Exploring Stressors and Coping Strategies of Young Care Workers in Long-Term Care: A Qualitative Study Using the CHEERS Framework.
- 1Department of Health Promotion and Health Education, College of Education, National Taiwan Normal University, Taipei, Taiwan.
Abstract
Aims
To explore the psychological stressors and coping strategies of young care workers aged 30 years or younger across diverse care settings.Design
This qualitative study was conducted using data collected through focus group interviews to investigate stress experiences and coping responses.Methods
Four focus group interviews were conducted with a purposive sample of 16 young care workers. Data were analysed using grounded theory methods involving open, axial and selective coding.Results
Young care workers encounter psychological stressors from boundary violations, including physical acts like client violence and emotional pressures from excessive demands, which impair their well-being and caregiving effectiveness. A coping framework emerged, comprising six strategies-compassion, help-seeking, empathy, exposure, reflection and sensitivity-structured across three stages: primary coping, secondary coping, and long-term coping to alleviate stress and enhance resilience across varied settings.Conclusion
Findings highlight the significant stressors faced by young care workers and a structured coping framework that supports their resilience and occupational well-being.Implications for nursing practice
The CHEERS framework may inform training and supervision strategies for young care workers and support nurse educators and long-term care nursing leaders in strengthening workforce retention and care quality.Impact
This study tackled the pervasive stress among young care workers, revealing a framework of coping strategies to mitigate its effects. It impacts care facilities and workers by offering tools to improve resilience and care quality.Reporting method
This study adhered to the COREQ criteria.Patient or public contribution
Young care workers participated in the focus group interviews and shared their experiences of occupational stress and coping. Immediate member checking was conducted at the end of each focus group to allow participants to clarify or confirm the researchers' summary of the discussion. Participants were not involved in manuscript preparation.
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BibTeX
@article{chang2026exploring,
title = {{Exploring Stressors and Coping Strategies of Young Care Workers in Long-Term Care: A Qualitative Study Using the CHEERS Framework.}},
author = {Chia-Chen Chang and Chen-Yin Tung},
journal = {Nursing open},
year = {2026},
month = oct,
doi = {10.1002/nop2.70839},
url = {https://europepmc.org/article/MED/42908123},
note = {CC BY},
}
RIS
TY - JOUR
TI - Exploring Stressors and Coping Strategies of Young Care Workers in Long-Term Care: A Qualitative Study Using the CHEERS Framework.
AU - Chia-Chen Chang
AU - Chen-Yin Tung
PY - 2026
DA - 2026/10/01
JO - Nursing open
DO - 10.1002/nop2.70839
UR - https://europepmc.org/article/MED/42908123
AB - Aims To explore the psychological stressors and coping strategies of young care workers aged 30 years or younger across diverse care settings.Design This qualitative study was conducted using data collected through focus group interviews to investigate stress experiences and coping responses.Methods Four focus group interviews were conducted with a purposive sample of 16 young care workers. Data were analysed using grounded theory methods involving open, axial and selective coding.Results Young care workers encounter psychological stressors from boundary violations, including physical acts like client violence and emotional pressures from excessive demands, which impair their well-being and caregiving effectiveness. A coping framework emerged, comprising six strategies-compassion, help-seeking, empathy, exposure, reflection and sensitivity-structured across three stages: primary coping, secondary coping, and long-term coping to alleviate stress and enhance resilience across varied settings.Conclusion Findings highlight the significant stressors faced by young care workers and a structured coping framework that supports their resilience and occupational well-being.Implications for nursing practice The CHEERS framework may inform training and supervision strategies for young care workers and support nurse educators and long-term care nursing leaders in strengthening workforce retention and care quality.Impact This study tackled the pervasive stress among young care workers, revealing a framework of coping strategies to mitigate its effects. It impacts care facilities and workers by offering tools to improve resilience and care quality.Reporting method This study adhered to the COREQ criteria.Patient or public contribution Young care workers participated in the focus group interviews and shared their experiences of occupational stress and coping. Immediate member checking was conducted at the end of each focus group to allow participants to clarify or confirm the researchers' summary of the discussion. Participants were not involved in manuscript preparation.
SN - 2054-1058
ER -