Open AccessWhen and how do hospital nurses cope with daily stressors? A multilevel study
Author(s) -
Fermín Martínez-Zaragoza,
Gemma Benavides-Gil,
Tatiana Rovira,
Beatriz Martín-del-Río,
Sílvia Edo,
Rosa GarcíaSierra,
Ángel Solanes Puchol,
Jordi Fernández Castro
Publication year - 2020
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0240725
Subject(s) - coping (psychology) , stressor , mood , psychology , disengagement theory , clinical psychology , information seeking , multilevel model , social support , social psychology , medicine , gerontology , machine learning , library science , computer science
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.