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Background Aim Methods Findings Conclusions Implications for nursing and health policy Nurses' critical input and firsthand disaster management experience are vital to healthcare quality.This study aims to comprehend nurses' experiences during and after the earthquakes, their coping mechanisms for posttraumatic stress disorder (PTSD), and the consequent effects on their profession, given the nurses' crucial role in disaster response.A descriptive qualitative study using semistructured interviews was conducted between April and May 2024. Fifteen nurses were selected using criterion and snowball sampling methods from those working as earthquake survivor nurses in the affected areas. The COREQ guidelines for reporting qualitative research were followed.Five main themes were: emotional reactions/physical difficulties, career and motivation, PTSD and well‐being, suggestions, and work performance. The results highlighted the significant psychological and professional challenges that nurses encounter, including the effects of severe PTSD symptoms, coping strategies, and the influence on their capacity to deliver care.Nurses dealing with earthquakes face unique challenges that test their resilience on all levels. Learning from their experiences and coping mechanisms can help healthcare systems support these frontline workers better. Investing in disaster preparedness and mental health resources for nurses is crucial for their well‐being and the overall strength of the healthcare system during crises.Effectively managing workloads and rest periods can reduce physical fatigue and prevent burnout. Shift rotations and adequate staffing levels are necessary. Access to psychological mental health support is vital for nurses to recover from the psychological effects of disasters. Regular disaster preparedness training is imperative for physical safety and psychological resilience. Robust support systems, including safe accommodation and peer support groups, are crucial for nurses in disaster response. [ABSTRACT FROM AUTHOR]

Compensatory consumption is a typical strategy used by consumers to alleviate feelings of self‐discrepancy. This phenomenon occurs in multiple contexts, and the related literature has experienced rapid and fragmented growth. This article presents a systematic review of 96 articles on compensatory consumption published in 42 journals over 26 years (from 1997 to 2023). Using the antecedents, decisions, and outcomes (ADO) model, we propose a framework that covers the entire compensatory consumption journey, linking an individual's types of discrepancy with the underlying mechanisms, coping strategies, and compensatory behaviors. We also explore the positive and negative outcomes of compensatory behaviors and the potential for the process to become a continuous compensation cycle. Our findings highlight four significant themes (antecedents, compensation strategies, outcomes, and methodologies) that need to be further investigated in future studies. [ABSTRACT FROM AUTHOR]

Limited research has examined coping mechanisms in response to chronic war‐related stressors, as opposed to war‐exposure trauma. The current study sought to investigate the types of losses experienced by communities affected by the Sri Lankan conflict, how participants responded to their losses, and what coping mechanisms they employed. Data consisted of interviews from two independent investigations conducted following the end of the conflict in Northern Sri Lanka (total N = 103). Interview transcripts were analyzed using a directed content analysis approach. Participants most frequently described experiencing material loss and loss of loved ones. Relatedly, participants commonly reported experiencing ambiguous loss, that is, living with the uncertainty of their loved one's death. These losses were particularly pronounced by gender, with women experiencing higher rates of loss. Common coping strategies included support‐seeking, including informal support from social networks and religion, and formal mental health services. Additionally, participants described a range of longer term coping strategies from establishing a future‐oriented cognitive style to a sense of helplessness and resignation. The findings shed light on how conflict‐affected groups cope with profound loss. We provide recommendations for how such findings can inform grief‐related clinical interventions. [ABSTRACT FROM AUTHOR]

Anecdotal reports of student parents' challenges during the Covid‐19 pandemic prompted this explorative study; investigating the lived experiences of UK student parents and the provision of Higher Education support. Data was derived from 91 online surveys, 20 follow‐up interviews, and analysis of 100 university websites. This occurred during the pandemic lockdowns whenthe stresses, challenges and opportunities of balancing their simultaneous roles of parent and student were intensified due to school closures. The Double ABC‐X model provided a framework for examining participant's lived experiences, and the role that Higher Education institutions could play in effecting positive coping and adaptation. Findings indicate that universities need to implement strategies to enhance support for this sector, including greater awareness of the vulnerabilities and challenges involved, more flexibility and adaptability in the university ethos, formal and informal policies and structures to provide more effective support and advice for juggling these simultaneous demands. [ABSTRACT FROM AUTHOR]

Aim: To understand the moral distress experienced by health‐care workers (HCWs) in the COVID paediatric intensive care unit (PICU). We also aimed to assess the psychological well‐being and the coping mechanisms used by HCWs. Methods: A prospective observational cross‐sectional study was conducted from July to September 2021, involving all HCWs who worked in the COVID PICU. Moral distress using Moral Distress for Health‐care Professionals (MMD‐HPs) scale, psychological well‐being using Trauma Screening Questionnaire (TSQ) and coping strategies adopted by HCWs using Brief‐COPE (Coping Orientation to Problems Experienced) were measured. Results: One hundred and eighty‐four HCW data were examined. The most common causes of moral distress among HCWs were compromised patient care caused by a lack of resources and caring for more patients than they could safely handle. Moral distress was the same regardless of the HCWs' job profile, marital status, number of children or age. The TSQ revealed psychological stress in 23.3% of HCWs with Post‐traumatic Stress Disorder, significantly higher in HCWs under the age of 30 and without children. Few HCWs turned to substance use, self‐blame or denial as coping mechanisms; instead, acceptance, self‐distraction and emotional support were the most frequently used. Conclusion: The most common reasons for moral and psychological distress perceived by participants were insufficient staff and organisational support. Younger HCWs and those without children experienced higher levels of psychological distress. HCWs' typical coping mechanisms are constructive, such as seeking help and support from others, reframing situations and meditation. Health‐care administrators must develop a framework to assist HCWs in dealing with such serious issues. [ABSTRACT FROM AUTHOR]

We examine human resource management (HRM) in a large Bangalore project‐based software company. Diverse adaptations of organisation‐level HRM exist in projects, generating heterogeneous HRM practices across the organisation, resulting in management–employee tensions. Paradoxes are managed through a comprehensive, detailed and complementary set of structural and relational coping mechanisms, designed to promote employee commitment. These mechanisms were only partially successful, largely because of ongoing client interventions in project management. The motivations for and directions of client interventions are closely linked to the type of work undertaken in projects. Service market imperatives limit managers' scope to negotiate such interventions. [ABSTRACT FROM AUTHOR]

Aims: The influence of the COVID‐19 vaccine and the evolution of the pandemic over time on nurses' mental health have not been thoroughly examined. This study aimed to explore the changes in nurses' mental health from the early pandemic to the early vaccination period over a 1‐year time span and examine vaccination and coping mechanisms as predictors of nurses' poor mental health and burnout. Methods: Three cross‐sectional surveys were conducted: Early‐pandemic (n = 320), pre‐vaccination (n = 228), and early‐vaccination cohorts (n = 292). Findings: About 72% of nurses in the early‐vaccination cohort were fully vaccinated with two doses of mRNA COVID‐19 vaccines. There were significant decreases in moderate/severe anxiety and moderate/severe depression for the early‐vaccination cohort compared to the other cohorts. In multivariate analyses, vaccination had almost three‐fold higher odds of moderate/severe anxiety (Odds Ratio [OR] = 2.87; 95% Confidence Interval [CI] = 1.28–6.44). High resilience, family functioning, and spirituality were associated with two‐ to five‐fold lower odds of poor mental health and burnout. Conclusions: Although nurses in the early‐vaccination cohort had lower anxiety and depression than earlier cohorts, COVID‐19 vaccination had minimal associations with nurses' mental health. Coping mechanisms and organizational support appear to be important predictors of nurses' poor mental health and burnout. Clinical relevance: The evidence gathered over 1 year of the pandemic may be helpful for a better understanding of the challenges facing frontline nurses and preparing for future healthcare crises. As a part of the preparedness plan for the future, evidence‐based interventions that raise frontline nurses' resilience, as well as family and spiritual support, should be considered. [ABSTRACT FROM AUTHOR]

Aim: The aim of this paper is to reflect upon the experiences of a senior nurse in a patient‐facing role, who led a tea providing direct care to those with coronavirus disease 2019 (covid‐19). This would establish what those experiences meant to nurses during the initial outbreak to enable their coping mechanisms to face subsequent waves in the United Kingdom. Background: The worst infectious disease outbreak of a generation rapidly made its impact known to the medical profession and its support infrastructure across the globe. It imparted unprecedented challenges, not only for managing the care of the most critically ill but for minimising its spread and protecting the workforce. Sources of evidence: Reflections of working on the covid‐19 frontline during the initial stages of the pandemic, the challenges faced, and lessons learned enabled the development of a strategy to better support nurses in the ongoing pandemic. Discussion: Visible, invested and consistent leadership was key in forming a strong foundation to support clear communication, peer support and increasing confidence. Consequently, strong bonds were forged to enable the team to face further challenges as they felt 'in it together'. Summary and implications for nursing and health policy: The experiences described in this paper are those of a senior nurse leader within a particular care context. However, the lessons learned are likely to resonate with many nurses who are facing the same challenges in very similar care contexts and who are urged to reflect upon their own experiences. Furthermore, the associated lessons may help support others and inform their strategy for coping throughout potential future admission surges of this pandemic. [ABSTRACT FROM AUTHOR]

Global meat consumption poses a threat to environmental sustainability and human health. Therefore, moral and health‐related norms connected to eating meat are changing and consumers experience conflicts when choosing between meat and nonmeat options in various situations. To achieve a better understanding of the nature of these conflicts and how consumers cope with them, we study identities related to meat consumption and how they are organized. Identity theories are used as the lens to address the self‐relevance of meat to consumers. Thirteen Danish consumers shared how and why they ate, reduced, or avoided meat in a food‐based photo‐diary and in‐depth interviews, supported by a visualization approach, developed from self‐brand connection methods. Three higher‐order identities (pragmatic idealist, ethical foodie, and healthy hedonist) emerged, governing the consumption, reduction, or avoidance of different meat categories. Identity conflicts between health, moral (e.g., animal welfare), and hedonic concerns were present, but also identity stigma. Coping mechanisms include change of salience and changing patterns of meat consumption. Campaigners promoting a reduction in meat consumption and developers of alternative protein foods can use these insights to target identities and facilitate conflict resolutions. However, more research is needed on how generalizable results are. [ABSTRACT FROM AUTHOR]

Objective: A myriad of physical and psychosocial sequelae have been reported among Ebola survivors from previous Ebola virus disease (EVD) outbreaks, including the most recent in West Africa. This review examines the various forms of psychological distress experienced by EVD survivors, family and community reactions to EVD survivors and EVD survivors' coping mechanisms.Methods: We conducted a literature search of original articles employing Medline (Ovid), PubMed, Web of Science, Scopus, CINAHL, EBSCO host academic search complete, PsycINFO (EBSCO) and Embase databases.Results: Our search identified 1890 articles of which 24 met our inclusion criteria. Various forms of psychological distress were prevalent among EVD survivors including depression, anxiety, anger, grief, guilt, flashbacks, sadness, worthlessness, substance addiction, suicidal tendencies and self-stigmatisation. Family and community responses to EVD survivors ranged from acceptance to rejection, isolation, stigmatisation and discrimination. EVD survivors' coping strategies included engagement with religious faith, EVD survivors associations and involvement in EVD prevention and control interventions.Conclusion: Psychological distress, including that resulting from family and community stigma and discrimination, appears common among EVD survivors. Community-based mental health and psychosocial interventions integrated within a broader package of care for EVD survivors that also recognises the physical health challenges are required. Well-designed longitudinal studies can provide clear insights on the nature and trajectory of the psychosocial issues currently experienced by EVD survivors. [ABSTRACT FROM AUTHOR]

Social media offers an accessible resource for gaining valuable insights into the social culture of bullying. The purpose of this study was to qualitatively analyse Twitter posts for common themes relating to dentofacial features, braces and bullying. Twitter's database was searched from 2010 to 2014 using keywords relevant to bullying, teeth and orthodontics. Two investigators assessed the Twitter posts, and selected those that conveyed the experiences or opinions of bullying victims. The posts were qualitatively analysed using thematic analysis. Of the 548 posts screened, 321 were included in the final sample. Four primary categories relating to 'dental-related bullying' were identified: (i) morphological features, (ii) psychological and psychosocial impact, (iii) coping mechanisms and (iv) the role of family. Bullied individuals reported a diverse range of psychological impacts and coping mechanisms. Secondary categories were also identified. Family members, for example, were found to play both a contributory and mediatory role in bullying. In summary, social media can provide new and valuable information about the causal factors and social issues associated with oral health-related bullying. Importantly, some coping mechanisms may mitigate the negative effects of bullying. [ABSTRACT FROM AUTHOR]

This paper investigates the economic impact of health shocks on working-age adults in Vietnam during 2004-2008, using a fixed effects specification. Health shocks cover disability and morbidity and are measured by 'days unable to carry out regular activity', 'days in bed due to illness/injury', and 'hospitalization'. Overall, Vietnamese households are able to smooth total non-health expenditures in the short run in the face of a significant rise in out-of-pocket health expenditures. However, this is accomplished through vulnerability-enhancing mechanisms, especially in rural areas, including increased loans and asset sales and decreased education expenditures. Female-headed and rural households are found to be the least able to protect consumption. Results highlight the need to extend and deepen social protection and universal health coverage. © 2015 The Authors. Health Economics published by John Wiley & Sons Ltd. [ABSTRACT FROM AUTHOR]

The teaching of gross anatomy has, for centuries, relied on the dissection of human cadavers, and this formative experience is known to evoke strong emotional responses. The authors hypothesized that the phenomenon of cadaver naming is a coping mechanism used by medical students and that it correlates with other attitudes about dissection and body donation. The authors developed a 33-question electronic survey to which 1,156 medical students at 12 medical schools in the United States voluntarily responded (November 2011-March 2012). They also surveyed course directors from each institution regarding their curricula and their observations of students' coping mechanisms. The majority of students (574, 67.8%) named their cadaver. Students most commonly cited the cadaver's age as the reason they chose a particular name for the cadaver. A minority of the students who did not name the cadaver reported finding the practice of naming disrespectful. Almost all students indicated that they would have liked to know more about their donor, particularly his or her medical history. Finally, students who knew the birth name of the donor used it less frequently than predicted. The authors found that the practice of naming cadavers is extremely prevalent among medical students and that inventive naming serves as a beneficial coping mechanism. The authors suggest that developing a method of providing students with more information about their cadaver while protecting the anonymity of the donor and family would be useful. Anat Sci Educ 7: 169-180. © 2013 American Association of Anatomists. [ABSTRACT FROM AUTHOR]

This paper uses quantitative and qualitative panel household data, for the period 1992-2009, to model the coping mechanisms of households when faced with crises in Uganda. We find that socio-economic determinants strongly influence coping mechanisms, with larger sized households being more likely to engage in the reduction of assets, and with households more likely to reduce food consumption when there is a drought and sell assets when faced with floods. Furthermore, being persistently poor and sick appear to result in disproportionately large reductions in assets over time-depleting a households asset base, and future coping mechanisms, of poorer households. Copyright © 2013 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Background Cancer is often associated with a lot of pain and suffering. These suggest that coping with the symptoms, diagnosis and treatment of cancer is a major life stressor that is capable of influencing patients' quality of life (QoL). Purpose The purpose of the study is to assess the relationship between cancer patients' QoL dimensions and coping strategies in the Radiotherapy Department of the University College Hospital Ibadan, Nigeria. Methods Data were collected on clinic days from all available and consenting cancer patients who were receiving treatment at the radiotherapy department. Participants were informed of their right to decline to fill the questionnaires. Result In this study, 237 cancer patients participated. They had an age range of 15 to 95 years with a mean age of 49.91 years. There was significant inverse relationship between physical well-being with behavioural disengagement, venting, planning and self-blame ( p < 0.05); social/family well-being has significant linear relationship with active coping, emotional support, positive reframing, instrumental support, acceptance and religion ( p < 0.05); emotional well-being has significant inverse relationship with behavioural disengagement and self-blame ( p < 0.05); functional well-being has significant linear relationship with active coping, instrumental support and acceptance ( p < 0.05). Conclusion It is important to assess cancer patients for the kind of coping strategies they are adopting to use in coping with their cancer burden, thereby guiding against lower QoL due to negative coping strategies. Intervention programmes could be developed to help cancer patients adopt more positive and effective coping strategies to improve patients' QoL. Copyright © 2013 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Hematopoietic stem cell transplantation is an effective therapy for life-threatening hematological diseases. Parents may be asked to donate hematopoietic stem cells for their child when no compatible related or unrelated donor is available. Objective: Parents donating G-CSF mobilized peripheral blood stem cells simultaneously and uniquely fulfill the dual role of donor and caregiver for their ill child. The experiences of both sibling and unrelated stem cell donors have been extensively reported but not those of parental donors. Methods: We therefore undertook a study specifically to investigate the experiences and coping strategies of parental stem cell donors. In-depth qualitative interviews were conducted with 13 parental donors, which were subsequently transcribed and subjected to thematic analysis. In addition, parental coping was assessed utilizing the Utrecht Coping List. Results: Qualitative analyses revealed four main thematic categories describing the way parental stem cell donation was experienced, namely 'Hope and Fear', 'Need for Information', 'Do Anything for your Child' and 'Transplant Outcome' In addition parents noted similar difficulties which were unrelated to their specific role as a donor, for example they felt socially isolated. Conclusions: Individual information for the parents needs to address not only the transplantation procedure but particularly those aspects related to the donation process. We feel there is a need for a protocol specifically designed to support and coach parental donors. Copyright © 2010 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

This paper analyses household coping strategies for illness in four Lao villages. The villagers dealt with health expenditure themselves, using coping mechanisms which drew mainly on social networks within the community. They strongly believed in the principle of paying user fees and did not consider exemption from fees an option. A total of 12 households (6 per cent of households) faced catastrophic expenditure arising from healthcare payments. The national policy on exemptions did not protect the poor and the study demonstrates that there is an urgent need for the government to improve the design and implementation of exemptions or reform the policy on subsidising health care. Copyright © 2009 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Drought is a major constraint affecting rice production, especially in rainfed areas of Asia. Despite its importance in rice-growing areas, the magnitude of economic losses arising from drought, its impact on farm households, and farmers' drought coping mechanisms are poorly understood. This article provides insights into these aspects of drought based on a cross-country comparative analysis of rainfed rice-growing areas in southern China, eastern India, and northeast Thailand. The economic cost of drought is found to be substantially higher in eastern India than in the other two countries. Higher probability and greater spatial covariance of drought and less diversified farming systems with rice accounting for a larger share of household income are the main reasons for this higher cost of drought in eastern India. Farmers deploy various coping mechanisms but such mechanisms are largely unable to prevent a reduction in income and consumption, especially in eastern India. As a result, welfare consequences on poor farmers are substantial with a large number of people falling back into poverty during drought years. The overall implications for technology design and for policy improvements for drought mitigation and drought relief are discussed in the light of the empirical findings of the study. [ABSTRACT FROM AUTHOR]

Objectives: Emotional intelligence (El) is a psychological construct, which has been proposed as a measure of coping mechanisms. The aim of this pilot study was to investigate the relationship between different domains of El, and initial response to a simplified non-surgical treatment protocol in 29 patients with chronic periodontitis. Methods: Assessment of patients included socio-demographic and behavioural variables and assessment of El. Clinical assessment included measurement of plaque and gingival bleeding. Patients received oral hygiene instruction (OHI) and supra- gingival scaling and polishing over two visits, and re-assessed after 3 weeks. Results: There was a significant overall reduction in plaque and bleeding. Plaque reduction was positively associated with the El construct of intentionality, resilience, constructive discontent and personal power (Spearman' s rank test). Reduction in bleeding was positively correlated with resilience, constructive discontent and intuition. Conclusions: This pilot study demonstrated an association between El domains and short-term changes in plaque and bleeding, and suggest that initial responses to standardized periodontal treatment may be partly related to El. [ABSTRACT FROM AUTHOR]

This paper problematizes the tendency to study Internet use disorders from a perspective of addiction. It is argued that an addiction perspective, grounded in our understanding of substance use disorders, has not contributed much to an improved understanding of the antecedents and etiology of Internet use disorders. Despite this, researchers continue to frame Internet use disorders as an addiction, recently exemplified by the inclusion of Internet gaming disorder in the DSM-5 research appendix as a behavioral addiction. This paper claims that the decision to use an addiction framework to study Internet use disorders has consequences for the way in which results are interpreted, which impacts the potential for theoretical and etiological contributions negatively. The paper argues that a perspective of addiction may not be the most useful approach because it causes a mismatch between theory and findings in empirical work: it is not uncommon to find that a study is positioned as a study of addiction, but presents findings more illustrative of coping behaviors. The paper draws on two examples from the literature to illustrate this mismatch and discusses how this hinders theoretical and etiological development. The question that is asked going forward is what alternative explanations we might identify by not exclusively adhering to an addiction framework for purposes of research. Recommendations are given for how to usefully approach the study of Internet use disorders outside a framework of addiction. It also discusses how scholars who still prefer a framework of addiction might strengthen their conceptual position to ensure improved contributions to etiology and theoretical development. [ABSTRACT FROM AUTHOR]