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"Background: The perinatal unit is a place where patients, families, nurses, and other healthcare providers interact amidst a stressful environment. These stressors may result in an array of coping strategies which result in adaptive outcomes that promote optimal health and others which result in illness and disease. To what degree these stressors affect perinatal nurses\u0027 practices of stress appraisal, ways of coping, and adaptational outcomes is still unknown. Purpose: Six research questions and five accompanying hypothesis were posed. There were four specific aims to this study; they included : 1) the examination of the relationship between mean age, educational level, stress appraisal, ways of coping, and adaptational outcomes among perinatal nurses; 2) the identification of the most prevalent method of stress appraisal used by perinatal nurses; 3) identification of the most common sources of perinatal nurses\u2019 stress; and 4) which ways of coping influences perinatal nurses\u2019 adaptational outcomes of work, social function, and somatic health. Theoretical Framework: Lazarus and Folkman\u0027s (1984) Stress Appraisal and Coping theory provided the theoretical framework for the study. The theory is based on a relational and process-oriented belief that supports a person-environment relationship. Methods: A cross-sectional, descriptive, and correlational study was conducted in which data were collected at a single point in time using a voluntary convenience sample of perinatal nurses. Perinatal nurses (n = 279) accessed a website on SurveyMonkey and completed a survey based on the Stress Appraisal and Coping theory. Results: The three most commonly used ways of coping were: planful problem solving, self-control, and seeking social support. The three most commonly reported sources of stress were: conflict with nurses, conflict with physicians, and workload. A positive relationship was identified between the scores for stress appraisal and scores for ways of coping indicating that as scores for stress appraisal increased so did the scores for the ways of coping. Conclusion: The implementation of research findings into practice may provide strategies to decrease the stress within perinatal nurses\u2019 work environments and increase their use of appropriate coping strategies."
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"Includes bibliographical references (leaves 117-127)."
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