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急诊护士的继发性创伤应激:患病率、预测因素及后果。

Secondary traumatic stress among emergency nurses: Prevalence, predictors, and consequences.

作者信息

Ratrout Hamza Fathi, Hamdan-Mansour Ayman M

机构信息

Department of Medical Surgical Nursing, College of Nursing, King Saud University, Riyadh, Saudi Arabia.

Department of Community Health Nursing, Faculty of Nursing, University of Jordan, Amman, Jordan.

出版信息

Int J Nurs Pract. 2020 Feb;26(1):e12767. doi: 10.1111/ijn.12767. Epub 2019 Jul 21.

Abstract

BACKGROUND

Nurses working in emergency units are in direct contact with traumatic events. Trauma effects do not solely affect patients and their caregivers and, rather, extend to secondarily influence nurses themselves. Secondary exposure to trauma may result in symptoms similar to symptoms experienced by the patient themselves. No previous study investigated the secondary traumatic stress among emergency nurses in Jordan.

PURPOSE

To identify prevalence, predictors, and consequences of secondary traumatic stress among nurses working in emergency departments.

METHOD

A descriptive correlation design was utilized to collect data using self-report questionnaires from 202 nurses working at eight emergency departments in Jordan.

FINDINGS

The study revealed that almost half of the sample reported high to severe levels of secondary traumatic stress. The analyses showed that nurses who demonstrated lower empathy (P = .016) and greater coping capacity (P < .001) tended to develop more secondary traumatic stress. Organizational factors were not significant predictors of secondary traumatic stress.

CONCLUSION

A significant proportion of emergency nurses suffer secondary traumatic stress that is found also to be associated with psychical factors. Emergency nurses need to consider the consequences of secondary traumatic stress on their health and quality of care provided.

摘要

背景

在急诊科工作的护士直接接触创伤事件。创伤影响不仅会影响患者及其照顾者,还会继而延伸至影响护士自身。二次暴露于创伤可能会导致出现与患者自身经历的症状相似的症状。此前尚无研究调查约旦急诊科护士的继发性创伤应激情况。

目的

确定急诊科护士继发性创伤应激的患病率、预测因素及后果。

方法

采用描述性相关性设计,通过自填式问卷对约旦8个急诊科的202名护士进行数据收集。

结果

研究表明,近一半的样本报告继发性创伤应激水平较高至严重。分析显示,同理心较低(P = 0.016)且应对能力较强(P < 0.001)的护士往往会产生更多的继发性创伤应激。组织因素并非继发性创伤应激的显著预测因素。

结论

相当一部分急诊科护士遭受继发性创伤应激,且发现这也与心理因素有关。急诊科护士需要考虑继发性创伤应激对其健康和所提供护理质量的影响。

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