East Carolina University, Greenville, North Carolina, USA.
Omega (Westport). 2009;60(2):103-28. doi: 10.2190/om.60.2.a.
The primary aim for this research was to explore the overlap and differences between the concepts related to secondary traumatization: posttraumatic stress disorder (PTSD), secondary traumatic stress (STS), compassion fatigue (CF), and burnout (BRN). A secondary aim for this research was to examine the impact of secondary traumatization and some of the personal and professional elements that affect how pediatric healthcare providers experience PTSD, STS, CF, and BRN. An online survey was sent via e-mail to numerous list serves for healthcare providers who had worked on PICU, NICU, or PEDS units within the last year. The analyses revealed that a significant overlap existed between the terms of STS, PTSD, BRN, CS, and CF for PICU, NICU, and PEDS providers. However, a hierarchical linear regression revealed a significant amount of unique contributions to the variance in CF based on each of the measured concepts. Despite previous literature that indicates that the terms STS and CF can be used interchangeably, the two most prominent measures utilized in the assessment of CF and STS are actually capturing at least some unique elements. Given these results, future researchers should examine and conceptualize the difference in etiology, prevalence, symptoms, and treatment efficacy for CF and STS as separate but related entities and then return their focus to understanding secondary traumatization in healthcare providers.
本研究的主要目的是探讨与继发性创伤相关的概念(创伤后应激障碍(PTSD)、继发性创伤压力(STS)、同情疲劳(CF)和倦怠(BRN))之间的重叠和差异。本研究的次要目的是研究继发性创伤的影响,以及一些个人和专业因素,这些因素会影响儿科保健提供者经历 PTSD、STS、CF 和 BRN 的方式。通过电子邮件向过去一年在 PICU、NICU 或 PEDS 病房工作的医疗保健提供者发送了在线调查。分析表明,PICU、NICU 和 PEDS 提供者的 STS、PTSD、BRN、CS 和 CF 术语之间存在显著重叠。然而,分层线性回归显示,基于每个测量概念,CF 的方差存在显著的独特贡献。尽管之前的文献表明 STS 和 CF 这两个术语可以互换使用,但在 CF 和 STS 的评估中使用的两个最突出的衡量标准实际上至少捕捉到了一些独特的元素。鉴于这些结果,未来的研究人员应该检查和概念化 CF 和 STS 在病因、患病率、症状和治疗效果方面的差异,将它们视为独立但相关的实体,然后将注意力重新集中在理解医疗保健提供者中的继发性创伤上。