| Abstract: | The stress inoculation (SI) paradigm, which consists of education (ED), coping skills training (CST), and exposure to simulated stressors (EX), was applied to the occupational stress experienced by nurses. Occupational stress was operationally defined in terms of 13 dependent measures reflecting problem areas summarized by the acronym ReACT (retrograde complaints, assertiveness deficits, competency concerns, and time stress). ReACT also stood for the ingredients of the CST component (relaxation training, assertive skill building, cognitive restructuring, and time management instruction). To determine which SI components produce a treatment effect, 60 White female acute-care registered nurses (mean age 33.8 yrs) were randomly assigned to 1 of 4 active treatment cells: SI, CST, EX, ED, or no treatment (NT). Ss were administered a battery of tests that included the State–Trait Anxiety Inventory and Rathus Assertiveness Schedule. A MANOVA at posttest, and subsequent univariate analyses simultaneously considering 4-mo follow-up data, demonstrated that SI is an effective treatment with durable benefits and that CST is its principal ingredient. Additional demand-characteristics analyses indicated that these effects are not due to placebo-related phenomena. (54 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved) |
