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Nurses’ meaning-making attempts during the pandemic: Relations with psychological adjustment and the moderating role of COVID-19 experience
Journal article   Open access   Peer reviewed

Nurses’ meaning-making attempts during the pandemic: Relations with psychological adjustment and the moderating role of COVID-19 experience

Christina Samios, Christina Aggar, Nicola Whiteing, Debbie Massey, Rae Rafferty, Karen Bowen and Alexandre Stephens
Traumatology, Vol.First online, pp.1-11
25/08/2025
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Abstract

nurses meaning making psychological adjustment COVID-19 pandemic COVID-19 SARS experience
When people experience a highly stressful event, such as working as a nurse during a pandemic, they tend to engage in meaning-making attempts to recover. Meaning-making attempts can be automatic, such as having intrusive thoughts about the event, or deliberate, such as positively reframing the event. Such meaning-making attempts have differential relationships with psychological adjustment, which might be, in part, because the context of meaning-making matters. The present study examined whether, as indicators of context, nurses’ perceptions of their COVID-19 experience moderate the meaning making–psychological adjustment relationship. Australian nurses working in the acute care sector during Australia’s second wave of the pandemic (N = 1,125) completed an online survey measuring indicators of automatic and deliberate meaning making (intrusion and positive reframing, respectively), psychological adjustment (depression, anxiety, and subjective well-being), and perceptions of COVID-19 experience (protection training, support, workload pressure, and interpersonal avoidance). Moderation analyses found that: (a) there were relationships between intrusion and poorer psychological adjustment that were weakened by protection training and support; (b) positive reframing related to less depression and greater subjective well-being at low levels of protection training, but was unrelated to these outcomes at high levels of protection training; and (c) positive reframing related to less depression at high levels of workload pressure, but was unrelated to depression at low levels of workload pressure. While cross-sectional, findings indicate that COVID-19 experience variables moderate the meaning making–psychological adjustment relationship in nurses. Future research should consider topic-specific context variables when examining meaning making and psychological adjustment.

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