Beck Cheryl Tatano, Gable Robert K
University of Connecticut, School of Nursing, Storrs, CT 06269-2026, USA.
J Obstet Gynecol Neonatal Nurs. 2012 Nov-Dec;41(6):747-60. doi: 10.1111/j.1552-6909.2012.01386.x. Epub 2012 Jul 12.
To determine the prevalence and severity of secondary traumatic stress in labor and delivery (L&D) nurses and to explore nurses' descriptions of their experiences attending traumatic births.
A mixed methods convergent parallel design was used.
SETTING/PARTICIPANTS: A random sample of 464 L&D nurses obtained from the membership list of the Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) participated in this mail survey.
In the quantitative approach of this mixed methods study, participants completed the Secondary Traumatic Stress Scale. For the qualitative approach, the nurses were asked to describe their experiences being present at a traumatic childbirth.
In this sample, 35% of the L&D nurses reported moderate to severe levels of secondary traumatic stress. Content analysis of the participants' descriptions of being present at traumatic births revealed six themes: (a) magnifying the exposure to traumatic births, (b) struggling to maintain a professional role while with traumatized patients, (c) agonizing over what should have been, (d) mitigating the aftermath of exposure to traumatic births, (e) haunted by secondary traumatic stress symptoms, and (f) considering foregoing careers in L&D to survive.
With 35% of this sample of L&D nurses reporting at least moderate secondary traumatic stress, nurses need to consider the possible impact their work may be having on them and take preventative measures to address their current symptoms.
确定分娩（L&D）护士继发性创伤应激的患病率和严重程度，并探究护士对其经历创伤性分娩的描述。
采用混合方法收敛平行设计。
设置/参与者：从妇女健康、产科和新生儿护士协会（AWHONN）的会员名单中随机抽取464名分娩护士参与此次邮件调查。
在这项混合方法研究的定量研究中，参与者完成了继发性创伤应激量表。在定性研究中，要求护士描述他们在创伤性分娩时的经历。
在这个样本中，35%的分娩护士报告有中度至重度的继发性创伤应激。对参与者关于创伤性分娩经历描述的内容分析揭示了六个主题：（a）放大对创伤性分娩的接触；（b）在面对受创伤患者时努力维持专业角色；（c）为本应发生的事情痛苦；（d）减轻创伤性分娩接触的后果；（e）受继发性创伤应激症状困扰；（f）考虑放弃分娩护理工作以求生存。
该样本中35%的分娩护士报告至少有中度继发性创伤应激，护士需要考虑其工作可能对自身产生的影响，并采取预防措施来应对当前症状。
