Relevance. The article presents the results of published studies’ review and the empirical study, targeted to estimate job stressors and proactive coping strategies in nurses during COVID-19 pandemic. The research urgency is connected with the necessity to evaluate psychological availability of nurses to be resistant to high work strain and risk of SARS-CoV-2 contamination.Objectives. The research aim: to compare stress level, job stressors evaluation and proactive coping strategies in nurses with high and low chronic states. Methods. Diagnostic set included: Chronic stress and fatigue inventories by A.B. Leonova; Job stress survey by Ch. Spielberger; Professional burnout inventory by N.E. Vodopyaynova; Proactive coping inventory by E. Greenglass; checklist “Means states’ optimization” by A.S. Kuznetsova. Sample. Hospital nurses (n = 306; age 43,2 ± 10,9; service 20,7 ± 11,5). Results. Revealed job stressors are typical for nurses: inadequate salary, insufficient time for breaks, excessive paperwork and increased responsibility. Strong differences in job stressors evaluation are found between nurses of risk group (with high level of chronic states) and nurses with no chronic states (well-to-do group): in risk group, perceived job stress is significantly higher. Proactive coping strategies are quite high. Regression analysis did not reveal coping strategies as stress predictors. Three months after well-to-do nurses still perceived no high job stress, while in risk group perceived job stress increased. Conclusions. Under pressure of unmanageable pandemic strain, self-evaluation of proactive coping possibilities in risk group and well-to-do group significantly diverged. Most likely perceived stressors are connected with the inability to manage work strain and to minimize the impact of its negative effects.
Background. In extreme conditions the quality of work tasks performed by professionals depends on their ability to control their own states. One of these control instruments is mindfulness. Ye pandemic has created a unique opportunity to explore the potential of mindfulness in preventing the stressful states in healthcare workers. Objective of this study was to identify the contribution of trait mindfulness as a self-regulating ability to the overall level and manifestations of acute and chronic stress. Sample. Ye study involved 66 employees of one of the Moscow medical centers that was converted to provide care for patients with COVID-19. Methods. Ye respondents Zlled in on-line questionnaires, aimed to assess the severity of acute and chronic stress manifestations (by A. Leonova), as well as the general level and facets of trait mindfulness (FFMQ). Results. Low and medium degree of acute and chronic stress severity in specialists working with COVID-patients was revealed. SigniZcant negative correlations were established between indicators of acute (r = –0.423; p < 0.01) and chronic stress (r = –0,581; p < 0,01) with a composite score of trait mindfulness. Regression analysis revealed the counteracting contribution of individual components of mindfulness to the severity of acute and chronic stress. Conclusion. Ye trait mindfulness puts barriers to the acute and chronic stress. Yerefore, it is necessary to pay attention to the development of this personality trait to prevent the occurrence of negative states in medical professionals.
IntroductionProactive coping helps to reduce stress “in advance” – by possible stressors’ anticipating (Greenglass & Fiksenbaum, 2009). Does it helps to reduce distress in hazardous work environment with extremely high uncertainty level – like in healthcare professionals’ work at the beginning COVID-19 pandemic? Data showed the lover level of proactive coping in healthcare professionals in comparison with non-medical group (Pearman, Hughes, Smith & Neupert, 2020). The acute issue is to investigate proactive coping among medical professionals with different stress level.ObjectivesSpecialists of Moscow public dispensaries (doctors, n=209; nurses, n=131) were checked during pandemic breakout (April 2020) - in order to compare proactive coping and job stressors’ subjective evaluation in groups with high and low chronic states.MethodsThe diagnostic set included: the job stress survey (Spielberger, 1994); the proactive coping inventory (Greenglass, 2002); the chronic stress and fatigues inventories (Leonova, 2012).ResultsCluster analysis by combination of stress-fatigue scores extracted equal 22% of professionals in risk subgroups. Surprisingly no proactive coping differences were found in nurses; among doctors preventive coping is significantly lower in risk subgroup (t=7.05; p=0.009). Revealed job stressors in risk groups for nurses are quite typical; but for doctors they are unusual: extreme workload (t=33.97; p<0.001), low coworkers support (t=48.94; p<0.001), lack of positive feedback (t=62.29; p<0.001).ConclusionsDespite the undeniable workload increase, well-to-do professionals perceived no high job stressors. In risk subgroup with lack of preventive coping, perceived stressors are likely connected with inability to predict strain increase and to minimize the impact of its negative effects (Moore, 2017).
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