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Perceived Levels of Stress and Coping Styles in Physicians and Nurses at a City Hospital during the COVID-19 Pandemic

Year 2023, Volume: 3 Issue: 2, 116 - 122, 11.08.2023
https://doi.org/10.58252/artukluder.1286317

Abstract

Introduction: The acute period of the COVID-19 pandemic forced stress-coping resources on physicians and nurses because of its uncertainty and catastrophe. Therefore, the perceived levels of stress and coping styles of the healthcare workers have been a matter of concern for the healthcare industry. This cross-sectional descriptive study aimed to determine the perceived levels of stress and coping styles in physicians and nurses at a city hospital during the COVID-19 pandemic.
Methods: Data were collected from 372 nurses and physicians using self-report questionnaires the Perceived Stress Scale and the Ways of Coping Scale.
Results: The findings showed that the nurses had higher levels of stress than the physicians. More of the physicians used the positive reappraisal style of coping than nurses whereas more of the nurses used the avoidance coping and distancing styles of coping than the physicians. In addition, age, gender, level of education, and level of income determine the perceived level of stress and the associated coping style.
Conclusion: The results of this study shed light on the active and passive coping mechanisms used by nurses to deal with stress. Nurses and physicians should be regularly provided with applied education within the scope of psychosocial support programs to help them adopt active coping styles such as positive reappraisal, confronting coping, and seeking social support.

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References

  • Akanji B, Mordi C, Ajonbadi HA. The experiences of work-life balance, stress, and coping lifestyles of female professionals: Insights from a developing country. Employee Relations: The International Journal. 2020;42(4):999-1015. doi: 10.1108/ER-01-2019-0089
  • Isikhan V. Stres Management: From burnout to happiness, Nika Publisher 2017.
  • Algorani EB, Gupta V. Coping mechanisms. In StatPearls Publishing 2021.
  • Lazarus RS, Folkman S. Stress, Appraisal and Coping. New York, NY: Springer Publishing Company 1984.
  • Karaçam O. City hospitals: The last attire of privatisation in the Turkish health system Iğdır University Journal of Economics and Administrative Sciences. 2021;6:51-64.
  • Ozzeybek Tas M. Determination of Opinions of Health Workers and Citizens on City Hospitals: Sample of Ankara Province. Dissertation. Atilim University Graduate School of Social Sciences 2018.
  • Camkerten S, Saltukoglu G, Tatar A. Examination of the stress levels of healthcare professionals. Health Care Academian Journal. 2020;7(4):257-264.
  • Turkcuer Y, Erdur B, Ergin A, Serinken M, Bukiran A, Aydin B, Bozkir M. A study of workplace stress factors of doctors working in emergency units: Survey results of Denizli city. Turkish Journal of Emergency Medicine. 2007;7(2):68-72.
  • Havare G. The Effect of Perceived Stress Level on Job Satisfaction: A Resarch on Nurses Working at a Public Hospital.Dissertaion. Bahcesehir University 2019.
  • Inaç Yılmaz B, Ozdemir O. Problems Faced by nurses as healthcare workers in the COVID-19 pandemic. Fenerbahce University Journal of Health Sciences. 2022;2(2):488-496.
  • Camci GB, Kavuran E. Determination of the correlation of job stress and burnout levels of nurses with their job and life satisfaction levels. Journal of Anatolia Nursing and Health Sciences. 2021;24(2):274-283. doi:10.17049/ataunihem.930846
  • Zurlo MC, Vallone F, Cattaneo Della Volta MF. Perceived past and current covıd-19-stressors, coping strategies and psychological health among university students: A mediated-moderated model. Int J Environ Res Public Health. 2022;19(16):10443. doi: 10.3390/ijerph191610443
  • Elm E, Altman DG, Matthias Egger M. et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for reporting observational studies. Ann Intern Med. 2007. 147:573-577. doi: 10.7326/0003-4819-147-8-200710160-00010
  • Afshani S, Ruhani A, Kiani-Dehkiani H. Exploring job powerlessness of nurses. Strategic Research on Social Problems in Iran University of Isfahan. 2019;8(3):1-18. doi: 10.22108/srspi.2020.120991.1487
  • Çelik S, Özbaş A, Çelik B, Karahan A, Bulut H, Koç G, Aydin F, Özleyen Ç. COVID-19 pandemi süreci: Türk Hemşireler Derneği. Koç Üniversitesi Hemşirelikte Eğitim ve Araştırma Dergisi. 202;17(3):279-283. doi: 10.5222/KUHEAD.2020.34603
  • Avci G, Ozturk G, Azakli N, Cekinmez ST. Determination of work-related stress levels of nurses and style of coping with stress. Izmir Katip Celebi University Faculty of Health Sience Journal, 2018;3(1):1-7.
  • Aksu I, Erdim A. How do operating room nurses cope with work-related tension and stress? Turkiye Klinikleri Journal of Nursing Sciences. 2018;10(1):28-37.
  • Eskin M, Harlak H. Demirkıran F, Dereboy Ç. The adaptation of the perceived stress scale into Turkish: A reliability and validity analysis. New Symposium Journal. 2013;51(3):132-140.
  • Şahin NH, Durak A. Stress coping scale: Adaptation for university students. Turkish Journal of Psychology. 1995:10(34);56-73.
  • Askin A. Analysis of the Relationship Between Stress Levels and Psychological Responsibilty of the Helath Employess (Doctor and Nurses) With the Time of Participation in the Leisure Time Activities. Dissertation. Istanbul Gelisim University 2019.
  • Atasoy A, Yorgun S. Evaluation of health workers job stress and job stress level. Journal of Performance and Quality in Health. 2013;6(2):71-88.
  • Polat OP, Coskun F. Determining the relationship between personal protective equipment uses of medical healthcare workers and depression, anxiety and stress levels in the COVID-19 pandemic. Medical Journal of Western Black Sea. 2020;4(2):51-58. doi: 10.29058/mjwbs.2020.2.3
  • Goksu O, Kumcagiz H. COVID-19 Salgınında bireylerde algılanan stres düzeyi ve kaygı düzeyleri. Electronic Turkish Studies. 2020;15(4):463-479. doi: 10.7827/TurkishStudies.44397
  • Deng J, Liu J, Guo Y, Gao Y, Wu Z, Yang T. How does social support affect public service motivation of healthcare workers in China: The mediating effect of job stress. BMC Public Health, 2021;21(1):1076. doi: 10.1186/s12889-021-11028-9
  • Oliveira JF, Santos A, Primo LS, Silva M, Domingues ES. Moreira FP, Wiener C. Oses JP. Job satisfaction and work overload among mental health nurses in the south of Brazil. Satisfação profissional e sobrecarga de trabalho de enfermeiros da área de saúde mental. Ciencia ve saude coletiva. 2019;24(7):2593–2599. doi: 10.1590/1413-81232018247.20252017
  • Su J, Weng H, Tsang HY, Wu JL. Mental health and quality of life among doctors nurses and other hospital staff. Stress and Health. 2009;25:423–430.
  • Karahan A, Gurpinar K, Ozyurek P. ınternal organization stress resources among service sector: Determination of stress resources for surgical nurses employed within the hospitals in the centrium of Afyonkarahisar. The International Journal of Economic and Social Research. 2007;3(1):27-44.
  • Afsar F, Erdogan H, Ibrahimoglu O, Saylan B, Koksal O. Job stress and organizational support perceptions of healthcare professionald during COVID-19. Gevher Nesibe Journal of Medical. 2021;6(14):89-96. doi: 10.46648/gnj.275
  • Chauhan VS, Chatterjee K, Yadav AK, Srivastava K, Prakash J, Yadav P, Dangi, A. Mental health impact of COVID-19 among health-care workers: An exposure-based cross-sectional study. Industrial Psychiatry Journal. 2021;30(3):63–68. doi: 10.4103/0972-6748.328791
  • Krishnamoorthy Y, Nagarajan R, Saya GK, Menon V. Prevalence of psychological morbidities among general population, healthcare workers and COVID-19 patients amidst the COVID 19 pandemic: A systematic review and meta analysis. Psychiatry Res. 2020:293. doi: 10.1016/j.psychres.2020.113382
  • Davey A, Sharma P, Davey S, Shukla A. Is work-associated stress converted into psychological distress among the staff nurses: A hospital-based study. Journal of Family Medicine and Primary Care. 2019;8(2):511-516. doi: 10.4103/jfmpc.jfmpc
  • Al Shafaee MAM. Determinants of job satisfaction of doctors and nurses in organised settings (hospitals and health centres) in Muscat Governorate, Sultanate of Oman. Dissertation. University of Hull 2001.
  • Mert Boga S, Ilter G, Aydin Sayilan A, Kersu O, Baydemir C. An Examination of the relationship between the factors affecting nursing care negatively and coping methods for stress among nurses. Turkiye Klinikleri Journal of Health Sciences. 2019;4(3):251-260. doi: 10.5336/healthsci.2019-65513
  • Gungor N, Nehir S. Investigation of psychosocial problems and ways of coping stress of nurses. Manisa Celal Bayar University Journal of Institute of Helath Science. 2019;6(3):174-181. doi: 10.34087/cbusbed.548466
  • Tatar Yuksel C, Ozgur G. The relation between depression symptomes level and stress coping strategies of nurses. Journal of Ege University Nursing Faculty. 2008;24(1):67-82.
  • Croghan IT, Chesak SS, Adusumalli J, Fischer KM, Beck EW, Patel SR, Ghosh K, Schroeder DR, Bhagra, A. Stress, resilience, and coping of healthcare workers during the covıd-19 pandemic. Journal of Primary Care and Community Health. 2021;12. doi: 10.1177/21501327211008448
  • Hayman KJ, Kerse N, Consedine NS. Resilience in context the special case of advanced age. Aging Ment Health. 2017;21:577-585. doi: 10.1080/13607863.2016.1196336
  • Sulemis I, Donmez L. Coping strategies with stress among female staff at a university hospital. Akdeniz Medical Journal. 2017;3(1):41-48. doi: 10.17954/amj.2017.69
  • Ince S. The effect of physician behaviors on the coping with stress mechanisms of the nurses Turkish Journal of Research ve Development in Nursing. 2014;16(2):41-53.

COVID-19 Pandemi Sürecinde Bir Şehir Hastanesinde Hekim ve Hemşirelerin Algılanan Stres Düzeyleri ve Baş Etme Tarzları

Year 2023, Volume: 3 Issue: 2, 116 - 122, 11.08.2023
https://doi.org/10.58252/artukluder.1286317

Abstract

Giriş: COVID-19 pandemisinin akut dönemi belirsizlik ve yaratmış olduğu felaket nedeniyle doktor ve hemşirelerin stresle başa çıkma kaynaklarını zorladı. Bu nedenle çalışanlarının algılanan stres ile baş etmeleri sağlık sektörü için endişe konusu olmuştur. Bu kesitsel tanımlayıcı çalışmada COVID-19 pandemi döneminde bir şehir hastanesinde çalışan doktor ve hemşirelerin algılan stres ve baş etme tarzları incelenmiştir.
Yöntem: Araştırmanın verileri kişisel bilgi formu, Algılanan Stres Ölçeği ve Stresle Baş etme Ölçeği aracılığı ile hekim ve hemşirelerden oluşan 372 kişiden toplanmıştır.
Bulgular: Bulgular hemşirelerin algılanan stres düzeylerinin hekimlerden yüksek olduğunu göstermiştir. Doktorlar olumlu yeniden değerlendirme baş etme tarzını hemşirelerden daha fazla kullandıklarını göstermiştir. Hemşireler uzak durma ve kaçınma baş etme tarzını daha fazla kullanmaktadır. Sosyodemografik özelliklerden yaş, cinsiyet, eğitim ve gelir düzeyinin algılanan stres ve baş etme tarzlarını etkilediği belirlenmiştir.
Sonuç: Bu çalışmanın bulguları özellikle hemşirelerin kullandıkları aktif ve pasif başetme tarzlarına yönelik bilgi sağlamıştır. Psikososyal destek programları kapsamında özellikle hemşirelere düzenli olarak stresle etkili baş etme eğitimleri uygulamalı olarak verilmeli. Özellikle etkili başetme yöntemlerinden olan olumlu yeniden değerlendirme, problemlerle aktif başa çıkma ve sosyal destek arama gibi yöntemleri benimsemeleri desteklenmelidir.

Project Number

-

References

  • Akanji B, Mordi C, Ajonbadi HA. The experiences of work-life balance, stress, and coping lifestyles of female professionals: Insights from a developing country. Employee Relations: The International Journal. 2020;42(4):999-1015. doi: 10.1108/ER-01-2019-0089
  • Isikhan V. Stres Management: From burnout to happiness, Nika Publisher 2017.
  • Algorani EB, Gupta V. Coping mechanisms. In StatPearls Publishing 2021.
  • Lazarus RS, Folkman S. Stress, Appraisal and Coping. New York, NY: Springer Publishing Company 1984.
  • Karaçam O. City hospitals: The last attire of privatisation in the Turkish health system Iğdır University Journal of Economics and Administrative Sciences. 2021;6:51-64.
  • Ozzeybek Tas M. Determination of Opinions of Health Workers and Citizens on City Hospitals: Sample of Ankara Province. Dissertation. Atilim University Graduate School of Social Sciences 2018.
  • Camkerten S, Saltukoglu G, Tatar A. Examination of the stress levels of healthcare professionals. Health Care Academian Journal. 2020;7(4):257-264.
  • Turkcuer Y, Erdur B, Ergin A, Serinken M, Bukiran A, Aydin B, Bozkir M. A study of workplace stress factors of doctors working in emergency units: Survey results of Denizli city. Turkish Journal of Emergency Medicine. 2007;7(2):68-72.
  • Havare G. The Effect of Perceived Stress Level on Job Satisfaction: A Resarch on Nurses Working at a Public Hospital.Dissertaion. Bahcesehir University 2019.
  • Inaç Yılmaz B, Ozdemir O. Problems Faced by nurses as healthcare workers in the COVID-19 pandemic. Fenerbahce University Journal of Health Sciences. 2022;2(2):488-496.
  • Camci GB, Kavuran E. Determination of the correlation of job stress and burnout levels of nurses with their job and life satisfaction levels. Journal of Anatolia Nursing and Health Sciences. 2021;24(2):274-283. doi:10.17049/ataunihem.930846
  • Zurlo MC, Vallone F, Cattaneo Della Volta MF. Perceived past and current covıd-19-stressors, coping strategies and psychological health among university students: A mediated-moderated model. Int J Environ Res Public Health. 2022;19(16):10443. doi: 10.3390/ijerph191610443
  • Elm E, Altman DG, Matthias Egger M. et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for reporting observational studies. Ann Intern Med. 2007. 147:573-577. doi: 10.7326/0003-4819-147-8-200710160-00010
  • Afshani S, Ruhani A, Kiani-Dehkiani H. Exploring job powerlessness of nurses. Strategic Research on Social Problems in Iran University of Isfahan. 2019;8(3):1-18. doi: 10.22108/srspi.2020.120991.1487
  • Çelik S, Özbaş A, Çelik B, Karahan A, Bulut H, Koç G, Aydin F, Özleyen Ç. COVID-19 pandemi süreci: Türk Hemşireler Derneği. Koç Üniversitesi Hemşirelikte Eğitim ve Araştırma Dergisi. 202;17(3):279-283. doi: 10.5222/KUHEAD.2020.34603
  • Avci G, Ozturk G, Azakli N, Cekinmez ST. Determination of work-related stress levels of nurses and style of coping with stress. Izmir Katip Celebi University Faculty of Health Sience Journal, 2018;3(1):1-7.
  • Aksu I, Erdim A. How do operating room nurses cope with work-related tension and stress? Turkiye Klinikleri Journal of Nursing Sciences. 2018;10(1):28-37.
  • Eskin M, Harlak H. Demirkıran F, Dereboy Ç. The adaptation of the perceived stress scale into Turkish: A reliability and validity analysis. New Symposium Journal. 2013;51(3):132-140.
  • Şahin NH, Durak A. Stress coping scale: Adaptation for university students. Turkish Journal of Psychology. 1995:10(34);56-73.
  • Askin A. Analysis of the Relationship Between Stress Levels and Psychological Responsibilty of the Helath Employess (Doctor and Nurses) With the Time of Participation in the Leisure Time Activities. Dissertation. Istanbul Gelisim University 2019.
  • Atasoy A, Yorgun S. Evaluation of health workers job stress and job stress level. Journal of Performance and Quality in Health. 2013;6(2):71-88.
  • Polat OP, Coskun F. Determining the relationship between personal protective equipment uses of medical healthcare workers and depression, anxiety and stress levels in the COVID-19 pandemic. Medical Journal of Western Black Sea. 2020;4(2):51-58. doi: 10.29058/mjwbs.2020.2.3
  • Goksu O, Kumcagiz H. COVID-19 Salgınında bireylerde algılanan stres düzeyi ve kaygı düzeyleri. Electronic Turkish Studies. 2020;15(4):463-479. doi: 10.7827/TurkishStudies.44397
  • Deng J, Liu J, Guo Y, Gao Y, Wu Z, Yang T. How does social support affect public service motivation of healthcare workers in China: The mediating effect of job stress. BMC Public Health, 2021;21(1):1076. doi: 10.1186/s12889-021-11028-9
  • Oliveira JF, Santos A, Primo LS, Silva M, Domingues ES. Moreira FP, Wiener C. Oses JP. Job satisfaction and work overload among mental health nurses in the south of Brazil. Satisfação profissional e sobrecarga de trabalho de enfermeiros da área de saúde mental. Ciencia ve saude coletiva. 2019;24(7):2593–2599. doi: 10.1590/1413-81232018247.20252017
  • Su J, Weng H, Tsang HY, Wu JL. Mental health and quality of life among doctors nurses and other hospital staff. Stress and Health. 2009;25:423–430.
  • Karahan A, Gurpinar K, Ozyurek P. ınternal organization stress resources among service sector: Determination of stress resources for surgical nurses employed within the hospitals in the centrium of Afyonkarahisar. The International Journal of Economic and Social Research. 2007;3(1):27-44.
  • Afsar F, Erdogan H, Ibrahimoglu O, Saylan B, Koksal O. Job stress and organizational support perceptions of healthcare professionald during COVID-19. Gevher Nesibe Journal of Medical. 2021;6(14):89-96. doi: 10.46648/gnj.275
  • Chauhan VS, Chatterjee K, Yadav AK, Srivastava K, Prakash J, Yadav P, Dangi, A. Mental health impact of COVID-19 among health-care workers: An exposure-based cross-sectional study. Industrial Psychiatry Journal. 2021;30(3):63–68. doi: 10.4103/0972-6748.328791
  • Krishnamoorthy Y, Nagarajan R, Saya GK, Menon V. Prevalence of psychological morbidities among general population, healthcare workers and COVID-19 patients amidst the COVID 19 pandemic: A systematic review and meta analysis. Psychiatry Res. 2020:293. doi: 10.1016/j.psychres.2020.113382
  • Davey A, Sharma P, Davey S, Shukla A. Is work-associated stress converted into psychological distress among the staff nurses: A hospital-based study. Journal of Family Medicine and Primary Care. 2019;8(2):511-516. doi: 10.4103/jfmpc.jfmpc
  • Al Shafaee MAM. Determinants of job satisfaction of doctors and nurses in organised settings (hospitals and health centres) in Muscat Governorate, Sultanate of Oman. Dissertation. University of Hull 2001.
  • Mert Boga S, Ilter G, Aydin Sayilan A, Kersu O, Baydemir C. An Examination of the relationship between the factors affecting nursing care negatively and coping methods for stress among nurses. Turkiye Klinikleri Journal of Health Sciences. 2019;4(3):251-260. doi: 10.5336/healthsci.2019-65513
  • Gungor N, Nehir S. Investigation of psychosocial problems and ways of coping stress of nurses. Manisa Celal Bayar University Journal of Institute of Helath Science. 2019;6(3):174-181. doi: 10.34087/cbusbed.548466
  • Tatar Yuksel C, Ozgur G. The relation between depression symptomes level and stress coping strategies of nurses. Journal of Ege University Nursing Faculty. 2008;24(1):67-82.
  • Croghan IT, Chesak SS, Adusumalli J, Fischer KM, Beck EW, Patel SR, Ghosh K, Schroeder DR, Bhagra, A. Stress, resilience, and coping of healthcare workers during the covıd-19 pandemic. Journal of Primary Care and Community Health. 2021;12. doi: 10.1177/21501327211008448
  • Hayman KJ, Kerse N, Consedine NS. Resilience in context the special case of advanced age. Aging Ment Health. 2017;21:577-585. doi: 10.1080/13607863.2016.1196336
  • Sulemis I, Donmez L. Coping strategies with stress among female staff at a university hospital. Akdeniz Medical Journal. 2017;3(1):41-48. doi: 10.17954/amj.2017.69
  • Ince S. The effect of physician behaviors on the coping with stress mechanisms of the nurses Turkish Journal of Research ve Development in Nursing. 2014;16(2):41-53.
There are 39 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Articles
Authors

Eda Akçay Yaralı 0000-0002-4167-0786

Songül Kamışlı 0000-0002-2709-3433

Project Number -
Publication Date August 11, 2023
Submission Date April 20, 2023
Published in Issue Year 2023 Volume: 3 Issue: 2

Cite

APA Yaralı, E. A., & Kamışlı, S. (2023). Perceived Levels of Stress and Coping Styles in Physicians and Nurses at a City Hospital during the COVID-19 Pandemic. Artuklu International Journal of Health Sciences, 3(2), 116-122. https://doi.org/10.58252/artukluder.1286317
AMA Yaralı EA, Kamışlı S. Perceived Levels of Stress and Coping Styles in Physicians and Nurses at a City Hospital during the COVID-19 Pandemic. Artuklu International Journal of Health Sciences. August 2023;3(2):116-122. doi:10.58252/artukluder.1286317
Chicago Yaralı, Eda Akçay, and Songül Kamışlı. “Perceived Levels of Stress and Coping Styles in Physicians and Nurses at a City Hospital During the COVID-19 Pandemic”. Artuklu International Journal of Health Sciences 3, no. 2 (August 2023): 116-22. https://doi.org/10.58252/artukluder.1286317.
EndNote Yaralı EA, Kamışlı S (August 1, 2023) Perceived Levels of Stress and Coping Styles in Physicians and Nurses at a City Hospital during the COVID-19 Pandemic. Artuklu International Journal of Health Sciences 3 2 116–122.
IEEE E. A. Yaralı and S. Kamışlı, “Perceived Levels of Stress and Coping Styles in Physicians and Nurses at a City Hospital during the COVID-19 Pandemic”, Artuklu International Journal of Health Sciences, vol. 3, no. 2, pp. 116–122, 2023, doi: 10.58252/artukluder.1286317.
ISNAD Yaralı, Eda Akçay - Kamışlı, Songül. “Perceived Levels of Stress and Coping Styles in Physicians and Nurses at a City Hospital During the COVID-19 Pandemic”. Artuklu International Journal of Health Sciences 3/2 (August 2023), 116-122. https://doi.org/10.58252/artukluder.1286317.
JAMA Yaralı EA, Kamışlı S. Perceived Levels of Stress and Coping Styles in Physicians and Nurses at a City Hospital during the COVID-19 Pandemic. Artuklu International Journal of Health Sciences. 2023;3:116–122.
MLA Yaralı, Eda Akçay and Songül Kamışlı. “Perceived Levels of Stress and Coping Styles in Physicians and Nurses at a City Hospital During the COVID-19 Pandemic”. Artuklu International Journal of Health Sciences, vol. 3, no. 2, 2023, pp. 116-22, doi:10.58252/artukluder.1286317.
Vancouver Yaralı EA, Kamışlı S. Perceived Levels of Stress and Coping Styles in Physicians and Nurses at a City Hospital during the COVID-19 Pandemic. Artuklu International Journal of Health Sciences. 2023;3(2):116-22.

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