Evidence map›Paper›PMID 42908123›Full record

ArticleNursing open2026

Exploring Stressors and Coping Strategies of Young Care Workers in Long-Term Care: A Qualitative Study Using the CHEERS Framework.

Chia-Chen Chang, Chen-Yin Tung

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Article in Nursing open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Chia-Chen ChangDepartment of Health Promotion and Health Education, College of Education, National Taiwan Normal University, Taipei, Taiwan.ORCID https://orcid.org/0000-0003-2050-5447
Chen-Yin TungDepartment of Health Promotion and Health Education, College of Education, National Taiwan Normal University, Taipei, Taiwan.

Funding

Ministry of Science and Technology, Taiwan MOST 112-2410-H-003-176
6 · The paper itself

Abstract

aimsTo explore the psychological stressors and coping strategies of young care workers aged 30 years or younger across diverse care settings.

designThis qualitative study was conducted using data collected through focus group interviews to investigate stress experiences and coping responses.

methodsFour 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.

resultsYoung 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.

conclusionFindings 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

methodThis 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.

Indexed as

Adaptation, PsychologicalHealth PersonnelLong-Term CareStress, PsychologicalAdultCoping SkillsFemaleFocus GroupsFrontline WorkersGrounded TheoryHumansMaleQualitative ResearchCHEERS frameworkcoping strategieslong‐term carepsychological resiliencestressyoung care workers

Identifiers

PMID42908123
PMCPMC13687581

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