traumatic stress disorder (PTSD) symptoms and to examine associated factors. Data were collected using the premigration and postmigration living difficulties checklist, Center for Epidemiologic Studies Depression (CES-D) scale, Primary Care PTSD Screener, coping style scale, Sense of Coherence scale and Oslo Social Support scale. Path modelling was used to test the mediation and moderation effects of prespecified factors.ResultsPremigration living difficulties were associated directly with symptoms of PTSD (β=0.09, p<0.05), and associated indirectly with PTSD symptoms in paths through duration of stay in the camp, sense of coherence, postmigration living difficulties, task-oriented coping style and depressive symptoms (β=0.26, p<0.01). Premigration and postmigration living difficulties were associated directly with depressive symptoms with standardised estimate of β=0.35(p<0.001) and β=0.23(p<0.05), respectively. Postmigration living difficulties were associated indirectly with PTSD through paths of sense of coherence, task-oriented coping style and depressive symptoms (β=0.13; p<0.01). Social support moderated the effect of postmigration living difficulties on depressive symptoms (p<0.05). Emotion-oriented coping style moderated the effect of premigration threat for abuse on PTSD (β=−0.18, p<0.001) and depressive (β=−0.12, p<0.01) symptoms, as well as moderating threat to life on PTSD symptoms (β=−0.13, p<0.001).ConclusionsSense of coherence and task-oriented coping style showed a partial mediating effect on the association between exposure to trauma and symptoms of PTSD. An emotion-oriented coping style and social support moderated the effect of premigration and postmigration living difficulties, respectively. Fostering social support, task-oriented and emotion-oriented coping styles may be beneficial for these refugees.

The influencing factors and coping styles of mental health stress responses of stroke caregivers

Work ◽  
2021 ◽  
pp. 1-15
Author(s):  
Zhe Liu ◽  
Malizia King
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Influencing Factors ◽  
Stress Responses ◽  
Self Efficacy ◽  
Coping Style ◽  
Coping Styles ◽  
Positive Coping ◽  
And Coping ◽  
The Impact

BACKGROUND: For family caregivers, sudden stroke events and heavy caring works are stressful events. At present, controversies about the factors affecting caregivers’ stress response and their correlation with coping styles still exist. OBJECTIVE: To explore the influencing factors and coping styles of mental health stress responses of stroke caregivers and promote caregivers to adopt positive coping styles for diseases and caring works. METHODS: The convenience sampling method is used to select stroke caregivers as the research objects. The general information questionnaires, Relative Stress Scale (RSS), General Self-Efficacy Scale (GSES), Social Support Rate Scale (SSRS), Positive and Negative Affect Schedule (PANAS), and Simplified Coping Style Questionnaire (SCSQ) are utilized for investigation. RESULTS: 205 valid questionnaires are returned. Analysis suggests that the influential factors of mental health stress responses of stroke caregivers include the course of the disease, the impact of the disease on economic conditions, obligation to take care of other family members, understanding of stroke-associated diseases, and whether the patient is at risk. Social support and self-efficacy are negatively correlated with stress responses, while negative coping style is significantly positively correlated with stress responses. CONCLUSIONS: By increasing social support and self-efficacy, medical workers can guide stroke caregivers to take positive coping styles, thereby reducing their mental health stress responses.

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