Coping Strategies Used by Health Care Workers in Ecuador During the COVID-19 Pandemic: Observational Study to Enhance Resilience and Develop Training Tools

María Asunción Vicente   ^{1 *} , PhD ;   Eva Gil Hernández   ^{2 *} , MSc ;   Irene Carrillo   ^{1 *} , PhD ;   César Fernández   ^{1 *} , PhD ;   Adriana López-Pineda   ^{2 *} , PhD ;   Mercedes Guilabert   ^{1 *} , PhD ;   Jimmy Martín-Delgado   ^{3, 4 *} , PhD ;   Carlos Solis   ^{5, 6 *} , MSc ;   Karla Camba   ^{7 *} , MD ;   Wilson Ricardo Cañizares Fuentes   ^{4 *} , PhD ;   José Joaquín Mira   ^{1, 2 *} , PhD

¹ Health Psychology Department, Miguel Hernandez University, Elche, Spain

² Foundation for the Promotion of Health and Biomedical Research of Valencia Region, Sant Joan d’Alacant, Spain

³ Hospital Luis Vernaza, Junta de Beneficencia de Guayaquil, Guayaquil, Ecuador

⁴ Instituto de Investigación e Innovación en Salud Integral, Facultad de Ciencias Médicas, Universidad Católica de Santiago de Guayaquil, Guayaquil, Ecuador

⁵ Endocrinology Service, Hospital IEES Norte Los Ceibos, Guayaquil, Ecuador

⁶ Facultad de Medicina, Universidad de Guayaquil, Guayaquil, Ecuador

⁷ Facultad de Ciencias de la Salud, Universidad de Especialidades Espíritu Santo, Guayaquil, Ecuador

*all authors contributed equally