Positive Coping Strategies Research Articles

Effect of Psychological Resilience on Posttraumatic Growth Among Midwives: The Mediating Roles of Perceived Stress and Positive Coping Strategies.

To explore the relationship between midwives' psychological resilience and posttraumatic growth, and the mediating role of perceived stress and positive coping strategies. A multicentre cross-sectional survey was used. Data were conducted among 339 midwives from 24 Grade III A hospitals in Sichuan Province from April to July 2023, using the Chinese version of the Connor Davidson Resilience Scale, Chinese version Perceived Stress Scale, Simplified Coping Style Questionnaire, Chinese-Posttraumatic Growth Inventory and General Demographic Data Questionnaire. A descriptive statistical approach, Pearson's correlation analysis and the Mplus 8.3 were used to analyse the available data. There was a significant correlation between psychological resilience, perceived stress, positive coping strategies and PTG. Psychological resilience could have a direct positive impact on PTG of midwives, but it could also indirectly affect PTG of midwives through three pathways: the mediating effect of perceived stress, the mediating effect of positive coping strategies and the chain mediating effect of perceived stress and positive coping strategies. Results suggest that nursing managers should help to improve the psychological resilience of midwives and to reduce individual stress perception, enhance coping abilities and achieve positive growth. Prior to data collection, we obtained approval from the nursing department of each hospital. Midwives who met the inclusion and exclusion criteria gave informed consent and invited to participate in this study. This study was guided by STROBE. During the data collection phase, 349 midwives took the time to carefully answer the questionnaire items related to this study.

Leisure education and parks programming to address stress, burnout, and coping in law enforcement officers: an exploratory study

ABSTRACT Law enforcement officers (LEOs) frequently experience occupational stress, which may lead to burnout. Without positive coping strategies, LEOs are at risk of a myriad of negative health-related issues. This exploratory study evaluated the impact of a leisure education and parks programme offered in the workplace on stress, burnout, and coping in LEOs. Ten LEOs enrolled in the six-week programme that offered group leisure education sessions supplemented by individual time spent in parks. Scores on the Operational Police Stress Questionnaire (PSQ-Op) and Maslach Burnout Inventory-Human Services Survey (MBI-HSS) revealed lower stress and burnout scores for participants following the program, but the changes were not statistically significant. One subscale of the COPE Inventory, suppression of competing activities, revealed significantly higher scores post-programme (p =.04). The majority (77.78%) of the participants reported that they valued and were satisfied with the program. Findings provide initial support for leisure education and parks programming provided to LEOs in an effort to address their occupational health needs including stress, burnout, and coping.

Mental Health Outcomes of Parents with Children Enrolled in the Competence-Based Curriculum in Public Day Primary Schools in Nairobi County, Kenya

Involvement in their children's education through the Competency-Based Curriculum (CBC) significantly impacts the mental health outcomes of parents, necessitating a deeper understanding of how these educational demands influence parental well-being. This study examines the mental health outcomes of parents with children enrolled in the CBC in primary schools in Nairobi County, Kenya. Utilizing Cognitive Behavioral Theory (CBT), the research employed a quantitative approach with a cross-sectional survey design targeting parents with children enrolled in the CBC in primary schools. A multi-stage sampling technique resulted in a sample size of 376 parents. Data were collected using structured questionnaires, including the Parenting Sense of Competence (PSOC) scale, Multidimensional Fatigue Inventory (MFI), Parental Stress Scale, and New General Self-Efficacy Scale. Statistical analysis using SPSS Version 25 involved descriptive methods. The findings revealed generally positive mental health outcomes, with high levels of parenting satisfaction and self-efficacy, alongside moderate levels of mental fatigue and stress. These results align with CBT, emphasizing the role of positive beliefs and effective coping strategies in maintaining mental health. The study concludes that while CBC aims to enhance learning, it also creates challenges for parents that impact their mental health.

Sea turtles stranded ashore: Sociocultural dissonance and identity conflicts in migration intentions of Chinese international student returnees

In the post-COVID-19 era, Chinese international student returnees are facing greater identity conflicts during their reintegration. Understanding their sociocultural and ideological identity negotiation will better accommodate their needs and facilitate their integration into society. This study explored identity conflicts experienced by Chinese student returnees across ecological systems after reentry to China during COVID-19. A qualitative approach was used with 20 returnees. The key findings of this study reveal multi-layered conflicts stemming from the discordance between traditional Eastern values and newly acquired Western perspectives across meso-to-macro systems. In addition, important factors corresponding to returnees’ social capital were identified during the acculturation. Coping mechanisms and migration intentions were observed to vary distinctly among the identified identity clusters. Individuals with a "homestayer" identity, characterized by a deep commitment to integrating with the Chinese community and a higher level of perceived social capital in China, predominantly employed positive coping strategies, such as behavioral adaptation. This group exhibited a strong inclination to remain in China. Conversely, those with a "wayfarer" identity, who experienced deeper immersion in foreign cultures and displayed critical views towards Chinese society with a perceived low social capital in China, tended to adopt negative coping strategies like social withdrawal, correlating with a pronounced intention to migrate. Finally, "navigators", who skillfully balance their native Chinese and foreign cultural identities and effectively manage transnational engagements and diverse cultural norms through their perceived strong social capital in both societies, demonstrated a tendency towards hybrid coping strategies tailored to individual scenarios, reflecting a nuanced, case-by-case approach. This group exhibited a mixed migration intention, indicative of their flexible identity orientation. These findings suggest the need for multi-level support systems and policies that not only facilitate returnee identity continuity but also foster an inclusive and diverse societal framework to effectively retain this valuable population.

Challenges and coping strategies among caregivers of children with cancer receiving care at a national referral hospital in Kenya

BackgroundThe number of children diagnosed with cancer is expected to increase by 2050. The caring aspect of these children is usually left to members of the family, more so the mothers. Caregivers are usually faced with various challenges, such as financial issues, social stigma, and emotional and psychological issues. Caregivers use various coping strategies to manage the challenges they experience in the caring process, which can be positive or negative coping strategies.ObjectiveTo explore the challenges and coping strategies of caregivers of children with cancer receiving care at a national referral hospital in Kenya.MethodsThis study employed a descriptive phenomenological approach to explore the challenges and coping strategies of caregivers of children with cancer receiving treatment at a national referral hospital in Kenya. Purposive and snowball sampling techniques were used to select 44 participants for five focus group discussions (FGDs) conducted between October and December 2023. The data were analysed via inductive thematic analysis.ResultsFour themes arose from the challenges experienced, which included psychological, financial, treatment-related, and social/family-related issues. These eleven subthemes included stress, depression, lack of transport, lack of food, loss of employment, treatment delays, and marital issues, among others. Two themes related to coping strategies were positive adaptation and denial, which were highlighted as negative coping strategies. Positive coping included praying, crying, talking to people, and seeking help.ConclusionCaregivers of children with cancer undergo various challenges and apply various coping strategies to try and adapt to their new normal. Reinforcing positive coping strategies and helping caregivers utilize other coping strategies, such as the use of support groups, could help them better care for their children.

Urbanization and substance use in left-behind children and adolescents: a systematic review and meta-analysis.

Inequalities in job opportunities between urban and rural regions have driven many parents to move from rural to urban regions with aims to improve household income. Financial and political barriers prevent children from moving with their parents, meaning that their children become left-behind in rural regions. This study aims to meta-analyse the risk of drinking, smoking, illicit drug use and drunk experiences in left behind children (LBC) and non-LBC. Previous studies have indicated the negative effects of prolonged parental separation on children and adolescent mental health. Parental separation and poor mental health have both been identified as proximal risk factors for substance use in adolescence. The results indicated that LBC were at significantly greater risk of drinking, smoking, using illicit drugs, and having drunk experiences. Positive psychology interventions are required to help provide LBC with positive coping strategies against psychological distress. Policy changes to reduce inequalities in job opportunities between urban and rural regions are required to reduce the prevalence of LBC.

Mediating and Suppressing Effects of Coping Styles Between Resilience and Empathy for Pain in Clinical Nurses: A Cross-Sectional Study.

This study aimed to investigate the current state of empathy for pain among clinical nurses, analyze the relationship between resilience and empathy for pain, and explore the mediating effects of coping styles. This was a multicenter cross-sectional study conducted among 1601 clinical nurses in Guangdong Province, China. The convenience sampling method was used to collect data from Sociodemographic information, the 14-Item Resilience Scale, the Simplified Coping Style Questionnaire, and the Chinese version of the Empathy for Pain Scale from June to September 2023. To analyze the relationship between resilience, coping styles, and empathy for pain among clinical nurses with descriptive statistics, Spearman correlation analysis, and mediation analysis. The empathy for pain score among Chinese clinical nurses was 2.92 ± 0.79, with the empathy reactions dimension at 3.56 ± 0.74, and the body and mind discomfort reactions dimension at 2.70 ± 0.89. Clinical nurses' resilience was positively related to the coping styles and the empathy reactions dimension, whereas negatively associated with the body and mind discomfort reactions dimension. Coping styles were negatively related to the empathy for pain and the body and mind discomfort reactions dimension, whereas positive with the empathy reactions dimension. Coping styles partially mediated between resilience and empathy reactions dimension (β=0.127, 95% CI: 0.070~0.183), accounting for 56.19% of the total effect. There were suppressing effects of coping styles between resilience and empathy for pain (β=-0.157, 95% CI: -0.189~-0.126), the body and mind discomfort reactions dimension (β=-0.172, 95% CI: -0.203~-0.142). The effects of resilience on clinical nurses' empathy for pain were partially mediated and suppressed by coping styles. During clinical pain management, nursing administrators should focus on developing clinical nurses' resilience and positive coping strategies to improve nurses' physical and mental health, optimize pain management, and foster a heightened sense of empathy for pain.

The Use of Technology and Mobile Health Apps in Child Maltreatment Interventions: Perspectives of TF-CBT therapists and SafeCare Providers

BackgroundPrevious research has demonstrated positive effects of using technology as an augmentation to evidence-based youth mental health treatment and parenting programs, however, limited research has examined the use of technology in evidence-based child maltreatment (CM) prevention and treatment. ObjectivesThe purpose of this paper is twofold: 1) to understand the application of technology and mobile health apps in CM prevention and treatment programs and 2) examine the acceptability of CM programs with an evidence-informed app, JoyPop™, developed to promote resilience through emotion regulation. Participantsand Setting: Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) therapists (N=12) and SafeCare© providers (N=12) were recruited and participated in virtual semi-structured interviews. MethodParticipants tested the JoyPop™ app over one week and were interviewed to assess their perspectives about and experiences using technology and mobile health apps in practice (aim 1) and the potential use of JoyPop™ as a program augmentation (aim 2). Data collection and analysis was guided by qualitative descriptive analysis. ResultsParticipants reported that technology and apps supporting positive coping strategies, including JoyPop™, are relevant to the goals of CM programs and can be used enhance client engagement and skill uptake. Participants noted that JoyPop™’s features more strongly align with the components of TF-CBT than Safecare. Limitations of technology use in practice are discussed. ConclusionsSupplementing CM programs with technology and mobile health apps may be used to bolster client engagement and positive outcomes. Future research is needed to address the efficacy and client acceptance of technology and app usage in practice.

Empowering Women Living with HIV/AIDS in Vietnam: A Hybrid Online-Offline Intervention to Combat Stigma.

Women living with HIV/AIDS (WLHA) encounter numerous challenges, such as stigma and gender disparities, that hinder their access to care, especially in patriarchal societies like Vietnam. We developed a hybrid intervention with online and offline (in-person) components to empower WLHA in Vietnam. The intervention was pilot tested with 91 WLHA in Hanoi. During baseline and 4-month, study investigators delivered two in-person sessions, one Zoom session, and 15 weeks of Zalo (social media platform) discussions to enhance positive coping strategies, treatment utilization and adherence, and engagement of support from family and peers. The participants continued their Zalo discussions from 4-month to 6-month without investigators' involvement. Intervention outcomes, including active coping and perceived barriers to care, were evaluated at baseline, 4-, and 6-month surveys. Mixed-effects regression models showed that the participants' active coping significantly increased from baseline (50.5 ± 9.4) to 4-month (53.8 ± 6.2; p = 0.0001), although there was a slight decrease at 6-month (52.8 ± 7.2), the change from 4-month to 6-month was not significantly significant (p = 0.3256). There was a significant reduction in participants' perceived barriers to care, from 19.8 ± 5.2 at baseline to 17.4 ± 5.2 at 4-month (p < 0.0001), which remained stable at 17.8 ± 4.3 at 6-month (p < 0.0001 compared to baseline). This intervention presents a promising model to empower WLHA in Vietnam and potentially in similar global contexts. Future interventions could benefit from leveraging natural peer leaders and adopting a more person-centered approach to meet WLHA's varying needs.

The Path Towards Personal Growth in Spousal Caregiving

Caregiver support is necessary for many long-term ill or disabled people to enable them to live at home. However, the impact of this care relationship on the caregiver is still partly unknown. This article focuses on the process of achieving personal growth in spousal caregiving. The aim of our study was to conduct an integrative literature review to describe the aspects associated with achieving personal growth as well as to analyze the relationship between the aspects involved. The thematic analysis method was used with inductive content classification to modify the themes. The analysis highlighted three main aspect categories connected with achieving personal growth: the means, coping styles, and personal or caregiving resources. In addition, the path from adversities and challenges towards personal growth and positive experiences in spousal caregiving was revealed by analyzing the relationship between the identified aspects. We found that the means, based on social support and self-care, help caregivers to adopt positive coping strategies, reframing, and resilience, which are associated with achieving personal growth. Also, personal or caregiving resources, such as meaningful caring experiences, religiosity, and spirituality, hope, positive personality characteristics, family functioning, and disease severity of the care recipient, were associated with achieving growth. Finally, our findings suggest that it is important to further study the path towards personal growth in spousal caregiving and to find the best possible ways to support caregivers in difficult moments and periods of caregiving.

Career Related Stress among Adolescents

Adolescence is a transitional stage of physical and mental development that occurs between childhood and adulthood. This transitional involves biological, social and psychological change . Choosing a right career during adolescence is very important. Career development and career plans in adolescence are related to both mental and physical health and can have long-term outcomes. The study Career Related Stress among Adolescent was undertaken purposively in Faizabad city of Uttar Pradesh state. The study was conducted on a sample of 100 adolescent, which are randomly selected for the study. The major objectives were :- . To Check and analyze level of career related stress among adolescent. . To Check and analyze the factors responsible for career related stress among adolescent. . To analyze various stress reducing strategies adapted by adolescent. In the process of investigation, a Scale of Vocational Stress( SVC, from Bisht Battery of Stress Scale ), and a stress coping strategy scale were used. Results highlight that most of the adolescent respondents experienced moderate stress followed by low level of stress and high level of stress. Most of the adolescents adopted moderate to low level of negative coping styles and moderate to high levels of positive coping strategies.

Exploration of factors associated with complete mental health among postsecondary students

BackgroundPostsecondary students are at risk for mental health problems and there has been an overall reduction in flourishing in recent years. The aim of this study was to explore factors associated with general mental health among students from one postsecondary institution (n = 1082).MethodsThe Mental Health Continuum-Short Form was used as the outcome, which categorizes individuals as being languishing (i.e., state of incomplete mental health), moderately mentally healthy, or flourishing (i.e., positive mental health). A multivariable ordered logistic regression analysis was applied to identify factors associated with more favourable dimensions of mental health.ResultsMost students were moderately mentally healthy (53%), compared to flourishing (32%), and languishing (15%). Factors significantly associated with positive mental health included students who: (i) participated in meditation, (ii) participated in physical exercise, (iii) frequently experienced challenges that helped them grow, (iv) felt one's campus did enough to protect students from COVID-19, and (v) felt they were part of a campus that looked out for others.ConclusionThis provides further evidence for investing in mental health training for instructors, promoting positive coping strategies within the student population, campuswide implementation of a universal approach to health promotion, and building a sense of community.

The Mediating Role of Psychological Capital in the Relationship between Insecure Attachment and Subjective Well-being of Chinese Left-behind Children

The rising number of left-behind children in China, particularly in rural areas, underscores the urgent need to understand the complex interplay between insecure attachment and subjective well-being among this vulnerable population. The absence of one or both parents during their developmental years exposes these children to unique familial dynamics, contributing to unmet emotional needs and compromised parent-child relationships. Insecure attachment patterns often emerge as a consequence, further exacerbating the risk of mental health challenges. This study employs regression analysis and difference analysis to investigate the relationship between insecure attachment and subjective well-being among left-behind children, with psychological capital as a mediating variable. By elucidating the mechanisms underlying these associations, this research aims to inform targeted intervention strategies tailored to the needs of left-behind children.The findings underscore the multifaceted nature of subjective well-being in this population, emphasizing the importance of comprehensive interventions that address social, emotional, and psychological needs within familial and peer contexts. By fostering supportive relationships, enhancing emotional resilience, and promoting positive coping strategies, interventions can mitigate the adverse effects of parental migration on the well-being of left-behind children. While this study contributes valuable insights, future research should consider incorporating mixed-method approaches to capture the nuanced experiences and perceptions of left-behind children, thereby enhancing the validity and comprehensiveness of findings.

Impact of occupational stress on healthcare workers’ family members before and during COVID-19: A systematic review

We aimed to explore the experiences, needs, and mental health impact of family members of healthcare workers (HCWs) before and during the COVID-19 pandemic. Eleven quantitative and nine qualitative studies were included in this review. Based on the narrative synthesis, we identified five outcomes: ‘Mental health outcomes’, ‘Family relationships, ‘Coping skills and resilience’, ‘Quality of life and social life’, and ‘Practical outcomes’. Our findings indicated that there was a high risk to the mental health and well-being of families of healthcare workers both before and during the pandemic. However, with the COVID-19 pandemic, some experiences and mental health issues of families were worsened. There was also a negative association between working long hours/shift work and family relationships/communication, family social life, and joint activities, and family members taking on more domestic responsibilities. Families tended to use both positive and negative coping strategies to deal with their loved one’s job stress. Organisations and support services working with people in health care work should consider widening support to families where possible. With this understanding, HCWs and their families could be supported more effectively in clinical and organisational settings. Trial registration: Systematic Review Registration Number: CRD42022310729. https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022310729.

Psychological Distress Among Women With Breast Cancer in Saudi Arabia: A Phenomenological Study.

Breast cancer has a negative impact on the psychological status of women.. In Saudi Arabia, there is limited research exploring the experience of women with breast cancer regarding the psychological influence of breast cancer. To explore the experience of women with breast cancer regarding the psychological distress of breast cancer in Saudi Arabia. A descriptive phenomenological study was used. Semi-structured interviews were utilized to gather information from a purposive sample of 11 patients with breast cancer who were receiving treatment at the Princess Noorah Oncology Center (PNOC) at King Abdulaziz Medical City in Jeddah, Saudi Arabia. The study employed thematic analysis to discern significant themes concerning psychological stress. Results: The study revealed that patients' psychological distress was a significant factor influencing their daily lives. This study also revealed four themes: psychological distress from the diagnosis and treatment side effects of breast cancer, daily and work-related activities reduction, the importance of social support, and the coping strategies employed by women with cancer. Breast cancer leads to significant psychological distress. Interventional programs are needed to address the psychological distress that women with cancer experience and provide the necessary support for them to employ positive coping strategies.

Positive Humor/Affection and Age Advantages in Affective Responses During the COVID-19 Pandemic. A Three-Wave Longitudinal Study

The COVID-19 pandemic has disrupted the lives of people worldwide. However, even in times of prolonged exposure to extreme and new realities such as this pandemic, people are also able to experience positive emotions. To understand how people’s emotional responses have changed over the course of the pandemic and what helps people to be positively engaged in perceiving negative situations as an opportunity to experience positive emotions, we conducted a three-wave longitudinal study in Spain. A total of 396 participants (Mage = 40.11, SD 12.66, 74% women) completed three waves of a web-based survey during the lockdown. Descriptive and correlational analyses, a repeated measures General Lineal Model, and 4 mixed effects models with a random effect on individuals were conducted to test hypotheses. Growth models revealed that positive and negative affect increased over time. Older people show more positive and less negative affectivity. Positive humor and affection coping strategies bolster positive emotions and buffer negative emotions over time in older participants. Older people who use more positive humor and affection experienced more positive emotions and decreased their levels of negative emotions over time. The different trajectories in positive and negative affect suggest age benefits in emotional regulation and a positive effect in older ages during the lockdown. Positive psychological interventions that boost a person’s coping repertoire by helping them increase the experience of positive emotions may hold great promise aiding people to bolster their mental health in highly stressful and unexpected future crises

Momentary Associations Between Positive Coping and Nonsuicidal Self-Injury Risk Among Individuals With Problematic Alcohol Use.

Background: The use of positive coping skills has demonstrated protective effects with regard to Nonsuicidal Self-Injury (NSSI) engagement; however, cross-sectional evidence suggests that the presence of comorbid conditions, such as alcohol use disorders, may negate these benefits. Aims: The current study leverages ecological momentary assessment (EMA) to examine the between-person and within-person relationships between positive coping strategies and NSSI risk among individuals with problematic alcohol use. Method: Undergraduate students (n = 56) completed a 21-day EMA protocol, in which they completed four surveys per day asking about their use of several positive coping strategies and NSSI risk. Results: Socializing was the only coping strategy to demonstrate a protective effect on NSSI risk. Alternatively, the coping strategies of finding perspective, positive thinking, and sitting with feelings until they pass all increased risk for NSSI. Limitations: The current study was underpowered to disentangle relationships with urges to engage in NSSI and NSSI behaviors. Conclusion: The results suggest that using coping skills that may present physical barriers to engaging in NSSI may be effective for reducing momentary NSSI risk.

Analysis of stress factors and the level of anxiety and depression among bachelor's degree nursing students – a pilot study

Background: Nursing students are affected by stressors related to academic activities and those related to clinical activities. Aim of the study: To analyze the stressors and the level of anxiety and depression among bachelor’s degree students of nursing.Material and methods: An observational study was conducted between July 2023 to February 2024 among 167 bachelor's degree nursing students. Hospital Anxiety and Depression Scale (HADS) and self-report survey were used.Results: Respondents considered stressors related to learning theoretical subjects (M=3.85, SD=1), stressors related to learning in the practical classes lab in the Medical Simulation Center (M=3.06, SD=1.08), and stressors related to patient care to be the strongest. (M=2.91, SD=0.91) A group of 79 (47.31%) participants had a severe anxiety disorder, 56 respondents (33.53%) had a borderline state of this disorder. A group of 56 (33.53%) had a borderline state of depressive disorders and 42 (25.15%) - severe depressive disorders. The mean score for the presence of anxiety was M=10.43 (SD=3.26) and for depression was M=8.2 (SD=3.42). Conclusions: The lecturers and the decision-makers should take these results into consideration and pay special attention to the stressors that students consider to be the worst. It is recommended that positive coping strategies for stress management be reinforced and that students be encouraged to participate in programs or workshops designed to teach them effective stress management techniques. It is similarly crucial to maintain communication with students, provide them with encouragement and assistance during challenging periods within the academic and clinical settings, and acknowledge and reinforce their strengths.

Religious Coping as Mediator of Sense of Competence and Post-traumatic Growth in Mothers of Children With Cerebral Palsy.

The present study aimed to determine whether religious coping mediates the relationship between parenting sense of competence (PSOC) and post-traumatic growth (PTG). Cross-sectional research design was used. A sample of 74 mothers (age range; 20-45 years) of CP children (age range; 2-9 years) was collected through purposive sampling from different physiotherapy centres and special education schools of Lahore. PSOC scale, brief RCOPE and PTG inventory were used. Positive religious coping partially mediated (β = 0.190, 95% CI [0.026, 0.374], p < 0.05) between PSOC and PTG. Partial mediation exists between PSOC and appreciation of life through pathway of positive religious coping (β = 0.040, 95% CI [0.007, 0.075], p < 05). Full mediation exists between PSOC and personal strength through pathway of positive religious coping (β = 0.041, 95% CI [0.001, 0.081], p < 0.05) and through negative religious coping (β = 0.034, 95% CI [0.002, 0.066], p < 0.05). Positive religious coping fully mediated (β = 0.029, 95% CI [0.007, 0.058], p < 0.05) between PSOC and spiritual change. Moreover, indirect effect of PSOC on relating to others and new possibilities through positive and negative religious coping was non-significant, indicating no mediation. Positive religious coping affected the association between PSOC and PTG, that is, mothers of CP children having high parenting competence are more likely to use positive religious coping strategies that results in more PTG.

Empowering Indonesian Migrant Workers in Taiwan through Stress Management Training

Indonesian Migrant Workers (PMI) face various problems, one of which is mental health problems. PMI in Taiwan were reported to have various mental health problems which have negative consequences. Community service activities are carried out to provide training on the importance of stress management and provide alternative positive coping strategies. The results of the training showed an increase in knowledge of 19.67% regarding stress management from 16 PMI in Taipei, Taiwan. A series of training is also equipped with activity that can help improve mental and physical health. It is hoped that comprehensive activities can be carried out regularly and become a forum for PMI to openly discuss the various problems.