The structure of work-related stress and coping among oncology nurses in high-stress medical settings: a transactional analysis.
A transactional approach was used to examine stress and coping among 59 oncology nurses. Nine work stress clusters were identified: Physician-Related Stress, Organizational Factors, Observing Suffering, Ethical Concerns, Death and Dying, Carryover Stress, Negative Self-Thoughts, Inadequate Resources, and Coworker Stress, with the first 3 rated as most frequent and most intense. Ten coping clusters were also identified: Coworker Support, Positive Reappraisal, Developing a Growth Perspective, Positive Involvement in Treatment, Affective Regulation, Balancing Work Stress, Negative Coping, Apathy, Withdrawal, and Catharsis, with the first 3 rated as most frequently used and most effective. The relationships among the clusters, as well as the theoretical and clinical implications of these results, were discussed.
Florio
G A
GA
Department of Psychology, Roswell Park Cancer Institute, Buffalo, New York 14263, USA.
Donnelly
J P
JP
Zevon
M A
MA
D000223:Adaptation, Psychological; D000328:Adult; D016000:Cluster Analysis; D004644:Emotions; D006801:Humans; D008875:Middle Aged; D008960:Models, Psychological; D009518:New York; D009784:Occupational Diseases / Q000523:psychology*; D009859:Oncology Nursing; D011340:Problem Solving; D013315:Stress, Psychological / Q000523:psychology*