Coping in healthcare students during a COVID-19 pandemic: Systematic literature review
DOI:
https://doi.org/10.33448/rsd-v12i11.43614Keywords:
Health Occupations Students; COVID-19; Psychological stress; Psychological adaptation; Universities; Systematic review.Abstract
To face the COVID-19 pandemic in-person school activities were interrupted, as a way to provide social isolation and reduce the transmission of the virus. However, drastic and adverse changes can be perceived as potential stressor and, depending on the coping strategies used by the individual to face stressful situations, can cause a greater or lesser level of stress. The objective of the present study consists of a systematic review of the literature that sought to analyze how university students studying health courses have faced the stress triggered by the COVID-19 pandemic. Searches were performed, in August 2021, in CAPES Periodicals and the BVS Regional Portal (Virtual Health Library), grouping the following descriptors: (coping) AND ("college student" OR undergraduate) AND (covid-19 OR COVID OR pandemic). From this search, 199 scientific articles were tracked; however, only 11 articles addressed the strategies used by university students in healthcare courses during a COVID-19 pandemic. The most used strategies by the students were: Social Support, Leisure and Well-Being, Active Coping and Emotional Disengagement. The data from this review can support the development of interventions that can help students to develop effective coping strategies in the prevention and mitigation of stress.
References
Abdulghani, H. M., Sattar, K., Ahmad, T., & Akram A. (2020). Association of COVID-19 Pandemic with undergraduate medical students’ perceived stress and coping. Psychology Research and Behavior Management, 13, 871-881. 10.2147/PRBM.S276938.
Bai, W., et al. (2021). Network analysis of anxiety and depressive symptoms among nursing students during the COVID-19 pandemic. Journal of Affective Disorders, 294, 753-760. 10.1016/j.jad.2021.07.072.
Bardagi, M. P., & Hutz, C. S. (2011). Eventos estressores no contexto acadêmico: uma breve revisão da literatura brasileira. Interação em Psicologia, 15(1), 111–119. 10.5380/psi.v15i1.17085.
Barros, M. S. P., & Wilhelm, F. A. (2020). Estratégias de enfrentamento do estresse utilizadas por jovens universitários no extremo norte do país. Revista Brasileira de Iniciação Científica, 7(1), 100-117. Disponível em: https://periodicos.itp.ifsp.edu.br/index.php/IC/article/view/1567
Batra, K., Sharma, M., Batra, R., Singh, T. P., & Schvaneveldt, N. (2021). Assessing the Psychological Impact of COVID-19 among College Students: An Evidence of 15 Countries. Healthcare (Basel), 9(2), 222. 10.3390/healthcare9020222.
Brasil (2020). Ministério da Educação. Proposta de parecer sobre reorganização dos calendários escolares e realização de atividades pedagógicas não presenciais durante o período de pandemia da Covid-19. Brasília: MEC.
Brown, A., Kassam, A., Paget, M., Blades, K., Mercia, M., & Kachra, R. (2021). Exploring the global impact of the COVID-19 pandemic on medical education: an international cross-sectional study of medical learners. Canadian Medical Education Journal, 12(3), 28-43. 10.36834/cmej.71149.
Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J., & Zheng, J. (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, 287, 112934. 10.1016/j.psychres.2020.112934
Carlotto, R. C., Teixeira, M. A. P., & Dias, A. C. G. (2015). Adaptação acadêmica e coping em estudantes universitários. Psico-USF, 20(3), 421–432. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-82712015000300421&lng=pt&tlng=pt
Casafont, et al. (2021). Experiences of nursing students as healthcare aid during the COVID-19 pandemic in Spain: A phemonenological research study. Nurse Education Today, 97, 104711. 10.1016/j.nedt.2020.104711
Disconz, C. M. D. G., Rodrigues, C. M. C., & Corso, K. B. (2018). Avaliação da propensão à Síndrome de Burnout em estudantes universitários e o uso das estratégias de enfrentamento. Revista Eletrônica Gestão & Saúde, 9(3), 419–429. 10.18673/gs.v9i3.24249.
Drach-Zahavy, A., Goldblatt, H., Admi, H., Blau, A., Ohana, I., & Itzhaki, M. (2021). A multi-level examination of nursing students’ resilience in the face of the COVID-19 outbreak: A cross-sectional design. Journal of Advanced Nursing, 78, 109– 120. 10.1111/jan.14951
Dwivedi, D., Kaur, N., Shukla, S., Gandhi, A., & Tripathi, S. (2020). Perception of stress among medical undergraduate during coronavirus disease-19 pandemic on exposure to online teaching. National Journal of Physiology, Pharmacy and Pharmacology, 10(8), 1. 10.5455/njppp.2020.10.05107202009052020.
Enumo, S. R. F., Weide, J. N., Vicentini, E. C. C., Araujo, M. F., & Machado, W. L. (2020). Enfrentando o estresse em tempos de pandemia: Proposição de uma cartilha. Estudos em Psicologia (Campinas), 37, e200065. 10.1590/1982-0275202037e200065.
Faro, A. (2015). Análise fatorial confirmatória das três versões da Perceived Stress Scale (PSS): um estudo populacional. Psicologia: Reflexão e Crítica, 28(1), 21–30. 10.1590/1678-7153.201528103.
Fitzgerald, A., & Konrad, S. (2021). Transition in learning during COVID‐19: Student nurse anxiety, stress, and resource support. Nursing Forum, 56(2), 298–304. 10.1111/nuf.12547.
Folkman, S., Lazarus, R. S., Gruen, R. J., & DeLongis, A. (1986). Appraisal, coping, health status, and psychological symptoms. Journal of Personality and Social Psychology, 50(3), 571–9. 10.1037/0022-3514.50.3.571.
Fonseca, J. R. F. (2016). Fatores de estresse, sintomas depressivos, suporte social e resiliência associados ao desempenho acadêmico em estudantes de enfermagem. 139 f. Universidade de São Paulo, 2016. https://www.teses.usp.br/teses/disponiveis/7/7139/tde-27042018-121153/en.php .
Galvão, T. F., Pansani, T. S. A., & Harrad. D. (2015). Principais itens para relatar Revisões sistemáticas e Meta-análises: A recomendação PRISMA. Epidemiologia e Serviços Saúde, 24(2), 335–42. http://www.iec.pa.gov.br/template_doi_ess.php?doi=10.5123/S1679-49742015000200017&scielo=S2237-96222015000200335
Hakami, Z., et al. (2021). Psychological impact of the COVID-19 pandemic on dental students: A Nationwide Study. Journal of Dental Education, 85, 494– 503. 10.1002/jdd.12470
Hamadeh-Kerbage, S., Garvey, L., Willetts, G., & Olasoji, M. (2021). Undergraduate nursing students' resilience, challenges, and supports during corona virus pandemic. International Journal of Mental Health Nursing, 30 Suppl 1, 1407-1416. 10.1111/inm.12896.
Hodges, C., Moore, S., Lockee, B., Trust, T., & Bond, A. (2020). Remote Teaching and Online Learning. EDUCAUSE Review, 1–15. Disponível em: https://er.educause.edu/articles/2020/3/the-difference-between-emergency-remote-teaching-and-
Klaassen, H., et al. (2021). COVID-19 pandemic and its impact on dental students: A multi-institutional survey. Journal of Dental Education, 85(7), 1280-1286. 10.1002/jdd.12597.
Laher, S., Bain, K., Bemath, N., Andrade, V., & Hassem, T. (2021). Undergraduate psychology student experiences during COVID-19: challenges encountered and lessons learnt. South African Journal of Psychology, 51(2), 215-228. DOI:10.1177/0081246321995095
Leahy, R. L. (2021). Não acredite em tudo o que você sente: identifique seus esquemas emocionais e liberte-se da ansiedade e depressão. Porto Alegre, Artmed.
Leppink, E. W., Odlaug, B. L., Lust, K., Christenson, G., & Grant, J. E. (2016). The Young and the Stressed: Stress, Impulse Control, and Health in College Students. The Journal of Nervous and Mental Disease, 204(12), 931-938. 10.1097/NMD.0000000000000586.
Li, Y., et al. (2021). Psychological distress among health professional students during the COVID-19 outbreak. Psychological Medicine, 51(11), 1952-1954. 10.1017/S0033291720001555.
Lipp, M. N., & Lipp, L. M. N. (2019). Proposal for a Four-Phase Stress Model. Psychology, 10(11), 1435–1443. 10.4236/psych.2019.1011094.
Luca, L., Noronha, A. P. P., Queluz, F. N. F. R. (2018). Relações entre estratégias de coping e adaptabilidade acadêmica em estudantes universitários. Revista Brasileira de Orientação Profissional, 19(2), 169–76. http://pepsic.bvsalud.org/pdf/rbop/v19n2/05.pdf
Maia, B. R., & Dias, P. C. (2020). Ansiedade, depressão e estresse em estudantes universitários: o impacto da COVID-19. Estudos de Psicologia (Campinas), 37, 1–8. 10.1590/1982-0275202037e200067.
Martínez, I. M., Meneghel, I., & Peñalver, J. (2019). Does gender affect coping strategies leading to well-being and improved academic performance? Revista de Psicodidáctica, 24(2), 111–9. https://linkinghub.elsevier.com/retrieve/pii/S2530380519300036
Martins, N. O., Silva, F. O., Lima, D. M., Nunes, M. F., & Queiroz, M. G. (2020). Percepção de alunos concluintes de Odontologia sobre o impacto da pandemia do COVID-19 no futuro profissional. Odonotologia Clínico-Científica, 29(3), 221–225. 10.34117/bjdv7n12-500
Oliveira, C. T., & Dias, A. C. G. (2017). Dificuldades e estratégias de enfrentamento de estudantes universitários com sintomas do TDAH. Psicologia: Teoria e Prática, 19(2), 269–80. 10.5935/1980-6906/psicologia.v19n2p264-275
Oliveira, D. S. et al. (2021). Fatores associados ao estilo de vida entre estudantes de enfermagem durante a pandemia de COVID-19. Research, Society and Development, 10(5), e20310514835. 10.33448/rsd-v10i5.14835.
Organização Mundial da Saúde (OMS) (2020). Coronavirus disease 2020 (Covid-19): situation report - 51. Geneve: OMS. https://apps.who.int/iris/handle/10665/331475.
Pelaccia, T., Sibilia, J., Fels, É., Gauer, L., Musanda, A., Severac, F., & Abbiati, M. (2021). And if we had to do it all over again, would we send medical students to the emergency departments during a pandemic? Lessons learned from the COVID-19 outbreak. Internal and Emergency Medicine, 16(7), 1967-1974. 10.1007/s11739-020-02629-0.
Pereira, M. D., Oliveira, L. C., Costa, C. F. T., Bezerra, C. M. O., Pereira, M. D., & Santos, C. K. A. (2020). A pandemia de covid-19, o isolamento social, consequências na saúde mental e estratégias de enfrentamento: uma revisão integrativa. Research, Society and Development, 9(7), e652974548.10.33448/rsd-v9i7.4548.
Rocha, N. L., Sora, A. B. A., Lapa, A. T., & Santos, D. D. Construindo o Projeto Cuidadosamente: reflexão sobre a saúde mental dos graduandos de Enfermagem frente ao COVID-19. Revista de Saúde Coletiva da UEFS, 10(1), 13–17. http://periodicos.uefs.br/index.php/saudecoletiva/article/view/5153
Rodrigues, B. B., Cardoso, R. R. J., Peres, C. H. R., & Marques, F. F. (2020). Aprendendo com o imprevisível: saúde mental dos universitários e Educação Médica na pandemia de Covid-19. Revista Brasileira de Educação Médica, 44(1), 149. 10.1590/1981-5271v44.supl.1-20200404.
Shailaja, B., Singh, H., Chaudhury, S., & Thyloth, M. (2020). COVID-19 pandemic and its aftermath: Knowledge, attitude, behavior, and mental health-care needs of medical undergraduates. Industrial Psychiatry Journal, 29(1), 51-60. 10.4103/ipj.ipj_117_20.
Shrestha, M. V., Shrestha, N., Sharma, S. C., & Joshi, S. K. (2020). Gaming Disorder among Medical College Students during COVID-19 Pandemic Lockdown. Kathmandu University Medical Journal, 18(70): 48-52. Disponível em: http://www.kumj.com.np/issue/70/48-52.pdf
Soares, A. B., Monteiro, M. C., Souza, M. S., Maia, F. A., Medeiros, H. C. P., & Barros, R. S. N. (2019). Situações interpessoais difíceis: relações entre habilidades sociais e coping na adaptação acadêmica. Psicologia: Ciência e Profissão, 39(e183912), 1–13. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-98932019000100117&tlng=pt
Son, C., Hegde, S., Smith, A., Wang, X., & Sasangohar, F. (2020). Effects of COVID-19 on College Students' Mental Health in the United States: Interview Survey Study. Journal of Medical Internet Research, 22(9): e21279. 10.2196/21279.
Sümen, A., & Adıbelli, D. (2021). Nursing students' readiness and coping strategies for the Covid-19 pandemic in Turkey. Journal of Professional Nursing, 37(3), 553-561. 10.1016/j.profnurs.2021.03.005.
Tang, W., et al. (2020). Prevalence and correlates of PTSD and depressive symptoms one month after the outbreak of the COVID-19 epidemic in a sample of home-quarantined Chinese university students. Journal of Affective Disorders, 274(January), 1–7. 10.1016/j.jad.2020.05.009
Zhao, Y., Zhou, Q., Li, J., Luan, J., Wang, B., Zhao, Y., Mu, X., & Chen, H. (2021). Influence of psychological stress and coping styles in the professional identity of undergraduate nursing students after the outbreak of COVID-19: A cross-sectional study in China. Nursing Open, 8(6), 3527-3537. 10.1002/nop2.902.
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