The relevance of psychosocial variables and working conditions in predicting nurses' coping strategies during the SARS crisis: an online questionnaire survey
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Objectives The purpose of this investigation was to examine the relationship between psychosocial variables and working conditions, and nurses' coping methods and distress in response to the severe acute respiratory syndrome (SARS) crisis in Canada. PARTICIPANTS AND PROCEDURE: The sample consisted of 333 nurses (315 women, 18 men) who completed an Internet-mediated questionnaire that was posted on the Registered Nurses' Association of Ontario (RNAO) website between March and May 2004. The questionnaire was restricted to respondents who had to authenticate their RNAO membership with a valid username and password before accessing the questionnaire. This served a dual purpose: to ensure that only RNAO nurses completed the questionnaire and thereby safeguarding the generalizability of the findings; and second, to prevent any one nurse from contributing more than once to the overall sample.Results Correlational analysis yielded several significant relationships between psychosocial variables and working conditions, and the traditional correlates of burnout and stress. Three multiple regression analysis revealed that the model we evolved--including higher levels of vigor, organizational support, and trust in equipment/infection control initiative; and lower levels of contact with SARS patients, and time spent in quarantine--predicted to lower levels of avoidance behavior, emotional exhaustion, and state anger.Conclusions By employing models of stress and burnout that combine psychosocial variables and working conditions, researchers can account for significant amounts of variance in outcomes related to burnout. These findings highlight the importance of vigor and perceived organizational support in predicting nurses' symptoms of burnout. For healthcare administrators, this means that a likely strategy for assuaging the negative outcomes of stress should address nurses' psychosocial concerns and the working conditions that they face during novel times of crisis.
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Lower levels of organisational support increased the risk of burnout among healthcare workers during viral outbreaks.
“whereas lower levels of organisational support increased the risk of burnout (Marjanovic et al., 2007).”
From Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis (2020) · cites this paper as Marjanovic et al., 2007
Continuous communication between healthcare workers and managers, including up-to-date facts about outbreak progression, can convey institutional support.
“Continuous communication between HCWs and managers, including the provision of up-to-date facts about the progression of the outbreak, can convey institutional support (Marjanovic et al., 2007)”
From Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis (2020) · cites this paper as Marjanovic et al., 2007
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References 31 · Cited by 372
Research works printed but not linked: 5
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- Greenglass E.R. Burke R.J. The relationship between hospital restructuring, anger, hostility and psychosomatics in nurses Journal of Community and Applied Social Psychology 10 2000 155 161
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- Authors
- Marjanovic, Z., Greenglass, E. R., & Coffey, S.
- Affiliations
- York University (CA)
- Corresponding author
- Greenglass, Esther R.
- Venue
- International Journal of Nursing Studies
- Publisher
- Elsevier BV
- Published
- 2007-08
- Volume
- 44
- Issue
- 6
- Pages
- 991-998
- ISSN
- 0020-7489 (ISSN-L)
- PMC
- PMC7094220
- OpenAlex
- W2057197096
- Cited by
- 372
- References
- 31
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 14 · 2023: 31 · 2022: 82 · 2021: 105 · 2020: 114 · 2019: 1 · 2018: 1 · 2017: 5 · 2013: 2
- FWCI
- 3.49
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- International Journal of Nursing Studies (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Registered Nurses' Association of Ontario
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- nurses, coping strategies, SARS, burnout, occupational stress, psychosocial factors, working conditions, organizational support, vigor, emotional exhaustion, avoidance behavior, anger, infection control, quarantine
- MeSH terms
- Adaptation, Psychological, Adult, Burnout, Professional, Data Collection, Disease Outbreaks, Female, Humans, Male, Nursing Staff, Ontario, Regression Analysis, Socioeconomic Factors, Multivariate Analysis, Internet, Severe Acute Respiratory Syndrome
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