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Jurnal Keperawatan Indonesia
Articles
VIEWS: 7
10.7454/jki.v27i1.1097
Submitted: 2023-06-01
Published: 2024-03-31

Coping Strategies for Nurses’ Distress in Dealing with the COVID-19 Pandemic: A Scoping Review

Department of Public Health, Universitas Muhammadiyah Sumatera Utara, Medan 20217
Department of Occupational Health and Safety, Universitas Indonesia, Depok 16424
Department of Occupational Health and Safety, Universitas Indonesia, Depok 16424
coping type COVID-19 distress nurse

Abstract

It is a well-known fact that the COVID-19 pandemic exacerbated the work stressors of nurses, which were already a problem previously, causing great distress. Hence, the need for effective coping strategies has been realized to prevent such distress, especially if a pandemic recurs. Determining how the types of coping strategies used by nurses impact their distress level in COVID-19 Pandemic. This review was conducted using the PRISMA Statement Recommendations Checklist and PRISMA—Extension for Scoping Reviews (PRISMA-SCR). The databases used were Willey Library, Science Direct, SCOPUS, and Springer Link for the literature search. Nurse and (“coping type” or “brief cope”) and COVID were the keywords used for search. The search was carried out using the following initial filters: “English and Indonesian,” language, and “free full text” availability. Only original research articles with a sample of nurses and a focus on coping with the COVID-19 pandemic were synthesized. The review contained 21 articles in total. In the Brief-COPE framework, an instrument designed to measure the types of coping strategies, there are several ways of classifying the types of coping strategies: based on outcome, engagement, stressor management goals, and source of support. The top coping strategies were acceptance, active coping, planning, religion, positive reframing, and seeking emotional support. Avoidance coping strategies significantly increase one’s depression and anxiety, while acceptance and positive reframing protect against anxiety and depression. This knowledge forms the basis of planning and designing a stress management program for dealing with extreme work stressors, such as pandemics. Future research should investigate how different types of stressors influence the use of coping strategies and distress in other situations.

Keywords: coping type, COVID-19, distress, nurse

 

Abstrak

Strategi Mengatasi Distress Perawat dalam Menghadapi Pandemi COVID-19: A Scoping Review. Pandemi COVID-19 memperburuk stresor kerja perawat yang sebelumnya telah menjadi masalah. Koping yang efektif diperlukan untuk mempersiapkan manajemen stres dan mencegah distress jika pandemi terulang. Tinjauan ini bertujuan untuk mengetahui jenis koping yang digunakan perawat dalam menghadapi pandemi COVID-19 dan pengaruhnya terhadap distress. Tinjauan ini mengikuti panduan ceklis rekomendasi PRISMA, dan PRISMA—Extension for Scoping Reviews (PRISMA-ScR). Pencarian artikel dilakukan pada empat basis data yakni: SCOPUS, Science Direct, Springer Link, dan Willey Library. Nurse dan (“coping type” or “brief cope”) dan COVID adalah kata kunci yang digunakan untuk mencari literatur. Pencarian dibatasi pada artikel berbahasa Indonesia, Inggris, dan dapat diakses lengkap tidak berbayar. Artikel yang ditinjau terbatas pada artikel penelitian berfokus pada koping dalam menghadapi pandemi COVID-19 yang disintesis oleh penulis dengan perawat sebagai sampel. Sebanyak 21 artikel masuk dalam analisis. Terdapat beberapa cara untuk mengkategorikan jenis koping dalam kerangka Brief-COPE atau instrumen untuk mengukur jenis-jenis koping, yaitu berdasarkan hasil, keterlibatan, tujuan manajemen stres, dan sumber dukungan. Koping teratas yang digunakan perawat adalah penerimaan, koping aktif, perencanaan, agama, pembingkaian ulang positif, dan mencari dukungan emosional. Strategi koping avoidance secara signifikan dapat meningkatkan depresi dan kecemasan sedangkan penerimaan dan positive reframing dapat membentengi diri dari kecemasan dan depresi. Pengetahuan ini menjadi dasar perencanaan program manajemen stres untuk menghadapi stresor kerja ekstrem seperti pandemi. Penelitian di masa depan harus menyelidiki bagaimana berbagai jenis stresor memengaruhi penggunaan strategi koping dan distress dalam situasi lain.

Kata Kunci: COVID-19, distress, jenis koping, perawat

References

  1. Agsaoay, D.O.D.C.B, Leochico, C.F.D., & Medina, P.A.L. (2022). Coping strategies and job satisfaction among rehabilitation medical and paramedical staff in a COVID-19 referral center: A cross-sectional study. Acta Medica Philippina, 56 (4), 76-81. doi: 10.47895/amp.v56i4.4012.
  2. Ahmadidarrehsima, S., Salari, N., Dastyar, N., & Rafati, F. (2022). Exploring the experiences of nurses caring for patients with COVID-19: A qualitative study in Iran. BMC Nursing, 21 (1), 16. doi: 10.1186/s12912-022-00805-5.
  3. Akrim, A., Rudianto, R., & Adhani, A. (2021). Interactive effects of stoicism and religious coping on psychological distress, fatigue and intercultural communication: Muslim health workers in Bali. Journal of Ethnic and Cultural Studies, 8 (4), 214–237. doi: 10.29333/EJECS/920.
  4. Algorani, E.B., & Gupta, V. (2023). Coping mechanisms. StatPearls Publishing. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK559031/
  5. AlJhani, S., AlHarbi, H., AlJameli, S., Hameed, L., AlAql, K., & Alsulaimi, M. (2021). Burnout and coping among healthcare providers working in Saudi Arabia during the COVID-19 pandemic. Middle East Current Psychiatry, 28 (1), 29. doi: 10.1186/s43045-021-00108-6.
  6. Alnazly, E.K., & Hjazeen, A.A. (2021). Psychological distress and coping strategies among nurses during the COVID-19 Pandemic: A cross-sectional online survey. The Open Nursing Journal, 15 (1), 262–272. doi: 10.2174/1874434602115010262.
  7. Arnetz, J.E., Goetz, C.M., Arnetz, B.B., & Arble, E. (2020). Nurse reports of stressful situations during the COVID-19 pandemic: Qualitative analysis of survey responses. International Journal of Environmental Research and Public Health, 17 (21), 8126. doi: 10.3390/ijerph17218126.
  8. Aryal, S., & D’mello, M.K. (2020). Occupational stress and coping strategy among community health workers of Mangalore Taluk, Karnataka. Indian Journal of Public Health, 64 (4), 351–356. doi: 10.4103/ijph.IJPH_549_19.
  9. Belay, A.S, Guangul, M.M., Asmare, W.N., & Mesafint, G. (2021). Prevalence and associated factors of psychological distress among nurses in public hospitals, Southwest, Ethiopia: A cross-sectional Study. Ethiopian Journal of Health Sciences, 31 (6), 1247–1256. doi: 10.4314/ejhs.v31i6.21.
  10. Brady, C., Fenton, C., Loughran, O., Hayes, B., Hennessy, M., Higgins, A., & McLoughlin, D.M. (2023). Dublin hospital workers’ mental health during the peak of Ireland’s COVID-19 pandemic. Irish Journal of Medical Science, 192 (3), 1293–130. doi: 10.1007/s11845-022-03056-0.
  11. Cansız, A., Aydin, M., Kandeğer, A., & Altinbas, K. (2021). Evaluation of the relationships between state-trait anxiety, coping strategies, and perceived social support among frontline and non-frontline health workers during the COVID-19 pandemic in Turkey. Israel Journal of Psychiatry and Related Sciences, 58 (2), 10-18.
  12. Chan, S.L., Takemura, N., Chau, P.H., Lin, C.C., & Wang, M.P. (2021). Psychological impact of the COVID-19 pandemic on licensed full- time practicing nurses undertaking part-time studies in higher education: A cross-sectional study. International Journal of Environmental Research and Public Health, 18 (16), 8569. doi: 10.3390/ijerph18168569.
  13. Chui, P.L., Chong, M.C., Abdullah, K.L., Ramoo, V., Tang, L.Y., Lee, W.L., Che, C.C., Yahaya, N.A., Rasaiah, K., Zaini, N.H., Ahmad, N.Z., & Teo, C.H. (2021). The COVID-19 global pandemic and its impact on the mental health of nurses in Malaysia. Healthcare, 9 (10), 1259. doi: 10.3390/healthcare9101259.
  14. Cook, L.J., Hassem, T., Laher, S., Variava, T., & Schutte, E. (2021). Mental health experiences of healthcare professionals during COVID-19. SA Journal of Industrial Psychology, 47, a1865. doi: 10.4102/sajip.v47i0.1865.
  15. Costa, C., Teodoro, M., de Vita, A., Giambò, F., Mento, C., Muscatello, M.R.A., Alibrandi, A., Italia, S., & Fenga, C. (2022). Factors affecting perceived work environment, wellbeing, and coping styles: A comparison between physicians and nurses during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 19 (17), 11104. doi: 10.3390/ijerph191711104.
  16. Dijkstra, M.T.M., & Homan, A.C. (2016). Engaging in rather than disengaging from stress: Effective coping and perceived control. Frontiers in Psychology, 7, 1415. doi: 10.3389/fpsyg.2016.01415.
  17. Ding, Y., Fu, X., Liu, R., Hwang, J., Hong, W., & Wang, J. (2021). The impact of different coping styles on psychological distress during the COVID-19: The mediating role of perceived stress. International Journal of Environmental Research and Public Health, 18 (20), 10947. doi: 10.3390/ijerph182010947.
  18. Fteropoulli, T., Kalavana, T.V., Yiallourou, A., Karaiskakis, M., Mazeri, M.K., Vryonides, S., Hadjioannou, A., & Nikolopoulos, G.K. (2021). Beyond the physical risk: Psychosocial impact and coping in healthcare professionals during the COVID-19 pandemic. Journal of Clinical Nursing, 1-15. doi: 10.1111/jocn.15938.
  19. Gillen, P., Neill, R.D., Mallett, J., Moriarty, J., Manthorpe, J., Schroder, H., Currie, D., McGrory, S., Nicholl, P., Ravalier, J., & McFadden, P. (2022). Wellbeing and coping of UK nurses, midwives and allied health professionals during COVID-19-A cross-sectional study. PLoS ONE, 17 (9), e0274036. doi: 10.1371/journal.pone.0274036.
  20. Halcomb, E., Fernandez, R., Mursa, R., Stephen, C., Calma, K., Ashley, C., McInnes, S., Desborough, J., James, S., & Williams, A. (2022). Evaluation of the brief coping orientation to problems experienced scale and exploration of coping among primary health care nurses during COVID-19. Journal of Nursing Management, 30 (7), 2597–2608. doi: 10.1111/jonm.13816.
  21. Hofmann, S.G., & Hay, A.C. (2018). Rethinking avoidance: Toward a balanced approach to avoidance in treating anxiety disorders. Journal of Anxiety Disorders, 55, 14–21. doi: 10.1016/j.janxdis.2018.03.004.
  22. Ji, L.J., Yap, S., Khei, Z.A.M., Wang, X., Chang, B., Shang, S.X., & Cai, H. (2022). Meaning in stressful experiences and coping across cultures. Journal of Cross-Cultural Psychology, 53 (9), 1015-1032. doi: 10.1177/00220221221109552.
  23. Ji, Z., Han, W., Deng, Z., & Lu, K. (2021). Distress, appraisal, and coping among the frontline healthcare provider redeployed to the epicenter in China during COVID-19 pandemic. Frontiers in Psychology, 12, 678369. doi: 10.3389/fpsyg.2021.678369.
  24. Jubin, J., Delmas, P., Gilles, I., Bachmann, A.O., & Bucher, C.O. (2022). Protective factors and coping styles associated with quality of life during the COVID-19 Pandemic: A comparison of hospital or care institution and private practice nurses. International Journal of Environmental Research and Public Health, 19 (12), 7112. doi: 10.3390/ijerph19127112.
  25. Lee, S.Y., Chiang, K.J., Tsai, Y.J., Lin, C.K., Wang, Y.J., Chiou, C.P., & Pan, H.H. (2022). Perceived stress and coping behavior of nurses caring for critical patients with COVID-19 outbreak in Taiwan: A mixed-methods study. International Journal of Environmental Research and Public Health, 19 (7), 4258. doi: 10.3390/ijerph19074258.
  26. Mennicken, B., Petit, G., Yombi, J.-C., Belkhir, L., Deschietere, G., Germeau, N., Salavrakos, M., Moreau, G., Nizet, L., Cool, G., Luts, A., Billieux, J., & de Timary, P. (2022). Psychological distress among hospital caregivers during and after the first wave of COVID-19: Individual factors involved in the severity of symptoms expression. Psychiatry Research Communications, 2 (2), 100037. doi: 10.1016/j.psycom.2022.100037.
  27. Nopa, I., Zulfendri, Z., & Fauzi, F. (2020). The effect of work stress on nurse performance in the inpatient Wards Tanjung Pura Hospital on 2016. Buletin Farmatera, 5(1), 177-182.
  28. Perego, G., Cugnata, F., Brombin, C., Milano, F., Preti, E., di Pierro, R., de Panfilis, C., Madeddu, F., & di Mattei, V.E. (2022). The “Healthcare Workers’ wellbeing [Benessere Operatori]” project: A longitudinal evaluation of psychological responses of Italian healthcare workers during the COVID-19 pandemic. Journal of Clinical Medicine, 11 (9), 2317. doi: 10.3390/jcm11092317.
  29. Peters, M., Godfrey, C., McInerney, P., Munn, Z., Tricco, A.C., & Khalil, H. (2017). Scoping reviews. In E. Aromataris & Z. Munn (Eds.), Joanna Briggs institute reviewer's manual (pp. 2119–2126). doi: 10.46658/JBIMES-20-12.
  30. Popa, C.O., Schenk, A., Rus, A., Szasz, S., Suciu, N., Szabo, D.A., & Cojocaru, C. (2020). The role of acceptance and planning in stress management for medical students. Acta Marisiensis-Seria Medica, 66 (3), 101–105. doi: 10.2478/amma-2020-0020.
  31. Rahman, H.A., Issa, W.B., & Naing, L. (2021). Psychometric properties of brief-COPE inventory among nurses. BMC Nursing, 20 (1), 73. doi: 10.1186/s12912-021-00592-5.
  32. Romero-García, M., Delgado-Hito, P., Gálvez- Herrer, M., Ángel-Sesmero, J.A., Velasco- Sanz, T.R., Benito-Aracil, L., & Heras-La Calle, G. (2022). Moral distress, emotional impact and coping in intensive care unit staff during the outbreak of COVID-19. Intensive and Critical Care Nursing, 70, 103206. doi: 10.1016/j.iccn.2022.103206.
  33. Salman, M., Mustafa, Z.U., Raza, M.H., Khan, T.M., Asif, N., Tahir, H., Shehzadi, N., Mallhi, T.H., Khan, Y.H., Sultana, K., Saleem, F., & Hussain, K. (2022). Psychological effects of COVID-19 among healthcare workers and how they are coping: A web-based, cross- sectional study during the first wave of COVID-19 in Pakistan. Disaster Medicine and Public Health Preparedness, 17, e104. doi: 10.1017/dmp.2022.4.
  34. Siswadi, Y., Radiman, R., Tupti, Z., & Jufrizen, J. (2021). Faktor determinan stress kerja dan kinerja perawat. Jurnal Ilmiah Manajemen dan Bisnis, 22(1), 17–34. doi: 10.30596/jimb.v22i1.5627.
  35. Stefanowicz-Bielska, A., Słomion, M., & Rąpała, M. (2022). Analysis of strategies for managing stress by Polish nurses during the COVID-19 pandemic. Healthcare (Switzerland), 10 (10), 2008. doi: 10.3390/healthcare10102008.
  36. Tipsword, J.M., Southward, M.W., Adams, A.M., Brake, C.A., & Badour, C.L. (2023). Daily associations between trauma-related mental contamination and use of specific coping strategies: Results of a daily monitoring study. Journal of Interpersonal Violence, 38 (7–8), 5699–5720. doi: 10.1177/08862605221127205.
  37. Tsouvelas, G., Kalaitzaki, A., Tamiolaki, A., Rovithis, M., & Konstantakopoulos, G. (2022). Secondary traumatic stress and dissociative coping strategies in nursesduring the COVID-19 pandemic: The protective role of resilience. Archives of Psychiatric Nursing, 41, 264–270. doi: 10.1016/j.apnu.2022.08.010.
  38. World Health Organization (WHO). (2020). Coronavirus disease (COVID-19) pandemic. Retrieved from www.who.int/europe/emergencies/situations
  39. Zaman, S., Irfan, S., Khalid, S., Zeb Khattak, A., & Hussain, B. (2021). Health-care professionals coping responses to the COVID-19 pandemic in Pakistan. Applied Nursing Research, 62, 151509. doi: 10.1016/j.apnr.2021.151509.

How to Cite

Nopa, I., Kurniawidjaja, L. M., & Erwandi, D. (2024). Coping Strategies for Nurses’ Distress in Dealing with the COVID-19 Pandemic: A Scoping Review. Jurnal Keperawatan Indonesia, 27(1), 12–24. https://doi.org/10.7454/jki.v27i1.1097