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Impact of Coping Strategies on Nurses’ Well‐Being and Practice
Author(s) -
Lee Tony SzuHsien,
Tzeng WenChii,
Chiang HuiHsun
Publication year - 2019
Publication title -
journal of nursing scholarship
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.009
H-Index - 80
eISSN - 1547-5069
pISSN - 1527-6546
DOI - 10.1111/jnu.12467
Subject(s) - coping (psychology) , clinical practice , psychology , structural equation modeling , psychological well being , nursing , clinical psychology , medicine , statistics , mathematics
Objectives To examine the mechanisms of coping strategies on nurses’ psychological well‐being, practice environments and safety attitudes. Methods A cross‐sectional study design was used. Structural equation modeling was performed to analyze the results. Five hundred clinical nurses were randomly selected from a large group of 1,500 from a medical center with 1,350 beds in Taipei, Taiwan, from July to October 2015. Self‐report questionnaires were administered to measure coping strategies (Brief COPE ), psychological well‐being (Ryff's Psychological Well‐being Scale), nurses’ practice environments (Practice Environment Scale of the Nursing Work Index), and safety attitudes (Safety Attitudes Questionnaire). Results Of the 500 participants who gave written consent, 474 (94.8%) filled out the questionnaire. Results showed that using more approach‐oriented coping strategies and fewer avoidant coping strategies was associated with greater psychological well‐being. Psychological well‐being was directly associated with quality of nurses’ practice environments and safety attitudes. The impact of psychological well‐being on safety attitudes was mediated significantly by the quality of the practice environment. The use of approach‐oriented coping strategies was significantly predictive of positive psychological well‐being, a good practice environment, and good safety attitudes. Conclusions and Clinical Relevance This study found a distinct pathway for the relationships between clinical nurses’ psychological well‐being, practice environment, and safety attitudes. Psychological well‐being in clinical nurses was higher for those with more approach‐oriented coping strategies. Psychological well‐being directly impacted safety attitudes, which mediated nurses’ practice environments. The practical implications of the results suggest that interventions designed to promote positive psychological well‐being may help improve nurses’ practice environments, which, in turn, may result in better safety attitudes and nursing care outcomes.