OCCUPATIONAL STRESS, COPING STRATEGIES, AND WELL-BEING IN NURSING PROFESSIONALS: A CROSS-SECTIONAL STUDY
DOI:
https://doi.org/10.9789/2175-5361.rpcfo.v18.14974Keywords:
Nursing; Occupational stress; Psychological adaptationAbstract
Objective: to analyze the associations between occupational coping, well-being at work, and occupational stress among nurses and nursing technicians at a public pediatric hospital in the Brazilian Amazon. Methodology: a survey study was conducted with 238 nursing professionals, comprising 88 nurses and 150 nursing technicians. Data were collected through a sociodemographic questionnaire, and questionnaires assessing stress, well-being, and coping. Descriptive statistics, correlation, and multiple linear regression with standard errors were employed. Results: there were no differences between categories in total occupational stress and in the dimensions of well-being, and in coping, only avoidance differed. Stress was inversely correlated with positive affect (r=-0.359) and accomplishment (r=-0.209) and directly correlated with negative affect (r=0.504). In the final adjusted model, lower positive affect (β=-5.40; 95% CI -8.27 to -2.54) and higher negative affect (β=7.50; 95% CI 4.57 to 10.43) remained associated with greater occupational stress. Conclusion: affective dimensions of well-being showed a more consistent association with stress than occupational category and coping.
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References
World Health Organization, International Council of Nurses. State of the world’s nursing 2025: investing in education, jobs, leadership and service delivery. [Internet]. Geneva: World Health Organization; 2025 [cited 2025 Oct 15]. Available from: https://www.who.int/publications/i/item/9789240110236.
Ullah H, Arbab S, Khan SA, Liu CQ, Fayaz M, Tian Y, et al. Work-related stress, professional respect, and psychological counseling among nurses: a cross-sectional study. J Nurs Manag. [Internet]. 2025 [cited 2025 Oct 15];2025:2413658. Available from: https://doi.org/10.1155/jonm/2413658.
Santos A, Castanheira F, Chambel MJ, Amarante MV, Costa C. Relational job characteristics and well-being: a study among Portuguese and Brazilian hospital nurses. Stress Health. [Internet]. 2017 [cited 2025 Oct 15];33(4). Available from: https://doi.org/10.1002/smi.2729.
Pereira MC, Eberhardt LD, Carvalho M. Working conditions and mental illness among nursing workers. Rev Bras Med Trab. [Internet]. 2024 [cited 2025 Oct 15];22(1):e2022980. Available from: https://doi.org/10.47626/1679-4435-2022-980.
Almeida D, Figueiredo AR, Lucas P. Nurses’ well-being at work in a hospital setting: a scoping review. Healthcare (Basel). [Internet]. 2024 [cited 2025 Oct 15];12(2). Available from: https://doi.org/10.3390/healthcare12020173.
Buckley L, Berta W, Cleverley K, Medeiros C, Widger K. What is known about paediatric nurse burnout: a scoping review. Hum Resour Health. [Internet]. 2020 [cited 2025 Oct 15];18(1):9. Available from: https://doi.org/10.1186/s12960-020-0451-8.
Buckley L, Berta W, Cleverley K, Widger K. The relationships amongst pediatric nurses’ work environments, work attitudes, and experiences of burnout. Front Pediatr. [Internet]. 2021 [cited 2025 Oct 15];9:807245. Available from: https://doi.org/10.3389/fped.2021.807245.
Shaqiqi W, Smith P, Shaqiqi R. Exploring the emotional labour of paediatric oncology nurses and its impact on their well-being: an integrative review. Eur J Oncol Nurs. [Internet]. 2024 [cited 2025 Oct 15];73:102693. Available from: https://doi.org/10.1016/j.ejon.2024.102693.
Astvik W, Melin M. Coping with the imbalance between job demands and resources: a study of different coping patterns and implications for health and quality in human service work. J Soc Work. [Internet]. 2013 [cited 2025 Oct 15];13(4). Available from: https://doi.org/10.1177/1468017311434682.
Souza RC, Silva SM, Sousa Costa MLA. Occupational stress in hospital settings: review of coping strategies of nursing professionals. Rev Bras Med Trab. [Internet]. 2020 [cited 2025 Oct 15];16(4). Available from: https://doi.org/10.5327/Z1679443520180279.
Elliott R, Fry M. Psychological capital, well-being, and patient safety attitudes of nurses and midwives: a cross-sectional survey. Nurs Health Sci. [Internet]. 2021 [cited 2025 Oct 15];23(1). Available from: https://doi.org/10.1111/nhs.12808.
Liao L, Wu Q, Su Y, Li R, Wang L. Coping styles mediated the association between perceived organizational support and resilience in emergency nurses exposed to workplace violence: a cross-sectional study. Nurs Health Sci. [Internet]. 2025 [cited 2025 Oct 15];27(1):e70018. Available from: https://doi.org/10.1111/nhs.70018.
Novaes Neto EM, Xavier ASG, Araújo TM. Factors associated with occupational stress among nursing professionals in health services of medium complexity. Rev Bras Enferm. [Internet]. 2020 [cited 2025 Oct 15];73(Suppl 1):e20180913. Available from: https://doi.org/10.1590/0034-7167-2018-0913.
Meneguin S, Pollo CF, Segalla AVZ, Generoso FJF, Leo A, Oliveira C. Stress and occupational coping among Brazilian nurses in critical care units during the COVID-19 pandemic. Healthcare (Basel). [Internet]. 2024 [cited 2025 Oct 15];12(6). Available from: https://doi.org/10.3390/healthcare12060613.
Li LZ, Yang P, Singer SJ, Pfeffer J, Mathur MB, Shanafelt T. Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. JAMA Netw Open. [Internet]. 2024 [cited 2025 Oct 15];7(11):e2443059. Available from: https://doi.org/10.1001/jamanetworkopen.2024.43059.
Paschoal T, Tamayo A. Validação da escala de estresse no trabalho. Estud Psicol (Natal). [Internet]. 2004 [acesso em 15 de outubro 2025];9(1). Disponível em: https://doi.org/10.1590/S1413-294X2004000100006.
Paschoal T, Tamayo A. Construção e avaliação da escala de bem-estar no trabalho. Aval Psicol. [Internet]. 2008 [acesso em 15 de outubro 2025];7(1). Disponível em: https://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1677-04712008000100004.
Latack JC. Coping with job stress: measures and future directions for scale development. J Appl Psychol. [Internet]. 1986 [cited 2025 Oct 15];71(3). Available from: https://doi.org/10.1037/0021-9010.71.3.377.
Pinheiro FA, Tróccoli BT, Tamayo MR. Mensuração de coping no ambiente ocupacional. Psicol Teor Pesqui. [Internet]. 2003 [acesso em 15 de outubro 2025];19(2). Disponível em: https://doi.org/10.1590/S0102-37722003000200007.
Flynn C, Watson C, Patton D, O’Connor T. The impact of burnout on paediatric nurses’ attitudes about patient safety in the acute hospital setting: a systematic review. J Pediatr Nurs. [Internet]. 2024 [cited 2025 Oct 15];78:e82-9. Available from: https://doi.org/10.1016/j.pedn.2024.06.023.
Quesada-Puga C, Izquierdo-Espin FJ, Membrive-Jiménez MJ, Aguayo-Estremera R, Cañadas-De La Fuente GA, Romero-Béjar JL, et al. Job satisfaction and burnout syndrome among intensive-care unit nurses: a systematic review and meta-analysis. Intensive Crit Care Nurs. [Internet]. 2024 [cited 2025 Oct 15];82:103660. Available from: https://doi.org/10.1016/j.iccn.2024.103660.
Oliveira JADN, Gomes ET, Silva JRRD, Rocha NGN, Medeiros KS, Ramos FS. Impact of satisfaction and motivation on occupational stress in operating room nursing: a pilot study. Rev Bras Enferm. [Internet]. 2025 [cited 2025 Oct 15];78(1):e20230415. Available from: https://doi.org/10.1590/0034-7167-2023-0415.
Bae SH. Nurse staffing, work hours, mandatory overtime, and turnover in acute care hospitals affect nurse job satisfaction, intent to leave, and burnout: a cross-sectional study. Int J Public Health. [Internet]. 2024 [cited 2025 Oct 15];69:1607068. Available from: https://doi.org/10.3389/ijph.2024.1607068.
Getie A, Ayenew T, Amlak BT, Gedfew M, Edmealem A, Kebede WM. Global prevalence and contributing factors of nurse burnout: an umbrella review of systematic review and meta-analysis. BMC Nurs. [Internet]. 2025 [cited 2025 Oct 15];24(1). Available from: https://doi.org/10.1186/s12912-025-03266-8.
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