My Colleague and I: Contribution of Coworker Support and Self-compassion to Stress Among Health Workers During Health Crises
Abstract
The devastating Covid-19 pandemic forced health workers to adapt quickly to uncertain circumstances, increasing moral burden, excessive workload, and limited rest time. Many adversities in the hospital setting may increase stress levels due to prolonged and uncertain pandemics. Coworker support and self-compassion are two protective factors that may help health workers to manage stress during the pandemic. This study examined the contribution of coworker support and self-compassion to stress among health workers during the pandemic. A quantitative correlational study using simple random sampling to select samples from a list of referral hospitals for Covid-19 in the Malang area. One hundred seventeen health workers from six randomly selected referral hospitals for Covid-19 completed three instruments: the stress subscale of Depression, Anxiety, Stress Scale 21 (DASS-21), Coworker Support Scale, and Self- Compassion Scale (SWD) adapted to the Indonesian population. The linear regression showed that only self-compassion predicted stress levels among health workers. In contrast, coworker support and self-compassion did not contribute simultaneously to the stress levels of health workers during the pandemic. Therefore, maintaining self-compassion is vital to coping with stress while providing adequate health care during health crises.
Keywords: coworker support, health worker, self-compassion, stress
References
[1] Sasangohar F, Jones SL, Masud FN, Vahidy FS, Kash BA. Provider burnout and fatigue during the COVID-19 pandemic: Lessons learned from a high-volume intensive care unit. Anesthesia & Analgesia. 2020;131(1):106–111.
[2] Montgomery A, Spânu F, B?ban A, Panagopoulou E. Job demands, burnout, and engagement among nurses: A multi-level analysis of ORCAB data investigating the moderating effect of teamwork. Burnout Research. 2015;2(2–3):71–79.
[3] Kinman G, Teoh K, Harriss A. Supporting the well-being of healthcare workers during and after COVID-19. Occupational Medicine (Chic Ill). 2020;70(5):294–296.
[4] Tsamakis K, Triantafyllis A, Tsiptsios D, Spartalis E, Mueller C, Tsamakis C, et al. COVID?19 related stress exacerbates common physical and mental pathologies and affects treatment (Review). Experimental and Therapeutic Medicine. 2020;159–162.
[5] Iskandarsyah A, Shabrina A, Djunaidi A, Siswadi AGP. Mental health, work satisfaction and, quality of life among healthcare professionals during the covid- 19 pandemic in an Indonesian sample. Psychology Research and Behavior Management. 2021;14(September):1437–1446.
[6] Rosyanti L, Hadi I. Dampak psikologis dalam memberikan perawatan dan layanan kesehatan pasien COVID-19 pada tenaga profesional kesehatan. Health Information: Jurnal Penelitian. 2020;12(1):107–130.
[7] Silverman MN, Heim CM, Nater UM, Marques AH, Sternberg EM. Neuroendocrine and immune contributors to fatigue. PMR [Internet]. 2010;2(5):338–46. Available from: http://dx.doi.org/10.1016/j.pmrj.2010.04.008
[8] Mardiati Agustin I, Nurlaila, Tamara Yuda H, Yulia. Pilot study kondisi psikologis relawan bencana COVID 19. Jurnal Ilmu Keperawatan Jiwa. 2020;3(2):113–118.
[9] Nasrullah D, Natsir M, Twistiandayani R, Rohayani L, Siswanto, Sumartyawati NM, et al. Psychological impact among health workers in effort to facing the covid-19 in Indonesia. International Journal of Public Health Science. 2021;10(1):181–188.
[10] Shahsavarani AM, Abadi EAM, Kalkhoran MH. Stress assessment and development of a primary care of psychology service. International Journal of Medical Reviews. 2015;2(2):230–241.
[11] Merandi J, Winning AM, Liao N, Rogers E, Lewe D, Gerhardt CA. Implementation of a second victim program in the neonatal intensive care unit: An interim analysis of employee satisfaction. Journal of Patient Safety and Risk Management. 2018;23(6):231–238.
[12] Blanco-Donoso LM, Garrosa E, Demerouti E, Moreno-Jiménez B. Job resources and recovery experiences to face difficulties in emotion regulation at work: A diary study among nurses. International Journal of Stress Management. 2016;24(2):107–134.
[13] Nordat I, Tola B, Yasin M. Impact work motivation and perceived coworker support on organizational commitment at human resources development and management agency. Journal of International Conference Proceedings [Internet]. 2019;2(3):107– 111. Available from: http://www.albayan.ae
[14] Riyadi RS, Sarsono. Pengaruh dukungan sosial rekan kerja dan locus of control internal terhadap stres kerja perawat. Journal of Health Studies. 2019;3(2):69–77.
[15] Yang T, Shen YM, Zhu M, Liu Y, Deng J, Chen Q, et al. Effects of co-worker and supervisor support on job stress and presenteeism in an aging workforce: A structural equation modelling approach. International Journal of Environmental Research and Public Health. 2016;13(1):1–15.
[16] Duarte J, Pinto-Gouveia J, Cruz B. Relationships between nurses’ empathy, selfcompassion and dimensions of professional quality of life: A cross-sectional study. International Journal of Nursing Studies. 2016;60:1–11.
[17] Gutiérrez-Hernández ME, Fanjul LF, Díaz-Megolla A, Reyes-Hurtado P, Herrera- Rodríguez JF, Enjuto-Castellanos MDP, et al. Covid-19 lockdown and mental health in a sample population in spain: The role of self-compassion. International Journal of Environmental Research and Public Health. 2021;18(4):1–14.
[18] Santos Beni LA Dos, Latipun L. Correlation self-compassion and happiness among university students in Timor-Leste: Gratitude as moderation variable. International Journal of Psychological Studies. 2019;11(2):1.
[19] Allen AB, Leary MR. Self-compassion, stress, and coping. Social and Personality Psychology Compass. 2010;4(2):107–118.
[20] Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA. 2020;323(21):2133–2134.
[21] Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the depression anxiety stress scales (DASS) with the beck depression and anciety inventories. Behaviour Research and Therapy. 1995;33(3):335–343.
[22] Onie S, Kirana AC, Adisya, Mustika NP, Adesla V, Ibrahim R. Assessing the predictive validity and reliability of the DASS-21, PHQ-9 and GAD-7 in an Indonesian sample [Internet]. PsyArXiv [Preprint]. 2020. Available from: https://osf.io/preprints/psyarxiv/eqcm9
[23] Spooner-Lane R. The influence of work stress and work support on burnout in public hospital nurses [Internet]. 2004. Available from: http://biblioteca.usac.edu.gt/tesis/08/08_2469_C.pdf
[24] Sugianto D, Suwartono C, Handayani Sutanto S. Reliabilitas dan validitas selfcompassion scale versi Bahasa Indonesia. J Psikol Ulayat [Internet]. 2020;(May). Available from: https://www.researchgate.net/publication/340965146
[25] Kokoroko E, Sanda MA. Effect of workload on job stress of ghanaian OPD nurses: The role of coworker support. Safety and Health at Work [Internet]. 2019;10(3):341– 346. Available from: https://doi.org/10.1016/j.shaw.2019.04.002
[26] Bowling NA, Beehr TA, Johnson AL, Semmer NK, Hendricks EA, Webster HA. Explaining potential antecedents of workplace social support: Reciprocity or attractiveness? Journal of Occupational Health Psychology. 2004;9(4):339–350.
[27] Priyatna H, Mu’in M, Naviati E, Sudarmiati S. Gambaran tingkat kecemasan dan stres kerja tenaga kesehatan puskesmas saat pandemi covid-19. Holistic Nursing and Health Science. 2021;4(2):74–82.
[28] Alnazly E, Khraisat OM, Al-Bashaireh AM, Bryant CL. Anxiety, depression, stress, fear and social support during COVID-19 pandemic among Jordanian healthcare workers. PLoS One [Internet]. 2021;16(3 March). Available from: http://dx.doi.org/10.1371/journal.pone.0247679
[29] Li CT, Cao J, Li TMH. Eustress or distress: An empirical study of perceived stress in everyday college life. Prociding 2016 ACM Int Jt Conf Pervasive Ubiquitous Comput. 2016;(September 2016):1209–1217.
[30] Abdollahi A, Taheri A, Allen KA. Perceived stress, self-compassion and job burnout in nurses: The moderating role of self-compassion. Journal of Research in Nursing. 2020;26(3):182–191.
[31] Dev V, Fernando AT, Consedine NS. Self-compassion as a stress moderator: A Crosssectional Study of 1700 doctors, nurses, and medical students. Mindfulness (N Y). 2020;11(5):1170–1181.
[32] Neff KD, Rude SS, Kirkpatrick KL. An examination of self-compassion in relation to positive psychological functioning and personality traits. Journal of Research in Personality. 2007;41(4):908–916.
[33] Dolbier CL, Smith SE, Steinhardt MA. Relationships of protective factors to stress and symptoms of illness. American Journal of Health Behavior. 2007;31(4):423–433.
[34] Lim MTAF, Kartasasmita S. Dukungan internal atau eksternal; Self-compassion dan perceived social support sebagai prediktor stres. J Muara Ilmu Sos Humaniora, dan Seni. 2018;2(2):551.
[35] Uphoff EP, Lombardo C, Johnston G, Weeks L, Rodgers M, Dawson S, et al. Mental health among healthcare workers and other vulnerable groups during the COVID-19 pandemic and other coronavirus outbreaks: A rapid systematic review. PLoS ONES ONE [Internet]. 2021;16(8 August):1–16. Available from: http://dx.doi.org/10.1371/journal.pone.0254821