1
|
Kitano M, Shoji K, Nakaita I, Sano S, Tachibana S, Shigemura J, Tachimori H, Noguchi N, Waki F, Edo N, Koga M, Toda H, Yoshino A, Nagamine M. Japanese public health nurses classified based on empathy and secondary traumatic stress: variable-centered and person-centered approaches. BMC Psychiatry 2023; 23:710. [PMID: 37784052 PMCID: PMC10544614 DOI: 10.1186/s12888-023-05198-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Accepted: 09/15/2023] [Indexed: 10/04/2023] Open
Abstract
BACKGROUND Healthcare providers frequently help traumatized people and are regularly exposed to indirect trauma from their work, resulting in negative psychological responses, such as secondary traumatic stress. Empathy has been associated with patient's quality of care and secondary traumatic stress among healthcare providers. However, the relationship between dispositional empathy and secondary traumatic stress has not been fully elucidated. This study used person- and variable-centered approaches to explore the nature of this relationship. METHODS A total of 1,006 Japanese public health nurses working in the Tohoku region and Saitama prefecture completed questionnaires that included scales assessing dispositional empathy, secondary traumatic stress, and burnout. First, we examined predictors of secondary traumatic stress using multiple linear regression analysis. Then, we conducted a latent profile analysis to classify participants into unique groups based on four subscales of dispositional empathy (i.e., empathic concern, perspective taking, personal distress, fantasy) and secondary traumatic stress. Finally, we compared the mean values of the study variables across these groups. RESULTS The multiple regression indicated that in those working in Saitama prefecture, lifetime traumatic experiences, work-related distress, and personal distress were positively related to secondary traumatic stress, but perceived support was negatively related to secondary traumatic stress. Latent profile analysis extracted four unique subgroups. Group 1 displayed the highest secondary traumatic stress levels. Group 2 was characterized by the highest level of empathic concern, personal distress, and fantasy and the lowest perspective taking. Group 3 had a moderate secondary traumatic stress level. Group 4 had the lowest secondary traumatic stress and personal distress scores. In these four groups, the burnout scale (exhaustion, cynicism, and professional efficacy) showed a pattern similar to the secondary traumatic stress scale. CONCLUSIONS Our person-centered approach showed that this sample of public health nurses could be classified into four unique groups based on their empathy and secondary traumatic stress scores. Although this group of public health nurses was not large, one group displayed high personal distress levels and high secondary traumatic stress levels. Further research is needed to determine effective interventions for this group.
Collapse
Affiliation(s)
- Masato Kitano
- Division of Behavioral Science, National Defense Medical College Research Institute, 3-2 Namiki, Tokorozawa City, Saitama, 359-8513, Japan
| | - Kotaro Shoji
- University of Human Environments, Okazaki, Aichi, Japan
| | - Ikumi Nakaita
- Faculty of Nursing, Musashino University, Tokyo, Japan
| | - Shinya Sano
- Department of Psychology, National Defense Medical College, Saitama, Japan
| | - Shoichi Tachibana
- Division of Environmental Medicine, National Defense Medical College Research Institute, Saitama, Japan
| | - Jun Shigemura
- Department of Psychiatry, National Defense Medical College, Saitama, Japan
| | - Hisateru Tachimori
- Endowed Course for Health System Innovation, Keio University School of Medicine, Tokyo, Japan
- Department of Information Medicine, National Institute of Neuroscience, National Center of Neurology and Psychiatry, Tokyo, Japan
| | - Norihito Noguchi
- Department of Nursing, National Defense Medical College, Saitama, Japan
| | - Fumiko Waki
- Division of Behavioral Science, National Defense Medical College Research Institute, 3-2 Namiki, Tokorozawa City, Saitama, 359-8513, Japan
| | - Naoki Edo
- Division of Behavioral Science, National Defense Medical College Research Institute, 3-2 Namiki, Tokorozawa City, Saitama, 359-8513, Japan
| | - Minori Koga
- Department of Psychiatry, National Defense Medical College, Saitama, Japan
| | - Hiroyuki Toda
- Department of Psychiatry, National Defense Medical College, Saitama, Japan
| | - Aihide Yoshino
- Department of Psychiatry, National Defense Medical College, Saitama, Japan
| | - Masanori Nagamine
- Division of Behavioral Science, National Defense Medical College Research Institute, 3-2 Namiki, Tokorozawa City, Saitama, 359-8513, Japan.
| |
Collapse
|
2
|
Wilkinson M. Hyperacute stroke and the specialist nursing impact: exploring the cause and context of feelings of secondary traumatic stress - a qualitative inquiry. J Res Nurs 2022; 27:343-354. [PMID: 35832877 PMCID: PMC9272500 DOI: 10.1177/17449871211018739] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2024] Open
Abstract
BACKGROUND Secondary traumatic stress (STS) has been defined as the stress resulting from helping or wanting to help a traumatised or suffering person. The hyperacute nature of stroke specialist nurses' work places them at risk of developing STS. AIMS To explore the factors that are influential in stroke specialist nurses' experience of STS development within hyperacute practice. METHODS This study is qualitative with a narrative design. Data were collected from a purposive sample of stroke specialist nurses (20 female and 2 male) working in hyperacute services during the years 2016 and 2017. Data were analysed using Polkinghorne's approach. RESULTS This research identified four themes: exposure to acute suffering and death- young presentations; moral distress; interactions with relatives and problematic healthcare systems. CONCLUSION The findings from this study suggest that stroke specialist nurses are exposed to multiple triggers which are commensurate with the potential for STS development. The findings contribute a new understanding of the emotional burden of hyperacute specialist stroke nursing that has implications for patient safety and satisfaction, services provision and staff well-being.
Collapse
Affiliation(s)
- Mark Wilkinson
- Stroke Nurse Consultant, Department of Stroke Medicine,
Royal Liverpool and Broadgreen University Hospitals NHS Trust, UK
| |
Collapse
|
3
|
Kitano M, Shoji K, Nakaita I, Sano S, Tachibana S, Bride BE, Shigemura J, Waki F, Noguchi N, Koga M, Toda H, Yoshino A, Shimizu K, Nagamine M. Validity and reliability of the Secondary Traumatic Stress Scale-Japanese version. Neuropsychopharmacol Rep 2021; 41:476-484. [PMID: 34598323 PMCID: PMC8698670 DOI: 10.1002/npr2.12207] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Revised: 09/02/2021] [Accepted: 09/03/2021] [Indexed: 11/06/2022] Open
Abstract
AIM This study assessed the validity and reliability of the Secondary Traumatic Stress Scale-Japanese Version. METHODS The original Secondary Traumatic Stress Scale was translated into Japanese, and Japanese items were back-translated to English to confirm the accuracy of the translation. A total of 870 public health nurses from the Tohoku region in Japan completed the Secondary Traumatic Stress Scale-Japanese Version. An exploratory factor analysis was conducted to identify the number of components. Moreover, 351 public health nurses from the Saitama prefecture in Japan also completed the scale. A confirmatory factor analysis was performed with the factor structure identified in the exploratory factor analysis. RESULTS The exploratory factor analysis identified two components: one associated with client-related distress and the other with trauma-related distress. The confirmatory factor analysis confirmed the two-factor structure. The two-factor structure model was better than the three-factor model presented in the original validation study for the English version of the scale. The two-factor model had good internal consistency for the overall product and the subscales. Pearson correlations showed that this model had good convergent validity against the Maslach Burnout Inventory, a psychological measure similar to the Secondary Traumatic Stress Scale. Finally, the two-factor model had good discriminant validity against the Maslach Burnout Inventory. CONCLUSION This study identified two components of the Secondary Traumatic Stress Scale-Japanese Version that differ from the three components found in the original English version. The differences in the factor structure might indicate that the factor structure was culturally influenced.
Collapse
Affiliation(s)
- Masato Kitano
- Division of Behavioral Science, National Defense Medical College Research Institute, Tokorozawa, Japan
| | - Kotaro Shoji
- University of Human Environments, Okazaki, Japan
| | - Ikumi Nakaita
- Faculty of Nursing, Musashino University, Tokyo, Japan
| | - Shinya Sano
- Department of Psychology, National Defense Medical College, Tokorozawa, Japan
| | - Shoichi Tachibana
- Division of Environmental Medicine, National Defense Medical College Research Institute, Tokorozawa, Japan
| | - Brian E Bride
- School of Social Work, Georgia State University, Atlanta, GA, USA
| | - Jun Shigemura
- Department of Psychiatry, National Defense Medical College, Tokorozawa, Japan
| | - Fumiko Waki
- Division of Behavioral Science, National Defense Medical College Research Institute, Tokorozawa, Japan
| | - Norihito Noguchi
- Department of Nursing, National Defense Medical College, Tokorozawa, Japan
| | - Minori Koga
- Department of Psychiatry, National Defense Medical College, Tokorozawa, Japan
| | - Hiroyuki Toda
- Department of Psychiatry, National Defense Medical College, Tokorozawa, Japan
| | - Aihide Yoshino
- Department of Psychiatry, National Defense Medical College, Tokorozawa, Japan
| | - Kunio Shimizu
- Division of Behavioral Science, National Defense Medical College Research Institute, Tokorozawa, Japan
| | - Masanori Nagamine
- Division of Behavioral Science, National Defense Medical College Research Institute, Tokorozawa, Japan
| |
Collapse
|
4
|
Okati-Aliabad H, Ansari-Moghadam A, Mohammadi M, Kargar S, Shahraki-Sanavi F. The prevalence of anxiety and depression and its association with coping strategies, supportive care needs, and social support among women with breast cancer. Support Care Cancer 2021; 30:703-710. [PMID: 34365523 DOI: 10.1007/s00520-021-06477-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Accepted: 07/28/2021] [Indexed: 01/13/2023]
Abstract
PURPOSE Diagnosis of breast cancer and its treatment dramatically affects women's psychological health. This study investigated the prevalence of depression and anxiety and their related factor in breast cancer women. METHODS We conducted a cross-sectional study with a sample of 120 women with breast cancer in Zahedan, Iran, 2020. Data were collected using instruments included: Hospital Anxiety and Depression Scale (HADS), Supportive Care Needs Survey (SCNS-SF34), Multidimensional Scale of Perceived Social Support (MSPSS), The adjustment to illness measurement inventory for Iranian women with breast cancer (AIMI-IBC). We analyzed the data using the ANOVA, independent sample t-test, Kruskal Wallis, Mann-Whitney U test, Pearson's and Spearman's correlation coefficients. RESULTS The prevalence of depression and anxiety in women with breast cancer was 66.6% and 60%, respectively. A significant positive correlation was found between anxiety and depression and unmet psychological needs, care/support needs, and emotional turmoil coping strategy, while reasonable efforts and avoidance coping strategies and adjusting to disease were negatively correlated with anxiety and depression. Also, linear regression results indicated unmet psychological needs, emotional turmoil coping strategy, and a high level of depression predicted a high anxiety level. A lower level of depression was indicated by reasonable efforts strategy and less level of anxiety. CONCLUSIONS Women with breast cancer reported a high level of depression and anxiety in Zahedan, and clinicians should pay more attention to these patients' psychological distress. Resolving the unmet need of patients, increasing social support, and using the right coping strategy have an essential role in breast cancer women's psychological distress control.
Collapse
Affiliation(s)
- Hassan Okati-Aliabad
- Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
| | | | - Mahdi Mohammadi
- Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
| | - Shiva Kargar
- School of Health, Zahedan University of Medical Sciences, Zahedan, Iran.
| | | |
Collapse
|
5
|
Abstract
Nurses on the front lines of health care are impacted psychologically by their work and may experience secondary traumatic stress. The literature contains several different terms to explore concepts that describe the impact of traumatic patient experiences on the nurse, making it difficult to differentiate the concepts. Using the Walker and Avant method of analysis, the author reviewed nursing-specific publications within the last 10 years and seminal works to develop a purer meaning of secondary traumatic stress and distinguish it from other related terms. A more precise definition of secondary traumatic stress will allow for the advancement of research related to awareness and prevention in nursing.
Collapse
|
6
|
Abstract
BACKGROUND AND PURPOSE Secondary traumatic stress is a state of mental distress resulting from indirect exposure to the traumatic situation of another individual. The literature indicates that secondary traumatic stress is a problem in some areas of nursing and may cause nurses to leave the profession. This article examines the psychometrics of the Secondary Traumatic Stress Scale (STSS) with a sample of pediatric nurses. METHODS The STSS was completed by a random sample of 350 Certified Pediatric Nurses. Exploratory and confirmatory factor analyses were completed to assess the STSS and its subscales. RESULTS Cronbach's αs ranged from 0.81 to 0.87 for each factor, and was 0.92 for the STSS as a whole. Fit indices were similar for all models. CONCLUSIONS Reliability statistics and fit indices support the previous psychometric studies.
Collapse
|
7
|
Partlak Günüşen N, Üstün B, Serçekuş Ak P, Büyükkaya Besen D. Secondary traumatic stress experiences of nurses caring for cancer patients. Int J Nurs Pract 2018; 25:e12717. [DOI: 10.1111/ijn.12717] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2017] [Revised: 09/26/2018] [Accepted: 11/08/2018] [Indexed: 12/23/2022]
Affiliation(s)
- Neslihan Partlak Günüşen
- Faculty of Nursing, Dokuz Eylül Üniversitesi, Hemşirelik Fakültesi; Dokuz Eylül University; İzmir Turkey
| | - Besti Üstün
- Faculty of Health Sciences, Üsküdar Üniversitesi Sağlık Bilimleri Fakültesi; Üsküdar University; İstanbul Turkey
| | - Pınar Serçekuş Ak
- Faculty of Health Sciences, Pamukkale Üniversitesi, Sağlık Bilimleri Fakültesi; Pamukkale University; Denizli Turkey
| | - Dilek Büyükkaya Besen
- Faculty of Nursing, Dokuz Eylül Üniversitesi, Hemşirelik Fakültesi; Dokuz Eylül University; İzmir Turkey
| |
Collapse
|
8
|
Secondary Traumatic Stress in Pediatric Nurses. J Pediatr Nurs 2018; 43:97-103. [PMID: 30473163 DOI: 10.1016/j.pedn.2018.08.016] [Citation(s) in RCA: 44] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2018] [Revised: 08/31/2018] [Accepted: 08/31/2018] [Indexed: 11/20/2022]
Abstract
PURPOSE Secondary traumatic stress affects many in the helping professions, and has been identified in many nursing specialty areas. The purpose of this study was to expand the knowledge of secondary traumatic stress in pediatric nursing by examining the statistical relationships between secondary traumatic stress, age of the nurse, and years of nursing experience, and coping responses. DESIGN AND METHODS A convenience sample of Certified Pediatric Nurses (n = 338) were surveyed using the Secondary Traumatic Stress Scale, the Brief COPE, the Marlowe-Crowne Social Desirability-Short Form, and a demographics form. Hierarchical multiple linear regression and descriptive statistics were utilized to examine secondary traumatic stress and the other variables of interest. RESULTS Secondary traumatic stress affected more than half of pediatric nurses surveyed. Age and years of experience did not predict secondary traumatic stress. Looking at coping responses pediatric nurses with higher emotional support and instrumental support scores also demonstrated higher secondary traumatic stress scores. Denial and behavioral disengagement were also associated with an increase in secondary traumatic stress scores. CONCLUSION Secondary traumatic stress impacts many pediatric nurses. Further research is needed to determine which factors predispose pediatric nurses to secondary traumatic stress and which coping responses help pediatric nurses best manage this stress. PRACTICE IMPLICATIONS Acknowledging secondary traumatic stress in this population by promoting awareness, and providing educational programs will help to protect nurses' psychological health, and may prevent nurses from leaving the profession due to work-related stress.
Collapse
|
9
|
Rabie T, Wehner M, Koen MP. Experiences of partners of professional nurses venting traumatic information. Health SA 2018; 23:1083. [PMID: 31934379 PMCID: PMC6917388 DOI: 10.4102/hsag.v23i0.1083] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2018] [Accepted: 04/24/2018] [Indexed: 11/06/2022] Open
Abstract
Background Professional nurses employed in trauma units encounter numerous stressors in their practice environment. They use different strategies to cope with this stress, including venting traumatic information to their partners and other family members. Aims To describe how partners of professional nurses cope with traumatic information being vented to them. Methods A qualitative research method with an interpretive descriptive inquiry design was used to explore, interpret and describe the coping experiences of the nurses’ partners. Purposive sampling was used to select a total of 14 partners, but only ten participated in semi-structured interviews. Tesch’s eight steps of open coding were used for data analysis. Results Four main themes were identified indicating adaptive and maladaptive coping skills, namely partners’ experiences of traumatic information vented to them; partners’ coping activities; reciprocal communication and relationship support between partners and nurses; and resilience of partners to deal with the nursing profession. Conclusion Partners employed different ways to cope with traumatic information. It was essential for partners and nurses to be supported by nurses’ practice environments and to develop resilience to fulfil reciprocal supportive roles in their relationships.
Collapse
Affiliation(s)
- Tinda Rabie
- Faculty of Health Sciences, North-West University, South Africa
| | - Melanie Wehner
- Faculty of Health Sciences, North-West University, South Africa
| | | |
Collapse
|
10
|
Heritage B, Rees CS, Hegney DG. The ProQOL-21: A revised version of the Professional Quality of Life (ProQOL) scale based on Rasch analysis. PLoS One 2018; 13:e0193478. [PMID: 29489875 PMCID: PMC5831102 DOI: 10.1371/journal.pone.0193478] [Citation(s) in RCA: 77] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2017] [Accepted: 02/12/2018] [Indexed: 12/20/2022] Open
Abstract
The Professional Quality of Life scale is a measure intended to provide practitioners and researchers with an indication of a caring professional’s compassion satisfaction, burnout, and secondary traumatic stress. While this measure has been used extensively in nursing research, owing to the relevancy of patient-care associated satisfaction and fatigue within this profession, information regarding the construct validity of this measure is less well represented in the literature. We examined the construct validity of the Professional Quality of Life scale using a Rasch analysis procedure on each of its three scales, as a means of substantiating their measurement adequacy. Responses on the Professional Quality of Life scale from 1615 registered nurses (age x̅ = 46.48 years, SD = 11.78) were analysed. While support for the measurement adequacy (invariance, person/item fit, and unidimensionality) of the compassion satisfaction scale was found, the burnout and secondary traumatic stress scales did not demonstrate adequate measurement properties. We instead present an alternative measurement model of these subscales, involving items from each, to form a robust measure of compassion fatigue, and provide recoding, scoring, and normed scores for both measures. Our findings indicate that use of the Professional Quality of Life scale’s burnout and secondary traumatic stress scales may require caution, while our revised compassion satisfaction and fatigue scales provide robust measurement options for practitioners and researchers.
Collapse
Affiliation(s)
- Brody Heritage
- School of Psychology and Exercise Science, Murdoch University, Perth, Western Australia, Australia
- * E-mail:
| | - Clare S. Rees
- School of Psychology, Curtin University, Perth, Western Australia, Australia
| | - Desley G. Hegney
- Research Division, Central Queensland University, Brisbane, Queensland, Australia
- School of Nursing, University of Adelaide, Adelaide, South Australia, Australia
| |
Collapse
|
11
|
McMeekin DE, Hickman RL, Douglas SL, Kelley CG. Stress and Coping of Critical Care Nurses After Unsuccessful Cardiopulmonary Resuscitation. Am J Crit Care 2017; 26:128-135. [PMID: 28249865 DOI: 10.4037/ajcc2017916] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
BACKGROUND Participation by a critical care nurse in an unsuccessful resuscitation can create a unique heightened level of psychological stress referred to as postcode stress, activation of coping behaviors, and symptoms of posttraumatic stress disorder (PTSD). OBJECTIVES To explore the relationships among postcode stress, coping behaviors, and PTSD symptom severity in critical care nurses after experiencing unsuccessful cardiopulmonary resuscitations and to see whether institutional support attenuates these repeated psychological traumas. METHODS A national sample of 490 critical care nurses was recruited from the American Association of Critical-Care Nurses' eNewsline and social media. Participants completed the Post-Code Stress Scale, the Brief COPE (abbreviated), and the Impact of Event Scale-Revised, which were administered through an online survey. RESULTS Postcode stress and PTSD symptom severity were weakly associated (r = 0.20, P = .01). No significant associations between coping behaviors and postcode stress were found. Four coping behaviors (denial, self-distraction, self-blame, and behavioral disengagement) were significant predictors of PTSD symptom severity. Severity of postcode stress and PTSD symptoms varied with the availability of institutional support. CONCLUSIONS Critical care nurses show moderate levels of postcode stress and PTSD symptoms when asked to recall an unsuccessful resuscitation and the coping behaviors used. Identifying the critical care nurses most at risk for PTSD will inform the development of interventional research to promote critical care nurses' psychological well-being and reduce their attrition from the profession.
Collapse
Affiliation(s)
- Dawn E. McMeekin
- Dawn E. McMeekin was a DNP student at Case Western Reserve University, Cleveland, Ohio, when the study was done. She is now an advanced clinical education specialist at Baycare Health System, Dunedin, Florida. Ronald L. Hickman, Jr, is an associate professor, Carol G. Kelley is an assistant professor, and Sara L. Douglas is a professor, Case Western Reserve University
| | - Ronald L. Hickman
- Dawn E. McMeekin was a DNP student at Case Western Reserve University, Cleveland, Ohio, when the study was done. She is now an advanced clinical education specialist at Baycare Health System, Dunedin, Florida. Ronald L. Hickman, Jr, is an associate professor, Carol G. Kelley is an assistant professor, and Sara L. Douglas is a professor, Case Western Reserve University
| | - Sara L. Douglas
- Dawn E. McMeekin was a DNP student at Case Western Reserve University, Cleveland, Ohio, when the study was done. She is now an advanced clinical education specialist at Baycare Health System, Dunedin, Florida. Ronald L. Hickman, Jr, is an associate professor, Carol G. Kelley is an assistant professor, and Sara L. Douglas is a professor, Case Western Reserve University
| | - Carol G. Kelley
- Dawn E. McMeekin was a DNP student at Case Western Reserve University, Cleveland, Ohio, when the study was done. She is now an advanced clinical education specialist at Baycare Health System, Dunedin, Florida. Ronald L. Hickman, Jr, is an associate professor, Carol G. Kelley is an assistant professor, and Sara L. Douglas is a professor, Case Western Reserve University
| |
Collapse
|
12
|
Ratrout HF, Hamdan-Mansour AM. Factors Associated with Secondary Traumatic Stress among Emergency Nurses: An Integrative Review. ACTA ACUST UNITED AC 2017. [DOI: 10.4236/ojn.2017.711088] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
13
|
Mangoulia P, Koukia E, Alevizopoulos G, Fildissis G, Katostaras T. Prevalence of Secondary Traumatic Stress Among Psychiatric Nurses in Greece. Arch Psychiatr Nurs 2015; 29:333-8. [PMID: 26397438 DOI: 10.1016/j.apnu.2015.06.001] [Citation(s) in RCA: 67] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2014] [Revised: 06/07/2015] [Accepted: 06/11/2015] [Indexed: 11/17/2022]
Abstract
The aim of this study was to investigate the prevalence of secondary traumatic stress/compassion fatigue (STS/CF), burnout (BO) and compassion satisfaction (CS) in psychiatric nurses, and their risk factors. The Professional Quality of Life Scale (ProQOL R-IV) and a demographic and work related characteristics questionnaire were distributed to 174 psychiatric nurses in 12 public hospitals in Greece. The majority of participants were at the high risk category for STS/CF (44.8%) and BO (49.4%), while only 8.1% of nurses expressed high potential for CS. Awareness of the factors associated with STS may help nurses to prevent or offset the development of this condition.
Collapse
Affiliation(s)
- Polyxeni Mangoulia
- Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece.
| | - Evmorfia Koukia
- Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece
| | - George Alevizopoulos
- Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece
| | - George Fildissis
- Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece
| | - Theofanis Katostaras
- Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece
| |
Collapse
|
14
|
Kim K, Han Y, Kwak Y, Kim JS. Professional Quality of Life and Clinical Competencies among Korean Nurses. Asian Nurs Res (Korean Soc Nurs Sci) 2015; 9:200-6. [DOI: 10.1016/j.anr.2015.03.002] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2014] [Revised: 12/18/2014] [Accepted: 03/13/2015] [Indexed: 10/24/2022] Open
|
15
|
Long-term home visiting with vulnerable young mothers: an interpretive description of the impact on public health nurses. BMC Nurs 2015; 14:12. [PMID: 25767414 PMCID: PMC4357186 DOI: 10.1186/s12912-015-0061-2] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2014] [Accepted: 02/19/2015] [Indexed: 11/29/2022] Open
Abstract
Background The Nurse-Family Partnership (NFP) is a targeted, nurse home visitation program for young, low-income, first-time mothers. While the effectiveness of the NFP has been established in the United States, and is currently being evaluated in the Canadian public health care system, we have minimal understanding of how work of this nature impacts public health nurses (PHNs), an essential component of this program delivery model, on both professional and personal levels. Methods This two-phase study consisted of a qualitative secondary analysis of data from five focus groups conducted with PHNs (N = 6) who delivered the NFP intervention as part of a pilot study assessing feasibility and acceptability conducted in Hamilton, Ontario. The second phase, an interpretive description of individual interviews with the PHNs (N = 10) who have delivered the NFP in this context, further explored themes identified in the first phase. A practice, problem and needs analysis was conducted to describe and understand the phenomenon and promote sustainability of PHNs in this practice environment. Conventional content analysis was used to code and categorize data in the two datasets. Results The nurse-client relationship, the core elements and structure of the NFP program and support of NFP colleagues were described as rewarding factors, while workload and workplace factors were identified as significant contributors to stress. PHNs described transforming their nursing practice through redefining success and shifting to a philosophy where the client is the expert of her own life. PHNs described the personal impact of worry about clients and doubt about their effectiveness in addressing client concerns. High levels of satisfaction were described in relation to the depth and intensity of relationships with clients and seeing them succeed over time. Conclusions PHNs are impacted in multiple ways by their work with vulnerable, young mothers. The study findings have implications for identification of strategies to support PHNs in reducing staff turnover, PHN burnout, secondary traumatic stress and compassion fatigue, and improving program delivery.
Collapse
|
16
|
Jacobowitz W, Moran C, Best C, Mensah L. Post-Traumatic Stress, Trauma-Informed Care, and Compassion Fatigue in Psychiatric Hospital Staff: A Correlational Study. Issues Ment Health Nurs 2015; 36:890-9. [PMID: 26631861 DOI: 10.3109/01612840.2015.1055020] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Assault of staff in psychiatric hospitals is a frequent occurrence, and studies indicate that hospital staff are at risk of developing post-traumatic stress disorder (PTSD). We performed a correlational study with a convenience sample of 172 staff in a psychiatric hospital and compared the rate of traumatic events (TEs), resilience, confidence, and compassion fatigue to PTSD symptoms (PTSS). Regression analyses identified two variables that were unique predictors of PTSS: (1) trauma-informed care (TIC) meeting attendance and (2) burnout symptoms. Severe TEs, age, and compassion satisfaction also contributed to the model. Attention to these factors may help reduce PTSS in psychiatric staff.
Collapse
Affiliation(s)
- William Jacobowitz
- a Adelphi University, College of Nursing and Public Health , Garden City , New York , USA
| | | | - Cheryl Best
- a Adelphi University, College of Nursing and Public Health , Garden City , New York , USA
| | - Lucy Mensah
- a Adelphi University, College of Nursing and Public Health , Garden City , New York , USA
| |
Collapse
|
17
|
Sheen K, Slade P, Spiby H. An integrative review of the impact of indirect trauma exposure in health professionals and potential issues of salience for midwives. J Adv Nurs 2013; 70:729-43. [DOI: 10.1111/jan.12274] [Citation(s) in RCA: 60] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/07/2013] [Indexed: 11/29/2022]
Affiliation(s)
- Kayleigh Sheen
- Institute of Psychology; Health and Society; University of Liverpool; UK
| | - Pauline Slade
- Institute of Psychology; Health and Society; University of Liverpool; UK
| | - Helen Spiby
- School of Health Sciences; Queen's Medical Centre; Nottingham UK
| |
Collapse
|
18
|
|