Original Research - Special Collection: Mental Health

Coping strategies used by nurses during the COVID-19 pandemic: A narrative literature review

Leepile A. Sehularo, Boitumelo J. Molato, Isaac O. Mokgaola, Gopolang Gause
Health SA Gesondheid | Vol 26 | a1652 | DOI: https://doi.org/10.4102/hsag.v26i0.1652 | © 2021 Leepile A. Sehularo, Boitumelo J. Molato, Isaac O. Mokgaola, Gopolang Gause | This work is licensed under CC Attribution 4.0
Submitted: 24 March 2021 | Published: 28 September 2021

About the author(s)

Leepile A. Sehularo, NuMIQ Focus Area, School of Nursing Science, Faculty of Health Sciences, North-West University, Mmabatho, South Africa
Boitumelo J. Molato, NuMIQ Focus Area, School of Nursing Science, Faculty of Health Sciences, North-West University, Mmabatho, South Africa
Isaac O. Mokgaola, NuMIQ Focus Area, School of Nursing Science, Faculty of Health Sciences, North-West University, Mmabatho, South Africa
Gopolang Gause, NuMIQ Focus Area, School of Nursing Science, Faculty of Health Sciences, North-West University, Mmabatho, South Africa

Abstract

Background: During the coronavirus disease 2019 (COVID-19) pandemic, it is understandable that nurses are working under stressful conditions. A successful use of effective coping strategies during the COVID-19 pandemic will help nurses to manage stressful conditions.

Aim: The objective of this narrative literature review was to explore and describe the coping strategies used by nurses during the COVID-19 pandemic.

Setting: This study was conducted from all available literature related to the coping strategies used by nurses during the COVID-19 pandemic globally.

Methods: A narrative literature review was conducted to answer researchers’ concern of coping strategies used by nurses during COVID-19. The purposive sampling technique was used to select three online databases that were used to search for the relevant literature, namely Google Scholar, Science Direct and African Journals (formerly SAePublications). Search terms used to conduct this study include coping, coping strategies, nurses, nursing and COVID-19 pandemic. This study included English studies focusing on coping strategies used by nurses during COVID-19 published between 2019 and 2021. The study excluded newspaper articles, conference reports and other databases not mentioned in this study.

Results: The findings identified the following strategies: use of COVID-19 protective measures, avoidance strategy, social support, faith-based practices, psychological support and management support are used by nurses as coping strategies during the COVID-19 pandemic.

Conclusion: The use of the identified coping strategies by nurses may reduce stress and burnout during the COVID-19 pandemic. Recommendations were made for future research, nursing education and practice.

Contribution: This is the first narrative literature review focusing on the coping strategies used by nurses during the COVID-19 pandemic. The findings of this narrative literature review provide insight that may be used by nurses of all categories to cope during the COVID-19 pandemic.


Keywords

coping; coping strategies; nurses; nursing; COVID-19

Metrics

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Crossref Citations

1. Impact of COVID-19 on nurses’ mental health in Thohoyandou area, Limpopo province
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International Journal of Business Ecosystem & Strategy (2687-2293)  vol: 7  issue: 2  first page: 346  year: 2025  
doi: 10.36096/ijbes.v7i2.773

2. Coping profiles and their association with vicarious post‐traumatic growth among nurses during the three waves of the COVID‐19 pandemic
Argyroula Kalaitzaki, Maria Theodoratou, George Tsouvelas, Alexandra Tamiolaki, George Konstantakopoulos
Journal of Clinical Nursing  vol: 34  issue: 12  first page: 5169  year: 2025  
doi: 10.1111/jocn.16988

3. Difficulties Encountered by Surgical Intensive Care Unit Nurses in Postoperative Patient Monitoring and Their Coping Strategies: A Qualitative Study
Nurgül Arpag, Sevgi Gür
Nursing in Critical Care  vol: 31  issue: 1  year: 2026  
doi: 10.1111/nicc.70324

4. Stress coping strategies used by nurses during the COVID-19 pandemic
Matylda Sierakowska, Halina Doroszkiewicz
PeerJ  vol: 10  first page: e13288  year: 2022  
doi: 10.7717/peerj.13288

5. Support Needs of Bereaved Family Members in Limpopo, South Africa: A Qualitative Study
Leepile Sehularo, Angelina Maphula, Thingahangwi Masutha, Makondelele Radzilani, Esther Rangwaneni, Robert Lavhelani, Beauty Koko, Annatjie van der Wath, Mercy Dotty Mushwana, Hulisani Magwabeni, Mihloti Shimange, James Takalani, Rorisang Machailo, Khathutshelo Mphephu, Fhumulani Mavis Mulaudzi, Tinyiko Rikhotso
The Open Public Health Journal  vol: 19  issue: 1  year: 2026  
doi: 10.2174/0118749445458499260403013310

6. Relationship between religious coping and post-traumatic stress disorder and professional quality of life of nurses working at COVID-19 wards: a descriptive correlational study
Zohreh Sanavi Shiri, Pouran Tavakoli, Marzieh Momennasab
Frontiers in Public Health  vol: 13  year: 2025  
doi: 10.3389/fpubh.2025.1535340

7. Psychological effects of the COVID-19 pandemic and nurses' coping mechanisms: A correlational study
Dolores I. Cabansag, Farhan Alshammari, Petelyne Pangket, Ma. Venus F. Borja, Hazel Villagracia, Fredezwinda Majid, Maha Alreshidi, Joyce R. Rosaupan, Ma. Nieva Pineda, Marifa Briones
International Journal of ADVANCED AND APPLIED SCIENCES  vol: 10  issue: 11  first page: 171  year: 2023  
doi: 10.21833/ijaas.2023.11.021

8. COVID-19-Related Effects on the Psychological Well-Being and Resilience of Frontline Expatriate Nurses in the Kingdom of Saudi Arabia: A Qualitative Analysis
Homood A. Alharbi
Healthcare  vol: 13  issue: 17  first page: 2200  year: 2025  
doi: 10.3390/healthcare13172200

9. Exploring the psychosocial impact of work-life balance among nurse educators in a Gauteng Nursing Education Institution
Letta Mathebula, Rirhandzu Friddah Mathevula, Tshiamo Nerville Ramalepa
Frontiers in Public Health  vol: 14  year: 2026  
doi: 10.3389/fpubh.2026.1790115

10. Leading through the pandemic: Experiences of diagnostic radiography middle managers during the COVID-19 pandemic
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Health SA Gesondheid  vol: 31  year: 2026  
doi: 10.4102/HSAG.v31i0.3343

11. Conceptual Framework for the Psychosocial Support of Nurses Caring for Patients Diagnosed with COVID-19 Infection in North West Province, South Africa
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International Journal of Environmental Research and Public Health  vol: 20  issue: 6  first page: 5078  year: 2023  
doi: 10.3390/ijerph20065078

12. Second victim syndrome among nursing professionals as a result of COVID-19: qualitative research
Inmaculada Corral-Liria, Marta Losa-Iglesias, Ricardo Becerro-De-Bengoa-Vallejo, Elena Herraiz-Soria, César Calvo-Lobo, Marta San-Antolín-Gil, Sara González-Martín, Raquel Jimenez-Fernández
BMC Nursing  vol: 24  issue: 1  year: 2025  
doi: 10.1186/s12912-025-02974-5

13. “The leadership shown by nurses gave me such a boost”: health resources used by nurses who experienced COVID-19 pandemic stressors
Annie Oulevey Bachmann, Christine Cohen, Maryline Abt, Ingrid Gilles, Philippe Delmas, Claudia Ortoleva Bucher
International Journal of Qualitative Studies on Health and Well-being  vol: 19  issue: 1  year: 2024  
doi: 10.1080/17482631.2024.2432687

14. The Impact of Sociodemographic Characteristics on Coping Strategies Used by Nurses Working at COVID and Non-COVID Hospital Departments during COVID-19 Pandemic: A Cross-Sectional Study
Matea Dolić, Vesna Antičević, Krešimir Dolić, Zenon Pogorelić
Healthcare  vol: 10  issue: 6  first page: 1144  year: 2022  
doi: 10.3390/healthcare10061144

15. Providing End-of-Life Care to COVID-19 Patients: The Lived Experiences of ICU Nurses in the Philippines
O-Jay B. Jimenez, Sheilla M. Trajera, Gregory S. Ching
International Journal of Environmental Research and Public Health  vol: 19  issue: 19  first page: 12953  year: 2022  
doi: 10.3390/ijerph191912953

16. The Statistical Significance of Embodied Experiences and Self-Care Practices on the Mental Health of Female Nurses in the United States During the COVID-19 Pandemic
B. Savage, M. N. Barringer, Addy Lindsay
Sociological Focus  vol: 58  issue: 4  first page: 520  year: 2025  
doi: 10.1080/00380237.2025.2544543

17. Role of resilience and self-coping strategy in determining positive emotions during pandemic among healthcare professionals in Iran
Remya Lathabhavan, Teena Bharti, Zohreh Hosseini Marznaki
BMC Psychology  vol: 11  issue: 1  year: 2023  
doi: 10.1186/s40359-023-01323-y

18. Problems Causing Work-Related Stress and Strategies for Coping with Stress Suggested by Nurses During Covid-19 Pandemic
L. Linnik, J. Sepp
WSEAS TRANSACTIONS ON BUSINESS AND ECONOMICS  vol: 20  first page: 1477  year: 2023  
doi: 10.37394/23207.2023.20.130

19. Work-Life Balance and Moral Competence among Nurses in Medical-Surgical Units of Selected Tertiary Hospitals
Pekson, E. A. F.
African Journal of Health, Nursing and Midwifery  vol: 8  issue: 3  first page: 57  year: 2025  
doi: 10.52589/AJHNM-BR28YKIL

20. “Patient dignity can be ensured by providing adequate health care”: A phenomenological analysis on survival strategies of military nurses
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Heliyon  vol: 10  issue: 4  first page: e25893  year: 2024  
doi: 10.1016/j.heliyon.2024.e25893

21. The relationship between nurses' risk assessment and management, fear perception, and mental wellbeing during the COVID-19 pandemic in Saudi Arabia
Reem N. Al-Dossary, Sana AlMahmoud, Maram Ahmed Banakhar, Majed Alamri, Hamdan Albaqawi, Khaled Al Hosis, Mohammed S. Aljohani, Bader Alrasheadi, Rawaih Falatah, Noura Almadani, Khalid Aljohani, Jalal Alharbi, Joseph U. Almazan
Frontiers in Public Health  vol: 10  year: 2022  
doi: 10.3389/fpubh.2022.992466

22. Experiences of professional nurses in paediatric wards during COVID-19 pandemic, North West province
Tshepiso Y. Kgongwane, Jeanette M. Sebaeng, Seepaneng S. Moloko-Phiri
International Journal of Africa Nursing Sciences  vol: 24  first page: 100976  year: 2026  
doi: 10.1016/j.ijans.2026.100976

23. The Wellbeing of Healthcare Workers during COVID-19 Era in Public Primary Health Facilities in Johannesburg, South Africa
Glory Makhado, Busisiwe Ntuli, Lindiwe Zungu, Ntevhe Thovhogi, Peter Modupi Mphekgwana, Sogolo Lucky Lebelo, Sphiwe Madiba, Perpetua Modjadji
International Journal of Environmental Research and Public Health  vol: 21  issue: 3  first page: 372  year: 2024  
doi: 10.3390/ijerph21030372

24. The impact of psychological distress, socio‐demographic and work‐related factors on coping strategies used by nurses during the COVID‐19 pandemic: A cross‐sectional study
Farnaz Rahmani, Fatemeh Ranjbar, Elnaz Asghari, Leila Gholizadeh
Nursing Open  vol: 11  issue: 1  year: 2024  
doi: 10.1002/nop2.2053

25. Exploring Accountability in School Counseling: Research Trends, Applied Models, and Implications for Practice in Indonesia
Binti Isrofin, Agus Taufiq, Ahman Ahman, Yusi Riksa Yustiana, Dudin Dudin
KONSELOR  vol: 13  issue: 2  first page: 91  year: 2024  
doi: 10.24036/0202413281-0-86

26. Emotions, Perceived Stressors, and Coping Strategies Among Nursing Staff in Saudi Arabia During the COVID-19 Pandemic
Lamees S Bakhsh, Abeer AlHazmi, Alla BaMohammed, Eiman Binishaq, Ghadah Abdullah, Razaz Bajal, Ibrahim Al Ramamneh
Cureus  year: 2023  
doi: 10.7759/cureus.48284