Home⇛Psychology and Education: A Multidisciplinary Journal⇛vol. 17 no. 6 (2024)

Challenges and Coping Mechanisms of Emergency Room Nurses at Medical Centers in Nueva Vizcaya in the Event of Emerging Infectious Diseases

Nikki Afan | Geraldine  Ferreras

Discipline: Medical Sciences

 

Abstract:

This research study aimed to investigate the challenges and coping mechanisms employed by Emergency Room (ER) nurses in three medical centers—Region II Trauma and Medical Center, PLT Medical Center, and Salubris Medical Center—during emerging infectious diseases. The study sought to contribute to the development of Coping Mechanisms Guidelines for Emergency Room Nurses and Nurse Administrators. The research questions addressed the extent of coping mechanisms in terms of problem-focused coping, emotion-focused coping, less useful coping, humor, and substance use. Additionally, the study examined potential differences in coping based on demographic variables such as gender, age, rank/position, and educational attainment. The conclusions revealed that ER nurses predominantly exhibit positive coping mechanisms, actively engaging in problem-focused coping, humor utilization, and avoiding substance use. However, areas for improvement include seeking professional emotional support and participation in debriefing sessions. The analysis of profile variables highlighted the importance of a collective and gender-neutral approach to crisis management. Recommendations include creating tailored programs for ER nurses, focusing on stress management, resilience, and mental health support, considering the diverse coping mechanisms based on individual profiles, and involving nurses in decision-making processes to enhance workplace conditions.



References:

  1. Altuña Egocheaga, A., & García-Alcañiz, A. (2017). Gender differences in coping strategies among emergency department nurses in Spain. European Journal of Emergency Medicine, 34(4), 247-252. DOI: 10.1007/s10099-016-0238-4
  2. Beck, D., &Lenhardt, U. (2019). Consideration of psychosocial factors in workplace risk assessments: findings from a company survey in Germany. International Archives of Occupational and Environmental Health, 92, 435–451. 
  3. Buheji, M., &Buhaid, N. (2020). Nursing Human Factor During COVID-19 Pandemic. International Journal of Nursing Science, 10(1), 12-24.
  4. Bungener, C., & Lopez-Pousa, A. (2000). Gender differences in coping mechanisms among HIV/AIDS caregivers in Spain. AIDS Care, 12(5), 541-548. DOI: 10.1089/1079599004962577
  5. Center for Substance Abuse Treatment. (1997). A guide to substance abuse services for primary care clinicians.
  6. Chew, Q., Wei, K., Vasoo, S., Chua, H., &Sim, K. (2020). Narrative synthesis of psychological and coping responses towards emerging infectious disease outbreaks in the general population: practical considerations for the COVID-19 pandemic. Singapore Medical Journal, 2020, 1 – 31.
  7. Cleveland Clinic. (2020). Stress: Coping with life's stressors. Retrieved from https://my.clevelandclinic.org/health/articles/6392-stress-coping-with-lifes-stressors  on April 11, 2020.
  8. Edwards, J.R. &Baglion A.J. (1993). The measurement of coping with stress: construct validity of the Ways of Coping Checklist and the Cybernic Coping Scale. Work & Stress. Darden Graduate School of Business Administration: University of Virginia.
  9. Folkman, S. and Lazarus, R. S. (1988).Manual for the ways of coping questionnaire.Consulting Psychologists Press.
  10. Folkman, S. & Lazarus R.S.(1988a). Coping as a mediator of emotion.Journal of Personality and Social Psychology 54.
  11. Forte, A. (2017).Strategies for reducing employee absenteeism for a sustainable future: A Bermuda perspective. Walden University Scholar Works.Retrieved from https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=5044&context=dissertations  on April 6, 2020.
  12. Griswold, D. P., Gempeler, A., Kolias, A. G., Hutchinson, P. J., & Rubiano, A. M. (2021). Personal protective equipment for reducing the risk of COVID-19 infection among healthcare workers involved in emergency trauma surgery during the pandemic: an umbrella review protocol. BMJ open, 11(3), e045598.
  13. Huang, L., Xu, F., & Liu, H. (2020).Emotional responses and coping strategies of nurses and nursing college students during COVID-19 outbreak.Retrieved from https://www.medrxiv.org/content/10.1101/2020.03.05.20031898v1.full.pdf  on June 1, 2020.
  14. Ibn-Mohammed, T., Mustapha, K. B., Godsell, J., Adamu, Z., Babatunde, K. A., Akintade, D. D., ... & Koh, S. C. L. (2021). A critical analysis of the impacts of COVID-19 on the global economy and ecosystems and opportunities for circular economy strategies. Resources, Conservation and Recycling, 164, 105169.
  15. Institute of Medicine (US) Forum on Microbial Threats; Knobler SL, Burroughs T, Mahmoud A, et al., editors. Ensuring an Infectious Disease Workforce: Education and Training Needs for the 21st Century: Workshop Summary. Washington (DC): National Academies Press (US); 2006. Summary and Assessment. Available from: https://www.ncbi.nlm.nih.gov/books/NBK56566/
  16. International Federation of Red Cross and Red Crescent Societies.(2020). Major epidemic and pandemic diseases. Retrieved from https://media.ifrc.org/ifrc/wp-content/uploads/sites/5/2018/11/12-EPIDEMIC-HR.pdf  on April 6, 2020.
  17. Jennings BM. Work Stress and Burnout Among Nurses: Role of the Work Environment and Working Conditions. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 26. Available from: https://www.ncbi.nlm.nih.gov/books/NBK2668/
  18. Kuiper, N., Martin, R., &Olinger, L. (1993).Coping humor, stress, and cognitive appraisals.Can. J. Behav. Sci. 25,  81–96.
  19. Lazarus, R.S. and Folkman, S. (1984). Stress, Appraisal and Coping. Springer: New York.
  20. LaalM,&Aliramaie N. (2010). Nursing and coping with stress. International Journal of Collaborative Research on Internal Medicine & Public Health, 2:168-181.
  21. Lee, S., Juang, Y., Su, Y., Lee, H., Lin, Y., & Chao, C. (2005).Facing SARS: psychological impacts on SARS team nurses and psychiatric services in a Taiwan general hospital.General Hospital Psychiatry, 27(5), 352-358. 
  22. Lenz, S. (2010).Exploring college students' perception of their coping styles. LOGOS: A Journal of Undergraduate Research, 3, 68-82. Retrieved from http://www.missouristate.edu/assets/honors/Logos2010_text.pdf  on July 2017
  23. Molina-Mula J, Gallo-Estrada J. Impact of Nurse-Patient Relationship on Quality of Care and Patient Autonomy in Decision-Making. Int J Environ Res Public Health. 2020 Jan 29;17(3):835. doi: 10.3390/ijerph17030835. PMID: 32013108; PMCID: PMC7036952.
  24. Lam, S., Kwong, E., Hung, M., &Chien, W. (2020). Investigating the strategies adopted by emergency nurses to address uncertainty and change in the event of emerging infectious diseases: A grounded theory study. Int. J. Environ. Res. Public Health, 17, 2490.
  25. Lim L, Zimring CM, DuBose JR, Fischer GM, Stroebel R. (2022). Clinic Design for Safety During the Pandemic: Safety or Teamwork, Can We Only Pick One? HERD: Health Environments Research & Design Journal, 15(3), 28-41. https://doi.org/10.1177/19375867221091310.
  26. Nagle, Y., & Sharma, U. (2018). Academic stress and coping mechanism among students: An Indian perspective. J Child Adolesc Psych., 2(1),6-8.
  27. National Academic Press. (2009). Infectious disease emergence: Past, present, and future.Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK45714/  on April 8, 2020.
  28. Papola, D., Purgato, M., Gastaldon, C., Bovo, C., van Ommeren, M., Barbui, C., & Tol, W. A. (2020). Psychological and social interventions for the prevention of mental disorders in people living in low- and middle-income countries affected by humanitarian crises. The Cochrane database of systematic reviews, 9(9), CD012417. https://doi.org/10.1002/14651858.CD012417.pub2.
  29. Parkes, K.R. (1986). Coping in stressful episodes: the role of individual differences, environmental factors, and situation characteristics.Journal of Personality and Social Psychology 51 (6),1277-1292.
  30. Payne, R. (1991). Individual differences in cognition and stress process.Individual Differences in the Stress Process (Cooper, C.L. and Payne, R.eds). John Wiley: Chichester.181-201.
  31. Philippine Information Agency. (2020). Region 2: Nueva Vizcaya. Retrieved from https://pia.gov.ph/news/articles/1013574) on April 6, 2020.
  32. Randa, M. B., & Phale, J. M. (2023). The effects of high nurses’ turnover on patient care: Perspectives of unit managers in critical care units. International Journal of Africa Nursing Sciences, 19, 100580.
  33. Ruhabadi, F., Assarroudi, A., Mahdavifar, N., & Rad, M. (2022). Correlations of resilience with coping strategies, and the underlying factors in the nurses working in COVID-19 hospitals. Journal of education and health promotion, 11, 398. https://doi.org/10.4103/jehp.jehp_1634_21
  34. Sobhani, P., Esmaeilzadeh, H., Wolf, I. D., Marcu, M. V., Lück, M., & Sadeghi, S. M. M. (2023). Strategies to Manage Ecotourism Sustainably: Insights from a SWOT-ANP Analysis and IUCN Guidelines. Sustainability, 15(14), 11013. MDPI AG. Retrieved from http://dx.doi.org/10.3390/su151411013
  35. Thompson, N., Murphy, M. &Strading, S. (1994). Dealing with stress. London. Macmillan.
  36. World Health Organizations.(2020). Coronavirus.Retrieved from https://www.who.int/health-topics/coronavirus#tab=tab_1  on April 6, 2020.
  37. Wu P., Fang Y., Z Guan Z. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. Can J Psychiatry, 54(5),302–311. doi: 10.1177/070674370905400504
  38. Zeb, H., Inayat, S., & Younas, A. (2023). Organizational support and Nurse–Physician collaboration during SARS‐CoV‐2 pandemic: A qualitative study. Nursing & Health Sciences, 25(1), 9-17.

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