{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T01:45:37Z","timestamp":1776822337827,"version":"3.51.2"},"reference-count":29,"publisher":"Wiley","issue":"3-4","license":[{"start":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T00:00:00Z","timestamp":1605744000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To assess the level of stress response, self\u2010efficacy and perceived social support status of working nurses during the outbreak of the COVID\u201019 and investigate potential factors affecting their stress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The stress level of clinical nurses directly affects their physical and mental health and work efficiency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This study was a cross\u2010sectional investigation, which was performed following the STROBE checklist. The current study was conducted in February 2020 by selecting clinical nurses from the Zigong First People's Hospital for investigation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>At the peak of the COVID\u201019 outbreak in China, we assessed clinical nurses with the Stanford Acute Stress Reaction Questionnaire, the General Self\u2010Efficacy Scale and the Perceived Social Support Scale. Specifically, the nurses were divided into three groups: (a) nurses supporting Wuhan; (b) nurses in the department of treating the COVID\u201019 patients in our hospital (epidemic department); and (c) nurses in the general department without the COVID\u201019 patients in our hospital (non\u2010epidemic department).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 1092 clinical nurses were surveyed with 94 nurses in Wuhan, 130 nurses treating COVID\u201019 patients in our hospital and 868 nurses working without direct contact with diagnosed COVID\u201019 patients. The mean stress score of all surveyed nurses was 33.15 (SD: 25.551). There was a statistically significant difference in stress response scores between different departments. Noticeably, the nurses who went to support in Wuhan showed a weaker stress response than the nurses who stayed in our hospital (mean: 19.98 (Wuhan) vs. 32.70 (epidemic department in our hospital) vs. 34.64 (non\u2010epidemic department in our hospital)). In addition, stress was negatively correlated with general self\u2010efficacy and perceived social support.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The present study suggested that the stress status of second\u2010line nurse without direct contact with diagnosed COVID\u201019 patients was more severe than that of first\u2010line nurses who had direct contact with COVID\u201019 patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Our study indicated the importance of psychological status of second\u2010line medical staff during the global pandemic.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15553","type":"journal-article","created":{"date-parts":[[2020,11,3]],"date-time":"2020-11-03T18:05:33Z","timestamp":1604426733000},"page":"433-442","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Emergency stress management among nurses: A lesson from the COVID\u201019 outbreak in China\u2013a cross\u2010sectional study"],"prefix":"10.1111","volume":"30","author":[{"given":"Changju","family":"Liao","sequence":"first","affiliation":[{"name":"Department of Nursing Zigong First People\u2019s Hospital Zigong China"},{"name":"Department of Basic Medical Sciences Sichuan Vocational College of Health and Rehabilitation Zigong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linghong","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Dermatology West China Hospital Sichuan University Chengdu China"},{"name":"Department of Pharmacology West China School of Basic Sciences and Forensic Medicine Animal Research Institute Sichuan University Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cuicui","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nursing Zigong First People\u2019s Hospital Zigong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meiqi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nursing Zigong First People\u2019s Hospital Zigong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenjing","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Nursing Zigong First People\u2019s Hospital Zigong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Zhong","sequence":"additional","affiliation":[{"name":"Department of Nursing Zigong First People\u2019s Hospital Zigong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qingfang","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Nursing Zigong First People\u2019s Hospital Zigong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6014-061X","authenticated-orcid":false,"given":"Yin","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Nursing Zigong First People\u2019s Hospital Zigong China"},{"name":"Department of Basic Medical Sciences Sichuan Vocational College of Health and Rehabilitation Zigong China"},{"name":"Department of Pharmacology West China School of Basic Sciences and Forensic Medicine Animal Research Institute Sichuan University Chengdu China"},{"name":"Department of Anesthesiology Sichuan Cancer Hospital and Institute Sichuan Cancer Center School of Medicine University of Electronic Science and Technology of China Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,11,19]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-016-0608-x"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3928\/01484834-20170222-04"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1007822603186"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12341"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2002032"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2020.02.010"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsycho.2017.02.006"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30183-5"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1291\/hypres.26.355"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/1270397"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2001316"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrn2639"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291716003275"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2017.08.008"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674370705200406"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina55060237"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969733019851548"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(04)01597-9"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/bul0000058"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2017.01.031"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/CEH.0000000000000311"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-psych-010418-102936"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/NNE.0000000000000452"},{"key":"e_1_2_12_25_1","volume-title":"Coronavirus disease 2019 (COVID\u201019): Situation report, 51","author":"World Health Organization","year":"2020"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/02701367.2015.1093072"},{"key":"e_1_2_12_27_1","first-page":"1057","article-title":"The impact of stress on body function: A review","volume":"16","author":"Yaribeygi H.","year":"2017","journal-title":"EXCLI Journal"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.923767"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-018-0872-4"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-019-1403-9"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.15553","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocn.15553","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.15553","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T02:48:28Z","timestamp":1693709308000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.15553"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,19]]},"references-count":29,"journal-issue":{"issue":"3-4","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1111\/jocn.15553"],"URL":"https:\/\/doi.org\/10.1111\/jocn.15553","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,19]]},"assertion":[{"value":"2020-05-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}