Testing The Model of the Relationship Between Coping Styles and Occupational Coping Self-Efficacy Beliefs with Health Professions Stress in Nurses

Document Type : Scientific-research


1 M.A in Family Counselling

2 family counselor


Aim: The aim of this study was to test the hypothesized model of structural relationships between coping styles and occupational coping self-efficacy with health professions stress among a group of nurses. Method: In this correlational study, 151 nurses working in the oncology departments of Tehran University of Medical Sciences responded to the Occupational Coping Self-Efficacy Scale for Nurses (Pisanti, Lombardo, Lucidi, Lazzari & Bertini, 2008), the Coping Inventory for Stressful Situations-Short Version (Cohan, Jang & Stein, 2006) and the Health Professions Stress Inventory (Wolfgang, 1988). In this study, the structural equation modeling method was used to test the causal relationships in the hypothetical model. Results: The results showed that the relationship between task-based coping style and occupational coping self-efficacy with health professions stress was negative and significant, and the relationship between emotion-oriented and avoidance coping styles with health professions stress was positive and significant. In addition, the results showed that the hypothesized model had a good fit with the data and the variables of occupational coping self-efficacy and coping styles explained 37% of the variance of health professions stress. Conclusion: The results of this study emphasize the need to apply psycho-educational interventions aimed at enriching the coping skills of people working in health-oriented professions.


محبی، س.، شکری، ا.، و خدایی، ع. (1399). روان‌سنجی نسخه کوتاه سیاهة مقابله با موقعیت‌های استرس‌زا در دانشجویان. فصلنامه روان‌شناسی تربیتی، 10 (40)، 113-87. پیوند
مرادی، م.، خانجانی، م.، و عسگری، م. (1400). رابطه توانمندی‌های منش، تناسب شغلی و مشغولیت شغلی با بهزیستی سازمانی در سازمان تامین اجتماعی. فصلنامه روانشناسی کاربردی، 15 (59)، 476-449. پیوند
Akhtar, S., & Lee, J. S. Y. (2002). Confirmatory factor analysis and job burnout correlates of the health professions stress inventory. Psychological Reports, 90,243-250. link
Babore, A., Lombardi, L., Viceconti, M. L., Pignataro, S., Marino, V., Crudele, M., Candelori, C., Bramanti, S. M., & Trumello, C. (2020). Psychological effects of the COVID-2019 pandemic: Perceived stress and coping strategies among healthcare professionals. Psychiatry Research, 293, 113366.link
Bhurtun, H. D., Turunen, H., Estola, M., & Saaranen, T. (2021). Changes in stress levels and coping strategies among Finnish nursing students. Nurse Education in Practice, 50, 102958.link
Carver, C. S., & Connor-Smith, J. (2010). Personality and coping. Annual Review of Psychology, 61, 679–704.link
Ching, S. S. Y., Cheung, K., Hegney, D., & Rees, C. S. (2020). Stressors and coping of nursing students in clinical placement: A qualitative study contextualizing their resilience and burnout. Nurse Education in Practice, 42, 102690.link
Cohan., S. L., Jang, K. L., & Stein, M. B. (2006). Confirmatory factor analysis of a short form of the coping inventory for stressful situations. Journal of Clinical Psychology, 62(3), 273-283.link
Diego-Cordero, R. D., Iglesias-Romob, M., Badanta, A., Lucchetti,J G., & Vega-Escano, J. (2021). Burnout and spirituality among nurses: A scoping review. Explore, 4, 1-9.link
Eells, T. D., Lacefield, P., & Maxey, J. (1994). Symptom correlates and factor structure of the health professions stress inventory. Psychological Reports, 75, 1563-1568.link
Elder, E., Johnston, A. N. B., Wallis, M., Greenslade, J. H., & Crilly, J. (2019). Emergency clinician perceptions of occupational stressors and coping strategies: A multi-site study. International Emergency Nursing, 45, 17–24.link
Endler, N. S., & Parker, J. D. A. (1994). Assessment of multidimensional coping: Task, emotion, and avoidance strategies. Psychological Assessment, 6, 50–60.link
Endler, N. S., & Parker, J. D. (1999). Coping Inventory for Stressful Situations (CISS): Manual Multi-Health Systems. Toronto, Canada: Multi-Health Systems.link
Enns, A., Eldridge, G. D., Montgomery, C., & Gonzalez, V. M. (2018). Perceived stress, coping strategies, and emotional intelligence: A cross-sectional study of university students in helping disciplines. Nurse Education Today, 68, 226–231.link
Fallatah, F., Laschinger, H. K. S., & Read, E. A. (2017). The effects of authentic leadership, organizational identification, and occupational coping self-efficacy on new graduate nurses’ job turnover intentions in Canada. Nurse Outlook, 65, 172-183.link
Folkman, S. (2010). Stress, coping, and hope. Psychooncology, 19 (9), 901–908.link
Fornes-Vives, J., Garcia-Banda, G., Frias-Navarro, D., & Pascual-Soler, M. (2019). Longitudinal study predicting burnout in Spanish nurses: The role of neuroticism and emotional coping. Personality and Individual Differences, 138, 286–291.link
Garrosa, E., Rainho, C., Moreno-Jimenez, B., & Monteiro, M. (2010). The relationship between job stressors, hardy personality, coping resources and burnout in a sample of nurses: A correlational study at two time points. International Journal of Nursing Studies, 47, 205–215.link
Gribben, L., & Semple, C. J. (2021). Factors contributing to burnout and work-life balance in adult oncology nursing: An integrative review. European Journal of Oncology Nursing, 50, 101887.link
Gupchup, G. V., & Wolfgang, A. P. (1994).  The health professions stress inventory: Factor structure for pharmacists. Perceptual and Motor Skills, 79, 515-519. link
Gurkova, E., & Zeleníkova, R. (2018). Nursing students' perceived stress, coping strategies, health and supervisory approaches in clinical practice: A Slovak and Czech perspective. Nurse Education Today, 65, 4–10.link
Happell, B., Reid-Searl, K., Dwyer, T., Caperchione, C. M., Gaskin, C. J., & Burke, K. J. (2013). How nurses cope with occupational stress outside their workplaces. Collegian, 20, 195—199.link
Imperatori, C., Bersani, F.S., Massullo, C., Carbone, G.A., Salvati, A., Mazzi, G., Cicerale, G., Carrara, A., Farina, B. (2020). Neurophysiological correlates of religious coping to stress: a preliminary eeg power spectra investigation. Neuroscience Letters, 728, 134956.link
Jegodka, Y., Lagally, L., Mertes, H., Deering, K., Schoierer, J., Buchberger, B., & Bose-O'Reilly, S. (2021). Hot days and Covid-19: Online survey of nurses and nursing assistants to assess occupational heat stress in Germany during summer 2020. The Journal of Climate Change and Health, 3, 100031.link
Khalid, I., Khalid, T.J., Qabajah, M.R., Barnard, A.G., Qushmaq, I.A. (2016). Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. Clinical Medicine and Research, 14 (1), 7–14.link
Kline, R. B. (2005). Principles and practices of structural equation modeling (2nd edition). New York: Guilford.link
Laschinger, H. K. S., Borgogni, L., Consiglio, C., & Read, L. (2015). The effects of authentic leadership, six areas of worklife, and occupational coping self-efficacy on new graduate nurses’ burnout and mental health: A cross-sectional study. International Journal of Nursing Studies, 52, 1080–1089.link
Lazarus R.S. (2006) Stress and Emotion: A New Synthesis. Springer, New York.link
Li, L., Ai, H., Gao, L., Zhou, H., Liu, X., Zhang, Z., Sun, T., & Fan, L. (2017). Moderating effects of coping on work stress and job performance for nurses in tertiary hospitals: a cross-sectional survey in China. BMC Health Services Research, 17, 401-410.link
Li, Y. S., Liu, C. F., Yu, Y. P., Mills, M. E. C., & Yang, B. H. (2020). Caring behaviors and stress perception among student nurses in different nursing programmes: A cross-sectional study. Nurse Education in Practice, 48, 102856.link
Lee, H. F., Kuo, C. C., Chien, T. W., & Wang, Y. R. (2016). A meta-analysis of the effects of coping strategies on reducing nurse burnout. Applied Nursing Research, 31, 100–110.link
Lu, D. M., Sun, N., Hong, S., Fan, Y. Y., Kong, F. Y., & Li, Q. J. (2015). Occupational stress and coping strategies among emergency department nurses of China. Archives of Psychiatric Nursing, 29, 208–212.link
Martínez, J.P., Méndez, I., Ruiz-Esteban, C., Fernández-Sogorb, A., García-Fernández, J. M. (2020). Profiles of burnout, coping strategies and depressive symptomatology. Frontiers in Psychology, 11, 591.link
Mason, R., Roodenburg, J., & Williams, B. (2020). What personality types dominate among nurses and paramedics: A scoping review? Australasian Emergency Care, 23, 281–290.link
Meyers, L. S., Gamst, G., & Guarino, A. J. (2016). Applied multivariate research: Design and interpretation. Sage publication. Thousand Oaks. London. New Dehi.link
Moore, k. S., Hemmer, C. R., Taylor, J. M., & Malcom, A. R. (2021). Nursing professionals’ stress level during coronavirus disease 2019: A looming workforce issue. The Journal for Nurse Practitioners, 17, 702-706.link
Ozgundondu, B., & Metin, Z. (2019). Effects of progressive muscle relaxation combined with music on stress, fatigue, and coping styles among intensive care nurses. Intensive & Critical Care Nursing, 54, 54–63.link
Park, S. Y., & Ju, H. O. (2020). Development of an instrument to measure stress in Korean nurses performing end-of-life care for children. Journal of Pediatric Nursing, 54, 84–90.link
Park, S. A., & & Park, H. J. (2021). The relationships between oncology nurses’ attitudes toward a dignified death, compassion competence, resilience, and occupational stress in South Korea. Seminars in Oncology Nursing, 37, 151147.link
Pisanti, R., Lombardo, C., Lucidi, F., Lazzari D., & Bertini, M. (2008). Development and validation of a brief Occupational Coping Self-Efficacy Questionnaire for Nurses. Journal of Advanced Nursing, 62 (2), 238-247.link
Potard, C., & Landais, C. (2021). Relationships between frustration intolerance beliefs, cognitive emotion regulation strategies and burnout among geriatric nurses and care assistants. Geriatric Nursing, 42, 700-707.link
Saklofske, D. H., Austin, E. J., Mastoras, S. M., Beaton, L., & Osborne, S. E. (2012). Relationships of personality, affect, emotional intelligence and coping with student stress and academic success: Different patterns of association for stress and success. Learning and Individual Differences, 22(2), 251–257.link
Sanlıturk, D. (2021). Perceived and sources of occupational stress in intensive care nurses during the COVID-19 pandemic. Intensive & Critical Care Nursing, 10, 103107.link
Sargazi, O., Foroughameri, G., Miri, S., & Farokhzadian, J. (2018). Improving the professional competency of psچychiatric nurses: Results of a stress inoculation training program. Psychiatry Research, 270, 682–687.link
Sarabia-Cobo, C. M., Suarez, S. G., Crispín, E. G. M., Cobo, A. B. S., Pérez, V., Lorena, P., Rodríguez, C. R., & Gross, L. S. (2017). Emotional intelligence and coping styles: An intervention in geriatric nurses. Applied Nursing Research, 35, 94–98.link
Stanisławski, K. (2019). The coping circumplex model: An integrative model of the structure of coping with stress. Frontiers in Psychology, 10, 694-701. link
Tseng, M. Y., & Hwang, S. L. (2021). SURVIVAL intervention program effects on student nurses’ transition to staff nurses: A quasi-experimental study. Nurse Education in Practice, 56, 103184.link
Wang, W., Kong, A. W. M., & Chair, C. Y. (2011). Relationship between job stress level and coping strategies used by Hong Kong nurses working in an acute surgical unit. Applied Nursing Research, 24, 238–243.link
Wang, J., Okoli, C. T. C., He, H., Feng, F., Li, J., Zhuang, L., & Lin, M. (2020). Factors associated with compassion satisfaction, burnout, and secondary traumatic stress among Chinese nurses in tertiary hospitals: A cross-sectional study. International Journal of Nursing Studies, 102, 103472.link
Wolfgang, A. P. (1988).  The health professions stress inventory. Psychological Reports, 2, 220-222.link
Wong, T.W., Yau, J.K., Chan, C.L., Kwong, R.S., Ho, S.M., Lau, C.C., Lit, C. H. (2005). The psychological impact of severe acute respiratory syndrome outbreak on healthcare workers in emergency departments and how they cope. European Journal Emergency Medicine, 12 (1), 13–18.link
Xie, C., Zeng, Y., Lv, U., Li, X., Xiao, J., & Hu, X. (2020). Educational intervention versus mindfulness-based intervention for ICU nurses with occupational burnout: A parallel, controlled trial. Complementary Therapies in Medicine, 52, 102485.link
Xu, H.G., Johnston, A.N., Greenslade, J.H., Wallis, M., Elder, E., Abraham, L., Thom, O., e., Carlstrom, Crilly, J. (2019). Stressors and coping strategies of emergency department nurses and doctors: A cross-sectional study. Australasian Emergency Care, 22 (3), 180–186. link
Yu, F., Raphael, D., Mackay, L., Smith, M., & King, A. (2019). Personal and work-related factors associated with nurse resilience: A systematic review. International Journal of Nursing Studies, 93, 129–140. link
Zaghini, F., Biagioli, V., Proietti, M., Badolamenti, S., Fiorini, J., & Sili, A. (2020). The role of occupational stress in the association between emotional labor and burnout in nurses: A cross-sectional study. Applied Nursing Research, 54, 151277.link
Zhang, C. Q., Zhang, R., Lu, Y., Liu, H., Kong, S., Baker, J. S., & Zhang, H. (2021). Occupational stressors, mental health, and sleep difficulty among nurses during the COVID-19 pandemic: The mediating roles of cognitive fusion and cognitive reappraisal. Journal of Contextual Behavioral Science, 19, 64–71.link