Perceived stress and coping strategies among ICU nurses in government tertiary hospitals in Saudi Arabia: a cross-sectional study

No study has examined the stress level and coping strategies among critical care nurses in Saudi Arabia. Examine perceived stress and coping behaviors among nurses in intensive care units in Saudi Arabia, and the influence of cop.ing mechanisms on stress. Descriptive cross-sectional. Two tertiary tr...

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Published inAnnals of Saudi medicine Vol. 39; no. 1; pp. 48 - 55
Main Authors Alharbi, Homood, Alshehry, Abdualrahman
Format Journal Article
LanguageEnglish
Published Saudi Arabia KING FAISAL SPECIALIST HOSPITAL & RESEARCH CENTRE 01.01.2019
King Faisal Specialist Hospital and Research Centre
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Online AccessGet full text
ISSN0256-4947
0975-4466
0975-4466
DOI10.5144/0256-4947.2019.48

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Abstract No study has examined the stress level and coping strategies among critical care nurses in Saudi Arabia. Examine perceived stress and coping behaviors among nurses in intensive care units in Saudi Arabia, and the influence of cop.ing mechanisms on stress. Descriptive cross-sectional. Two tertiary training hospitals in Riyadh, Saudi Arabia. Nurses from cardiac, surgery and pediatric intensive care units responded to an online survey. Perceived Stress Scale-10 (PSS-10) and the Brief COPE Inventory were used as primary research tools. Multivariate methods were used to analyze the data. Stress levels, coping strategies, and associated factors. 154 nurses. The majority of the respondents reported a moderate level of stress in the past month (87.0%). Mean (SD) scores for nurses working in the cardiac ICU indicated significantly higher levels of stress compared to surgical ICU (18.18 [3.88] vs 6.17 [3.21], P=.025). Belief in religion was the most common coping behavior while the use of substances was the lowest (mean scores [SD] 6.70 [ 1.72] vs 2.22 [0.81]). In the multivariate analysis, behavioral disengagement (P=.016) and self-blame (P less than .001) intensified the PSS-10 score, whereas acceptance (P=.048) reduced the PSS-10 score. The additional knowledge that behavioral disengagement and blaming aggravate stress can serve as the basis in formulating work-related stress reduction strategies among nurses caring for critical patients. The use of self-reports, convenience sampling, and selected demographic factors may have limited the scope and generalizability of the findings and induced social desirability bias. None.
AbstractList No study has examined the stress level and coping strategies among critical care nurses in Saudi Arabia.BACKGROUNDNo study has examined the stress level and coping strategies among critical care nurses in Saudi Arabia.Examine perceived stress and coping behaviors among nurses in intensive care units in Saudi Arabia, and the influence of cop.ing mechanisms on stress.OBJECTIVESExamine perceived stress and coping behaviors among nurses in intensive care units in Saudi Arabia, and the influence of cop.ing mechanisms on stress.Descriptive cross-sectional.DESIGNDescriptive cross-sectional.Two tertiary training hospitals in Riyadh, Saudi Arabia.SETTINGTwo tertiary training hospitals in Riyadh, Saudi Arabia.Nurses from cardiac, surgery and pediatric intensive care units responded to an online survey. Perceived Stress Scale-10 (PSS-10) and the Brief COPE Inventory were used as primary research tools. Multivariate methods were used to analyze the data.SUBJECTS AND METHODSNurses from cardiac, surgery and pediatric intensive care units responded to an online survey. Perceived Stress Scale-10 (PSS-10) and the Brief COPE Inventory were used as primary research tools. Multivariate methods were used to analyze the data.Stress levels, coping strategies, and associated factors.MAIN OUTCOME MEASURESStress levels, coping strategies, and associated factors.154 nurses.SAMPLE SIZE154 nurses.The majority of the respondents reported a moderate level of stress in the past month (87.0%). Mean (SD) scores for nurses working in the cardiac ICU indicated significantly higher levels of stress compared to surgical ICU (18.18 [3.88] vs 6.17 [3.21], P=.025). Belief in religion was the most common coping behavior while the use of substances was the lowest (mean scores [SD] 6.70 [ 1.72] vs 2.22 [0.81]). In the multivariate analysis, behavioral disengagement (P=.016) and self-blame (P less than .001) intensified the PSS-10 score, whereas acceptance (P=.048) reduced the PSS-10 score.RESULTSThe majority of the respondents reported a moderate level of stress in the past month (87.0%). Mean (SD) scores for nurses working in the cardiac ICU indicated significantly higher levels of stress compared to surgical ICU (18.18 [3.88] vs 6.17 [3.21], P=.025). Belief in religion was the most common coping behavior while the use of substances was the lowest (mean scores [SD] 6.70 [ 1.72] vs 2.22 [0.81]). In the multivariate analysis, behavioral disengagement (P=.016) and self-blame (P less than .001) intensified the PSS-10 score, whereas acceptance (P=.048) reduced the PSS-10 score.The additional knowledge that behavioral disengagement and blaming aggravate stress can serve as the basis in formulating work-related stress reduction strategies among nurses caring for critical patients.CONCLUSIONThe additional knowledge that behavioral disengagement and blaming aggravate stress can serve as the basis in formulating work-related stress reduction strategies among nurses caring for critical patients.The use of self-reports, convenience sampling, and selected demographic factors may have limited the scope and generalizability of the findings and induced social desirability bias.LIMITATIONSThe use of self-reports, convenience sampling, and selected demographic factors may have limited the scope and generalizability of the findings and induced social desirability bias.None.CONFLICT OF INTERESTNone.
No study has examined the stress level and coping strategies among critical care nurses in Saudi Arabia. Examine perceived stress and coping behaviors among nurses in intensive care units in Saudi Arabia, and the influence of cop.ing mechanisms on stress. Descriptive cross-sectional. Two tertiary training hospitals in Riyadh, Saudi Arabia. Nurses from cardiac, surgery and pediatric intensive care units responded to an online survey. Perceived Stress Scale-10 (PSS-10) and the Brief COPE Inventory were used as primary research tools. Multivariate methods were used to analyze the data. Stress levels, coping strategies, and associated factors. 154 nurses. The majority of the respondents reported a moderate level of stress in the past month (87.0%). Mean (SD) scores for nurses working in the cardiac ICU indicated significantly higher levels of stress compared to surgical ICU (18.18 [3.88] vs 6.17 [3.21], P=.025). Belief in religion was the most common coping behavior while the use of substances was the lowest (mean scores [SD] 6.70 [ 1.72] vs 2.22 [0.81]). In the multivariate analysis, behavioral disengagement (P=.016) and self-blame (P less than .001) intensified the PSS-10 score, whereas acceptance (P=.048) reduced the PSS-10 score. The additional knowledge that behavioral disengagement and blaming aggravate stress can serve as the basis in formulating work-related stress reduction strategies among nurses caring for critical patients. The use of self-reports, convenience sampling, and selected demographic factors may have limited the scope and generalizability of the findings and induced social desirability bias. None.
BACKGROUND: No study has examined the stress level and coping strategies among critical care nurses in Saudi Arabia. OBJECTIVES: Examine perceived stress and coping behaviors among nurses in intensive care units in Saudi Arabia, and the influence of coping mechanisms on stress. DESIGN: Descriptive cross-sectional. SETTING: Two tertiary training hospitals in Riyadh, Saudi Arabia. SUBJECTS AND METHODS: Nurses from cardiac, surgery and pediatric intensive care units responded to an online survey. Perceived Stress Scale-10 (PSS-10) and the Brief COPE Inventory were used as primary research tools. Multivariate methods were used to analyze the data. MAIN OUTCOME MEASURES: Stress levels, coping strategies, and associated factors. SAMPLE SIZE: 154 nurses. RESULTS: The majority of the respondents reported a moderate level of stress in the past month (87.0%). Mean (SD) scores for nurses working in the cardiac ICU indicated significantly higher levels of stress compared to surgical ICU (18.18 [3.88] vs 6.17 [3.21], P=.025). Belief in religion was the most common coping behavior while the use of substances was the lowest (mean scores [SD] 6.70 [1.72] vs 2.22 [0.81]). In the multivariate analysis, behavioral disengagement (P=.016) and self-blame (P<.001) intensified the PSS-10 score, whereas acceptance (P=.048) reduced the PSS-10 score. CONCLUSION: The additional knowledge that behavioral disengagement and blaming aggravate stress can serve as the basis in formulating work-related stress reduction strategies among nurses caring for critical patients. LIMITATIONS: The use of self-reports, convenience sampling, and selected demographic factors may have limited the scope and generalizability of the findings and induced social desirability bias. CONFLICT OF INTEREST: None.
Author Alharbi, Homood
Alshehry, Abdualrahman
AuthorAffiliation a Nursing College, King Saud University, Riyadh, Saudi Arabia
b Department of Medical Surgical Nursing, King Saud University, Riyadh, Saudi Arabia
AuthorAffiliation_xml – name: a Nursing College, King Saud University, Riyadh, Saudi Arabia
– name: b Department of Medical Surgical Nursing, King Saud University, Riyadh, Saudi Arabia
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  givenname: Homood
  orcidid: 0000-0002-6144-513X
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  fullname: Alharbi, Homood
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  givenname: Abdualrahman
  surname: Alshehry
  fullname: Alshehry, Abdualrahman
  organization: From the Department of Medical Surgical Nursing, King Saud University, Riyadh, Saudi Arabia
BackLink https://www.ncbi.nlm.nih.gov/pubmed/30712051$$D View this record in MEDLINE/PubMed
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Snippet No study has examined the stress level and coping strategies among critical care nurses in Saudi Arabia. Examine perceived stress and coping behaviors among...
BACKGROUND: No study has examined the stress level and coping strategies among critical care nurses in Saudi Arabia. OBJECTIVES: Examine perceived stress and...
No study has examined the stress level and coping strategies among critical care nurses in Saudi Arabia.BACKGROUNDNo study has examined the stress level and...
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StartPage 48
SubjectTerms Adaptation, Psychological
Adult
Age
Behavior
Burnout
Coping
Critical Care Nursing - statistics & numerical data
Cross-Sectional Studies
Data collection
Demographics
Female
Hospitals
Hospitals, Public
Humans
Intensive care
Intensive Care Units - statistics & numerical data
Male
Multivariate Analysis
Nurses
Nursing
Nursing Staff, Hospital - psychology
Occupational Stress - epidemiology
Occupational Stress - psychology
Original
Pediatrics
Perception
Polls & surveys
Sample size
Saudi Arabia
Social desirability
Social support
Standard deviation
Stress
Surveys and Questionnaires
Tertiary Care Centers
Workplace - psychology
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Title Perceived stress and coping strategies among ICU nurses in government tertiary hospitals in Saudi Arabia: a cross-sectional study
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