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An Examination of Stress, Coping, and Adaptation in Nurses in a Recovery and Monitoring Program

Bowen, Marie Katherine MSN, RN; Taylor, Kathleen P. MSN, RN, CCRN, CAPA; Marcus-Aiyeku, Ulanda BS, MSN, RN; Krause-Parello, Cheryl A. PhD, RN

doi: 10.1097/JAN.0b013e31826f4bd6
Original Articles

Addiction rates in nurses are higher than in the general population. The relationship between stress, coping, and adaptation in nurses (N = 82) enrolled in a recovery and monitoring program in the state of New Jersey was examined. Social support, a variable tested as a mediator of this relationship, was also examined. Participants completed the Perceived Stress Scale, Multidimensional Scale of Perceived Social Support, and Psychological General Well-Being Index. Negative relationships were found between stress and social support and stress and well-being, and a positive relationship was found between social support and well-being (all ps < .05). The direct relationship between stress and well-being was decreased in the presence of social support. The findings of this research suggest that, to assist nurses, an increased awareness of stress and its injurious effects on overall well-being must be identified so proactive measures can be implemented to prevent potential untoward consequences. Ultimately, methods to strengthen social support and social networks will enhance the probability of sustained recovery, relapse prevention, and safe reentry into nursing practice. Implications for behavioral health providers and health care practitioners are discussed.

College of Natural and Applied Health Sciences, School of Nursing, Kean University, Union, New Jersey.

The authors report no conflict of interest. The authors alone are responsible for the content and writing of the article.

Correspondence related to content to: Marie Katherine Bowen, 27 Hillwood Road, East Brunswick, NJ 08816. E-mail:

© 2012International Nurses Society on Addictions
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