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.
Department of Psychology, Roswell Park Cancer Institute, Buffalo, New York 14263, USA.
G A
GA
Florio
J P
JP
Donnelly
M A
MA
Zevon
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*