Waypoint Research Institute, Waypoint Centre for Mental Health Care, Penetanguishene, Ontario, Canada.
Memorial University of Newfoundland, Newfoundland and Labrador, Canada.
J Nurs Manag. 2022 Sep;30(6):1482-1489. doi: 10.1111/jonm.13420. Epub 2021 Jul 30.
We aimed to explore psychiatric nurses' and other psychiatric workers' understanding of trauma in the context of their relationships with the people they care for and the effects on their mental health.
Workplace violence in psychiatric hospitals can lead to mental health problems, including posttraumatic stress disorder. Professional relationships with the people they care for may complicate psychiatric workers' experiences of trauma.
We qualitatively analysed responses of 30 psychiatric workers who answered relevant open-ended questions in a survey of workplace violence and posttraumatic stress disorder symptoms.
We found that respondents were profoundly affected by violence and vicarious trauma through the current and previous suffering of people in their care. The effects of vicarious exposure and other potentially psychologically traumatic events were often made worse by lack of organizational support.
Not only direct exposure to violent events but also indirect exposure, vicarious traumatic stress and perceived lack of organizational support affect staff's well-being.
Management should ensure that mental health supports are not limited to workers directly affected by workplace violence but should extend to those who witnessed the event and to those regularly exposed to vicarious trauma.
本研究旨在探讨精神科护士和其他精神科工作者在与照护对象的关系背景下对创伤的理解，以及这种关系对他们心理健康的影响。
精神科医院的工作场所暴力可能导致心理健康问题，包括创伤后应激障碍。与他们所照顾的人之间的专业关系可能会使精神科工作者的创伤经历更加复杂。
我们对 30 名精神科工作者的回答进行了定性分析，这些工作者在一项关于工作场所暴力和创伤后应激障碍症状的调查中回答了相关的开放式问题。
我们发现，受访者通过当前和以前照护对象的苦难，深受暴力和替代性创伤的影响。替代性暴露和其他潜在心理创伤事件的影响往往因缺乏组织支持而加剧。
不仅直接暴露于暴力事件，而且间接暴露、替代性创伤压力以及感知到的缺乏组织支持都会影响员工的福祉。
管理层应确保心理健康支持不仅限于直接受到工作场所暴力影响的工作人员，还应扩展到目睹事件的工作人员和经常遭受替代性创伤的工作人员。
