When and how do hospital nurses cope with daily stressors? A multilevel study
Martínez-Zaragoza, Fermín (University Miguel Hernández. Department of Behavioural Sciences and Health)
Benavides Gil, Gemma (University Miguel Hernández. Department of Behavioural Sciences and Health)
Rovira Faixa, Tatiana (Universitat Autònoma de Barcelona. Departament de Psicologia Bàsica, Evolutiva i de l'Educació)
Martín-del-Río, Beatriz (University Miguel Hernández. Department of Behavioural Sciences and Health)
Edo Izquierdo, Sílvia (Universitat Autònoma de Barcelona. Departament de Psicologia Bàsica, Evolutiva i de l'Educació)
García-Sierra, Rosa (Universitat Autònoma de Barcelona. Departament d'Infermeria)
Solanes-Puchol, Ángel (University Miguel Hernández. Department of Behavioural Sciences and Health)
Fernández-Castro, Jordi (Universitat Autònoma de Barcelona. Departament de Psicologia Bàsica, Evolutiva i de l'Educació)

Fecha:	2020
Resumen:	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. 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. This study uses descriptive, correlational, two-level design with repeated measures. Wards of two University hospitals. A random cohort of 113 nurses was studied. 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. 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. The choice of the coping strategy depends on the task, of their appraisal and on the different styles of coping.
Ayudas:	Ministerio de Ciencia, Innovación y Universidades PSI2016-76411-R
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Publicado en:	PloS one, Vol. 15 (november 2020) , ISSN 1932-6203

DOI: 10.1371/journal.pone.0240725
PMID: 33170852

18 p, 915.7 KB

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