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- Occupational Stress, Coping, and Outcomes among Korean Nurses: An Integrative Review Based on the Transactional Model of Stress and Coping
- Myungji Kim, Hyunkyung Choi
- STRESS. 2025;33(3):127-135. Published online September 30, 2025
- DOI: https://doi.org/10.17547/kjsr.2025.33.3.127
- 236 View
- 21 Download
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Abstract
PDF - Background
Korean nurses face high levels of occupational stress due to staff shortages and work overload. This stress varies depending on each individual’s cognitive appraisal and coping strategies and affects both the quality of nursing care and the well-being of the nurses themselves. Therefore, this study is intended to conduct a comprehensive investigation into the cognitive appraisal, coping strategies, and occupational stress outcomes of Korean nurses.
Methods
This integrative review study was based on Lazarus and Folkman’s transactional model of stress and coping. Literature published in Korean or English between March 1984 and July 2025 was reviewed using the RISS, KISS, DBpia, PubMed, and CINAHL databases.
Results
Fourteen studies (13 quantitative descriptive and 1 qualitative) were analyzed regarding occupational stress and coping strategies among nurses. Three key attributes were identified: a high level of occupational stress related to various factors, the use of active and passive coping strategies, and outcomes from coping with occupational stress. No study to date has specifically examined occupational stress appraisal.
Conclusions
It is important to develop strategies that help nurses actively cope with occupational stress, allowing for adaptive outcomes, rather than inefficient ones. These findings are expected to serve as foundational data for the development of occupational stress management programs. Future studies on nurses’ occupational stress will also need to include the concept of cognitive appraisal.
- Effectiveness of a Cognitive-Behavioral Stress Management Program on Psychosocial Stress, Mood State, and Ways of Coping for Emergency Department Nurses
- Ja-Hyun Kim, Kuem-Sun Han
- STRESS. 2021;29(2):87-96. Published online June 30, 2021
- DOI: https://doi.org/10.17547/kjsr.2021.29.2.87
- 5,358 View
- 367 Download
- 2 Citations
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Abstract
PDF
Background The study was undertaken to evaluate the effects of a cognitive-behavioral stress management program on psychosocial stress, mood states, and ways of coping with stress for emergency department (ED) nurses.
Methods The study design was a non-equivalent control group with a pre/post design. The study was conducted from July 1, to September 30, 2016. The sample population comprised nurses who work in ED in Seoul, South Korea. The sample size was 79 which included 39 in the experimental group and 40 in the control group. Seven sessions of a program (50 minutes/session) were provided over 4weeks. Data were analyzed using descriptive statistics: the χ2-test and the t-test with the SPSS/WIN 21.0 program.
Results There were statistically significant differences in psychosocial stress, mood states, and ways of coping with stress between the experimental group and the control group. However, the sub-hypothesis regarding the degree of using passive coping skills was not supported.
Conclusion The results of this study indicate that a cognitive-behavioral stress management program for ED nurses is effective in reducing psychosocial stress, changing mood states positively, and improving ways of coping with stress effectively.
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Citations
Citations to this article as recorded by
- Effects of Auricular Acupressure on Nurses’ Perceived Stress, Sleep Quality, and Presenteeism
Hyunseo Sim, Younghee Park
Holistic Nursing Practice.2025; 39(1): 15. CrossRef - Factors Influencing Job Embeddedness in Emergency Room Nurses: Focus on Positive Psychological Capital, Gratitude, and Anger Expression
Sa Rang Joo, Mi-Jung Kang
Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(4): 383. CrossRef
- Effects of Auricular Acupressure on Nurses’ Perceived Stress, Sleep Quality, and Presenteeism
- Effect of Calling, Meaning of Work, Job Stress, and Stress Coping on Organizational Commitment among Career Soldiers
- Hye Won Kim, Jae Eun Yoo, Chung Hee Woo
- STRESS. 2017;25(1):30-36. Published online March 31, 2017
- DOI: https://doi.org/10.17547/kjsr.2017.25.1.30
- 4,152 View
- 118 Download
- 3 Citations
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Abstract
PDF
The purpose of the study was to identify the effect of calling, meaning of work, job stress, and stress coping on organizational commitment among career soldiers. Data were collected from 160 career soldiers using a structured self-reported questionnaire. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficient, and stepwise multiple regression. The results showed the mean scores were organizational commitment 3.72±0.80, calling 3.00±0.66, meaning of work 3.05±0.36, job stress 2.28±0.35, active stress coping 3.67±0.36, and passive stress coping 3.16±0.41 each. Organizational commitment had positive correlation with calling (r=.19, p=.019), meaning of work(r=.45, p<.001), and active stress coping (r=.44, p<.001); but negative correlation with job stress (r=−.53, p<.001). The affecting factors were job stress (β=−.36), active stress coping (β=.18), meaning of work (β=.17), monthly income (β=−.16) in order. The explained variances for organizational commitment was 37.0% among career soldiers. Therefore, in order to improve the organizational commitment of career soldiers, it is necessary to promote active coping skills to reduce job stress and to develop educational strategies to give meaning of work as a career soldier from the period of junior leaders.
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Citations
Citations to this article as recorded by- The impact of nurse’s sense of calling, organizational commitment, job stress, and nursing work environment on patient safety management activities in comprehensive nursing care service units during the covid-19 pandemic
YeJi Lee, Won Ju Hwang
BMC Nursing.2024;[Epub] CrossRef - The Relationship between Air Force Air Crew’s Calling and Flight Safety Behavior
Min Sung Song, Sang Woo Park, Young Woo Sohn
Journal of the Korean Society for Aviation and Aeronautics.2023; 31(3): 17. CrossRef - An Empirical Study on the Effect of Military Foodservice Satisfaction on Soldiers’ Morale
Donghee Lee, Byung Yun Bae, Sungyong Choi
Journal of Society of Korea Industrial and Systems Engineering.2020; 43(3): 228. CrossRef
- The impact of nurse’s sense of calling, organizational commitment, job stress, and nursing work environment on patient safety management activities in comprehensive nursing care service units during the covid-19 pandemic
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