Abstract
Objectives: To examine the mechanisms of coping strategies on nurses’ psychological well-being, practice environments and safety attitudes. Methods: A cross-sectional study design was used. Structural equation modeling was performed to analyze the results. Five hundred clinical nurses were randomly selected from a large group of 1,500 from a medical center with 1,350 beds in Taipei, Taiwan, from July to October 2015. Self-report questionnaires were administered to measure coping strategies (Brief COPE), psychological well-being (Ryff's Psychological Well-being Scale), nurses’ practice environments (Practice Environment Scale of the Nursing Work Index), and safety attitudes (Safety Attitudes Questionnaire). Results: Of the 500 participants who gave written consent, 474 (94.8%) filled out the questionnaire. Results showed that using more approach-oriented coping strategies and fewer avoidant coping strategies was associated with greater psychological well-being. Psychological well-being was directly associated with quality of nurses’ practice environments and safety attitudes. The impact of psychological well-being on safety attitudes was mediated significantly by the quality of the practice environment. The use of approach-oriented coping strategies was significantly predictive of positive psychological well-being, a good practice environment, and good safety attitudes. Conclusions and Clinical Relevance: This study found a distinct pathway for the relationships between clinical nurses’ psychological well-being, practice environment, and safety attitudes. Psychological well-being in clinical nurses was higher for those with more approach-oriented coping strategies. Psychological well-being directly impacted safety attitudes, which mediated nurses’ practice environments. The practical implications of the results suggest that interventions designed to promote positive psychological well-being may help improve nurses’ practice environments, which, in turn, may result in better safety attitudes and nursing care outcomes.
| Original language | English |
|---|---|
| Pages (from-to) | 195-204 |
| Number of pages | 10 |
| Journal | Journal of Nursing Scholarship |
| Volume | 51 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2019 Mar 1 |
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Keywords
- Nurses
- practice environment
- psychological well-being
- safety attitudes
- stress coping
ASJC Scopus subject areas
- Nursing(all)
Cite this
Impact of Coping Strategies on Nurses’ Well-Being and Practice. / Lee, Tony Szu Hsien; Tzeng, Wen Chii; Chiang, Hui Hsun.
In: Journal of Nursing Scholarship, Vol. 51, No. 2, 01.03.2019, p. 195-204.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Impact of Coping Strategies on Nurses’ Well-Being and Practice
AU - Lee, Tony Szu Hsien
AU - Tzeng, Wen Chii
AU - Chiang, Hui Hsun
PY - 2019/3/1
Y1 - 2019/3/1
N2 - Objectives: To examine the mechanisms of coping strategies on nurses’ psychological well-being, practice environments and safety attitudes. Methods: A cross-sectional study design was used. Structural equation modeling was performed to analyze the results. Five hundred clinical nurses were randomly selected from a large group of 1,500 from a medical center with 1,350 beds in Taipei, Taiwan, from July to October 2015. Self-report questionnaires were administered to measure coping strategies (Brief COPE), psychological well-being (Ryff's Psychological Well-being Scale), nurses’ practice environments (Practice Environment Scale of the Nursing Work Index), and safety attitudes (Safety Attitudes Questionnaire). Results: Of the 500 participants who gave written consent, 474 (94.8%) filled out the questionnaire. Results showed that using more approach-oriented coping strategies and fewer avoidant coping strategies was associated with greater psychological well-being. Psychological well-being was directly associated with quality of nurses’ practice environments and safety attitudes. The impact of psychological well-being on safety attitudes was mediated significantly by the quality of the practice environment. The use of approach-oriented coping strategies was significantly predictive of positive psychological well-being, a good practice environment, and good safety attitudes. Conclusions and Clinical Relevance: This study found a distinct pathway for the relationships between clinical nurses’ psychological well-being, practice environment, and safety attitudes. Psychological well-being in clinical nurses was higher for those with more approach-oriented coping strategies. Psychological well-being directly impacted safety attitudes, which mediated nurses’ practice environments. The practical implications of the results suggest that interventions designed to promote positive psychological well-being may help improve nurses’ practice environments, which, in turn, may result in better safety attitudes and nursing care outcomes.
AB - Objectives: To examine the mechanisms of coping strategies on nurses’ psychological well-being, practice environments and safety attitudes. Methods: A cross-sectional study design was used. Structural equation modeling was performed to analyze the results. Five hundred clinical nurses were randomly selected from a large group of 1,500 from a medical center with 1,350 beds in Taipei, Taiwan, from July to October 2015. Self-report questionnaires were administered to measure coping strategies (Brief COPE), psychological well-being (Ryff's Psychological Well-being Scale), nurses’ practice environments (Practice Environment Scale of the Nursing Work Index), and safety attitudes (Safety Attitudes Questionnaire). Results: Of the 500 participants who gave written consent, 474 (94.8%) filled out the questionnaire. Results showed that using more approach-oriented coping strategies and fewer avoidant coping strategies was associated with greater psychological well-being. Psychological well-being was directly associated with quality of nurses’ practice environments and safety attitudes. The impact of psychological well-being on safety attitudes was mediated significantly by the quality of the practice environment. The use of approach-oriented coping strategies was significantly predictive of positive psychological well-being, a good practice environment, and good safety attitudes. Conclusions and Clinical Relevance: This study found a distinct pathway for the relationships between clinical nurses’ psychological well-being, practice environment, and safety attitudes. Psychological well-being in clinical nurses was higher for those with more approach-oriented coping strategies. Psychological well-being directly impacted safety attitudes, which mediated nurses’ practice environments. The practical implications of the results suggest that interventions designed to promote positive psychological well-being may help improve nurses’ practice environments, which, in turn, may result in better safety attitudes and nursing care outcomes.
KW - Nurses
KW - practice environment
KW - psychological well-being
KW - safety attitudes
KW - stress coping
UR - http://www.scopus.com/inward/record.url?scp=85062355636&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85062355636&partnerID=8YFLogxK
U2 - 10.1111/jnu.12467
DO - 10.1111/jnu.12467
M3 - Article
C2 - 30806038
AN - SCOPUS:85062355636
VL - 51
SP - 195
EP - 204
JO - Journal of Nursing Scholarship
JF - Journal of Nursing Scholarship
SN - 1527-6546
IS - 2
ER -