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Stress due to End-of-Life Care, Coping Strategies, and Psychological Well-being among Nurses in Neonatal Intensive Care Units

신생아집중치료실 간호사의 임종간호 스트레스, 대처방식 및 심리적 안녕감

  • Received : 2018.08.06
  • Accepted : 2018.09.27
  • Published : 2018.10.31

Abstract

Purpose: This study aimed to identify stress levels due to end-of-life care, coping strategies, and psychological well-being among nurses in neonatal intensive care unit, and to investigate the effect of stress levels and coping strategies on their well-being. Methods: A total of 128 nurses in the neonatal intensive care units of general hospitals in B city participated. The data were collected using a self-report questionnaire. The collected data were analyzed using descriptive statistics, the t-test, ANOVA, the Pearson correlation coefficient, and hierarchical regression with SPSS version 22.0. Results: The coping strategy that nurses most often used was seeking social support. The factors affecting the well-being of the participants were wishful thinking, problem-focused coping and seeking social support, in order. Those 3 variables explained 21 % of the total variance in psychological well-being. Problem-focused coping and seeking social support were positively associated with psychological well-being, while wishful thinking showed a negative association. Conclusion: In order to improve the psychological well-being of nurses in neonatal intensive care units, it is necessary to provide nurses with a program to build a social support system and to improve their problem-based coping skills.

Keywords

References

  1. Kang BH, Jung KA, Hahn WH, Shim KS, Chang JY, Bae CW. Regional analysis on the incidence of preterm and low birth weight infant and the current situation on the neonatal intensive care units in Korea, 2009. Journal of the Korean Society of Neonatology. 20011;18(1):70-75. https://doi.org/10.5385/jksn.2011.18.1.70
  2. Dessy E. Effective communication in difficult situation: Preventing stress and burnout in the NICU. Early Human Development. 2009; 85(10):S39-S41. https://doi.org/10.1016/j.earlhumdev.2009.08.012
  3. Braithwaite M. Nurse burnout and stress in the NICU. Advances in Neonatal Care. 2008;8(6):343-347. https://doi.org/10.1097/01.ANC.0000342767.17606.d1
  4. Statistics Korea. Infant, maternal and perinatal mortality statistics 2015. Statistic Report. Seoul: Statistics Korea; 2016 December. Report No. 11-1240000-000652-10.
  5. Kang HJ, Bang KS. Neonatal intensive care unit nurses' experience in caring for infants who are dying. Child Health Nursing Research. 2013;19(4):252-261. https://doi.org/10.4094/chnr.2013.19.4.252
  6. Yam BM, Rossiter JC, Cheung KY. Caring for dying infants: Experiences of neonatal intensive care nurses in Hong Kong. Journal of Clinical Nursing. 2001;10(5):651-659. https://doi.org/10.1046/j.1365-2702.2001.00532.x
  7. Han KS, Kim JH, Lee KM, Park JS. Correlation between quality of life and health promoting behaviors among hospital nurses. Journal of Korean Academy Psychiatric Mental Health Nursing. 2004; 13(4):430-437.
  8. Lazarus RS, Launier R. Stress-related transactions between person and environment. In: Pervin LA, Lewis M, editors. 1st ed. Perspectives in interactional psychology. New York: Plenum; 1978. p. 287-327.
  9. Lazarus RS, Folkman S. Stress, appraisal, and coping. 1st ed. New York: Springer Publishing; 1984. p. 1-445.
  10. Kim JH, Lee JH. The components and the relationship of stress coping behaviors to depression. Behavioral Science Research. 1985; 7:127-138.
  11. Kim JH. Lee CH. Relations of perceived stress, cognitive set, and coping behaviors to depression: A focus on freshmen's stress experiences. Korean Journal of Counseling and Psychotherapy. 1988; 1(1):25-45.
  12. Wiedebusch S, Pollmann H, Siegmund B, Muthny FA. Quality of life, psychosocial strains and coping in parents of children with haemophilia. Haemophilia. 2008;14(5):1014-1022. https://doi.org/10.1111/j.1365-2516.2008.01803.x
  13. Ryff CD. Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology. 1989;57(6):1069-1081. https://doi.org/10.1037/0022-3514.57.6.1069
  14. Kim MS, Kim HW, Cha KH. Analysis on the construct of Psychological Well-Being (PWB) of Korean male and female adults. Korean Journal of Social and Personality Psychology. 2001;15(2):19-39.
  15. Yu M. Work stress, turnover intention and burnout among nurses in neonatal intensive care units. Journal of Korean Academy of Nursing Administration. 2011;17(1):115-126. https://doi.org/10.11111/jkana.2011.17.1.115
  16. Moore BM, Schellinger K. An examination of the moderating effect of proactive coping in NICU Nurses. The Journal of Perinatal & Neonatal Nursing. 2018;32(3):275-285. https://doi.org/10.1097/JPN.0000000000000353
  17. Soper DS. A-priori sample size calculator for hierarchical multiple regression [Internet]. California: Free Statistics Calculators 4.0; 2006 [cited 2017 May 15] Available from: https://www.danielsoper.com/statcalc/calculator.aspx?id=16.
  18. Jang SH. Neonatal intensive care unit nurses' stress of end-of-life care for high-risk newborn [master's thesis]. Seoul: Ewha Womans University; 2013. p. 1-58.
  19. Ryff CD, Keyes CLM. The structure of psychological well-being revisited, Journal of Personality and Social Psychology. 1995;69(4):719-727. https://doi.org/10.1037/0022-3514.69.4.719
  20. Kain VJ. Palliative care delivery in the NICU: What barriers do neonatal nurses face? Neonatal Network. 2006;25(6):387-392. https://doi.org/10.1891/0730-0832.25.6.387
  21. Lim JH. A causal relationship between perceived stress, coping, and psychological well-being among university dance students. Korean Journal of Sport Psychology. 2015;26(3):81-93. https://doi.org/10.14385/KSSP.26.3.81 ISSN 1226-685X
  22. Kwon KJ, Lee SH. Occupational stress and coping styles as factors affecting the burnout of clinical nurses. Journal of Korean Academy of Nursing Administration. 2012;18(4):383-393. https://doi.org/10.11111/jkana.2012.18.4.383
  23. Kang HY, Choi EY. Stress, stress coping methods, and college adjustment according to behavioral styles in freshman nursing students. The Journal of Korean Academic Society of Nursing Education. 2015;21(3):289-297. https://doi.org/10.5977/jkasne.2015.21.3.289
  24. Moon H, Sung MH. Impact of ego-resilience, self-leadership and stress coping on job satisfaction in emergency department (ED) nurses. Korean Journal of Occupational Health Nursing. 2016;25(4):268-276. https://doi.org/10.5807/kjohn.2016.25.4.268
  25. Park JA, Lee EK. Influence of ego-resilience and stress coping styles on college adaptation in nursing students. Journal of Korean Academy of Nursing Administration. 2011;17(3):267-276. https://doi.org/10.11111/jkana.2011.17.3.267
  26. Cho HA, Kang JM. Effect of resilience, coping, and mental health on burnout of student nurses. Child Health Nursing Research. 2018;24(2):199-207. https://doi.org/10.4094/chnr.2018.24.2.199
  27. Welbourne JL, Eggerth D, Hartley TA, Andrew ME, Sanchez F. Coping strategies in the workplace: Relationships with attributional style and job satisfaction. Journal of Vocational Behavior. 2007;70(2):312-325. https://doi.org/10.1016/j.jvb.2006.10.006
  28. Howlett M, Doody K, Murray J, LeBlanc-Duchin D, Fraser J, Atkinson PR. Burnout in emergency department healthcare professionals is associated with coping style: A cross-sectional survey. Emergency Medicine Journal. 2015;32(9):722-727. https://doi.org/10.1136/emermed-2014-203750

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