Mediating effect of positive coping styles on relationship between psychological resilience and vicarious traumatization in nurses in Intensive Care Unit

CHEN Zhen; WANG Yu; XU Bin; ZHU Shuqin; XU Qin

doi:10.7619/jcmp.20241543

Journal of Clinical Medicine in Practice > 2024 > 28(17): 114-119, 126. > DOI: 10.7619/jcmp.20241543

CHEN Zhen, WANG Yu, XU Bin, ZHU Shuqin, XU Qin. Mediating effect of positive coping styles on relationship between psychological resilience and vicarious traumatization in nurses in Intensive Care Unit[J]. Journal of Clinical Medicine in Practice, 2024, 28(17): 114-119, 126. DOI: 10.7619/jcmp.20241543

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Mediating effect of positive coping styles on relationship between psychological resilience and vicarious traumatization in nurses in Intensive Care Unit

1.
Nursing College, Nanjing Medical University, Nanjing, Jiangsu, 211300
2.
Neurosurgical Intensive Care Unit, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210029

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Received Date: April 15, 2024
Revised Date: June 02, 2024

Graphical Abstract

Abstract

Abstract

Objective
To explore the mediating effect of positive coping styles on the relationship between resilience and vicarious trauma in nurses in Intensive Care Unit (ICU).
Methods
Nurses in ICU were recruited through convenience sampling and surveyed by the general information questionnaire, the Disaster Relief Vicarious Trauma Scale, the Resilience Scale, and the Simplified Coping Style Questionnaire.
Results
For the 242 nurses in ICU, the mean score of vicarious trauma was (85.02±19.54), the mean score of resilience was (65.47±16.37), and the mean scores of positive and negative coping styles were (25.10±6.52) and (13.65±5.29) respectively. Vicarious trauma was negatively correlated with resilience and positive coping styles (r=-0.49, -0.41, P < 0.01), while resilience was positively correlated with both positive and negative coping styles (r=0.62, 0.35, P < 0.01). Bootstrap test results showed that positive coping styles mediated 24.5% of the total effect between resilience and vicarious trauma.
Conclusion
Nurses in ICU have a high level of vicarious trauma, and their positive coping styles partially mediate the relationship between resilience and vicarious trauma. Clinical nursing managers should emphasize enhancing ICU nurses' resilience and positive coping abilities, implementing strategies to prevent vicarious trauma, and improving their physical and mental health.
- Intensive Care Unit,
- vicarious trauma,
- resilience,
- coping styles,
- mediating effect

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References (38)

References

[1]	BLAIR D T, RAMONES V A. Understanding vicarious traumatization[J]. J Psychosoc Nurs Ment Health Serv, 1996, 34(11): 24-30. doi: 10.3928/0279-3695-19961101-15
[2]	TABOR P D. Vicarious traumatization: concept analysis[J]. J Forensic Nurs, 2011, 7(4): 203-208. doi: 10.1111/j.1939-3938.2011.01115.x
[3]	ALGAMDI M. Prevalence of oncology nurses'compassion satisfaction and compassion fatigue: Systematic review and meta-analysis[J]. Nurs Open, 2022, 9(1): 44-56. doi: 10.1002/nop2.1070
[4]	XIE W Q, CHEN L M, FENG F, et al. The prevalence of compassion satisfaction and compassion fatigue among nurses: a systematic review and meta-analysis[J]. Int J Nurs Stud, 2021, 120: 103973. doi: 10.1016/j.ijnurstu.2021.103973
[5]	GUTTORMSON J L, CALKINS K, MCANDREW N, et al. Critical care nurse burnout, moral distress, and mental health during the COVID-19 pandemic: a United States survey[J]. Heart Lung, 2022, 55: 127-133. doi: 10.1016/j.hrtlng.2022.04.015
[6]	KANDEMIR D, TEMIZ Z, OZHANLI Y, et al. Analysis of mental health symptoms and insomnia levels of intensive care nurses during the COVID-19 pandemic with a structural equation model[J]. J Clin Nurs, 2022, 31(5/6): 601-611. http://www.ncbi.nlm.nih.gov/pubmed/34121260
[7]	MATSUISHI Y, MATHIS B J, MASUZAWA Y, et al. Severity and prevalence of burnout syndrome in paediatric intensive care nurses: a systematic review[J]. Intensive Crit Care Nurs, 2021, 67: 103082. doi: 10.1016/j.iccn.2021.103082
[8]	SINCLAIR H A, HAMILL C. Does vicarious traumatisation affect oncology nurses A literature review[J]. Eur J Oncol Nurs, 2007, 11(4): 348-356. doi: 10.1016/j.ejon.2007.02.007
[9]	姜乾金. 应激(压力)系统模型-理论与实践[C]. 北京: 第十七届全国心理学学术会议论文集, 2014: 1612-1612.
[10]	朱宏梅, 许敏, 荚娟华, 等. 安徽省急诊科护士替代性创伤现状及其影响因素[J]. 护理研究, 2023, 37(6): 980-987.
[11]	姜乾金, 黄丽, 卢抗生, 等. 心理应激: 应对的分类与心身健康[J]. 中国心理卫生杂志, 1993, 7(4): 145-147, 190.
[12]	周露, 李婷, 周成莉, 等. 心理弹性在急诊护士应激(压力)反应与应对方式之间的中介效应[J]. 全科护理, 2023, 21(35): 5002-5005.
[13]	张艳, 胡德英, 刘义兰, 等. 妇科肿瘤患者医学应对及负性情绪在家庭关怀度与心理弹性间的中介作用[J]. 护理学杂志, 2023, 38(12): 89-92.
[14]	梁婕, 田凌云, 杨秋红, 等. 应对方式在重症医学科护士社会支持和职业倦怠间的中介作用[J]. 中国护理管理, 2022, 22(1): 106-110.
[15]	韩雪. 灾难救助者替代性创伤问卷的编制及初步应用[D]. 哈尔滨: 哈尔滨工程大学, 2009.
[16]	张宵宵, 詹欢乐, 缪霜霜. 手术室医护人员替代性创伤状况及与情绪智力的相关性调查[J]. 中国卫生统计, 2021, 38(2): 234-237.
[17]	CONNOR K M, DAVIDSON J R T. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC)[J]. Depress Anxiety, 2003, 18(2): 76-82. doi: 10.1002/da.10113
[18]	YU X N, ZHANG J X. Factor analysis and psychometric evaluation of the Connor-Davidson Resilience Scale (CD-RISC) with Chinese people[J]. Soc Behav Pers, 2007, 35(1): 19-30. doi: 10.2224/sbp.2007.35.1.19
[19]	王辉, 邢娅娜, 原曼. 心理弹性在临床护士情绪劳动策略与应对方式间的中介效应研究[J]. 中华现代护理杂志, 2021, 27(3): 388-393.
[20]	解亚宁. 简易应对方式量表信度和效度的初步研究[J]. 中国临床心理学杂志, 1998, 6(2): 114-115.
[21]	李贺. 沈阳市3所三级甲等医院急诊护士替代性创伤现状及其影响因素[J]. 职业与健康, 2019, 35(15): 2064-2067, 2072.
[22]	古月, 吴际军, 荣娴, 等. 突发公共卫生事件下医护人员心理弹性、继发性创伤压力对替代性创伤的影响研究[J]. 职业与健康, 2021, 37(19): 2647-2651, 2656.
[23]	官小莉, 胡露红, 黄丽红, 等. 821名抗击新型冠状病毒肺炎一线医护人员替代性创伤现状及影响因素分析[J]. 护理学报, 2020, 27(15): 50-55.
[24]	HERRMAN H, STEWART D, DIAZ-GRANADOS N, et al. What is resilience[J]. Can J Psychiatry, 2011, 56: 258-265. doi: 10.1177/070674371105600504
[25]	YU F, RAPHAEL D, MACKAY L, et al. Personal and work-related factors associated with nurse resilience: a systematic review[J]. Int J Nurs Stud, 2019, 93: 129-140. doi: 10.1016/j.ijnurstu.2019.02.014
[26]	AL BARMAWI M A, SUBIH M, SALAMEH O, et al. Coping strategies as moderating factors to compassion fatigue among critical care nurses[J]. Brain Behav, 2019, 9(4): e01264. doi: 10.1002/brb3.1264
[27]	姚秀钰, 林雨洁, 张畅. ICU护士的心理资本和应对方式对工作压力的影响分析[J]. 工业卫生与职业病, 2022, 48(1): 30-33.
[28]	罗有红, 温惠莉, 姚兆莉. 护士岗位胜任能力、应对方式与工作倦怠的关系研究[J]. 中华现代护理杂志, 2019, 25(3): 323-326.
[29]	ZANDER M, HUTTON A, KING L. Coping and resilience factors in pediatric oncology nurses[J]. J Pediatr Oncol Nurs, 2010, 27(2): 94-108. doi: 10.1177/1043454209350154
[30]	王宁, 廖可怡, 郑婉清, 等. 疫情防控常态化下临床护士应对方式与替代性创伤的相关性[J]. 护理实践与研究, 2022, 19(24): 3665-3670.
[31]	陈晓容, 郭盛丽, 夏美燕, 等. 新型冠状病毒肺炎疫情下援鄂医疗队员替代性创伤状况及影响因素[J]. 中国健康心理学杂志, 2020, 28(10): 1472-1476.
[32]	程敏琼, 秦嗪, 陈慧, 等. 宫颈癌放疗患者自我调节疲乏与应对方式的研究[J]. 实用临床医药杂志, 2022, 26(6): 63-66, 71. doi: 10.7619/jcmp.20220189
[33]	朱可可, 张思森, 张芬, 等. 临床护理人员积极应对方式在心理弹性与心理健康间的中介作用[J]. 河南医学研究, 2022, 31(16): 2916-2920.
[34]	张世娟, 罗有娟. 应对方式在心理弹性与负性情绪间的中介效应[J]. 大理大学学报, 2021, 6(7): 121-128.
[35]	鲁浩, 章雅青, 王琳. 护士心理弹性的研究进展[J]. 护理学杂志, 2016, 31(4): 93-96.
[36]	周露, 李婷, 周成莉, 等. 心理弹性在急诊护士应激(压力)反应与应对方式之间的中介效应[J]. 全科护理, 2023, 21(35): 5002-5005.
[37]	黎黎, 彭丽丽, 汪丰, 等. 积极心理干预对90后护士心理弹性及总体幸福感的影响[J]. 护理学杂志, 2021, 36(14): 82-85.
[38]	MA X C, WU D M, HOU X F. Positive affect and job performance in psychiatric nurses: a moderated mediation analysis[J]. Nurs Open, 2023, 10(5): 3064-3074.

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Mediating effect of positive coping styles on relationship between psychological resilience and vicarious traumatization in nurses in Intensive Care Unit

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