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照顾创伤受害者的精神科护士的继发性创伤应激与应对经历:一项现象学研究

Secondary Traumatic Stress and Coping Experiences in Psychiatric Nurses Caring for Trauma Victims: A Phenomenological Study.

作者信息

Gülirmak Güler Kübra, Uzun Sevda, Emirza Elif Güzide

机构信息

Department of Psychiatric Nursing, Faculty of Health Sciences, Ondokuz Mayıs University, Samsun, Turkey.

Department of Psychiatric Nursing, Faculty of Health Sciences, Gümüşhane University, Gümüşhane, Turkey.

出版信息

J Psychiatr Ment Health Nurs. 2025 Apr;32(2):402-413. doi: 10.1111/jpm.13121. Epub 2024 Oct 3.

Abstract

AIM

In this study, it was aimed to evaluate the secondary traumatic stress and coping experiences of psychiatric nurses who care for people who have experienced psychological trauma with a phenomenological approach.

MATERIALS AND METHODS

In this study, semi-structured in-depth interviews were conducted with 18 psychiatric nurses residing in Turkey using the phenomenological research method. The criterion sampling method was used to reach the sample group. Interviews continued until data saturation was achieved, and all interviews were audio-recorded and then transcribed. The data were analysed using thematic analysis. The study was conducted and reported using the COREQ checklist.

FINDINGS

In the analysis of the data, three themes (difficulties in caring for people who have experienced trauma, the effects of caring for people who have experienced trauma on the individual and coping, reflections of secondary trauma on the profession) and seven sub-themes (mental, physical, social, psychosocial difficulties and coping, quality of care, professional and organisational aspects) were identified.

CONCLUSION

As a result of the study, it was determined that secondary traumatic stress was observed in psychiatric nurses caring for individuals who experienced psychological trauma. It was determined that caring for people who have experienced psychological trauma can negatively affect nurses psychosocially, and individuals have difficulty coping. In line with the results of the study, it is thought that necessary intervention programs should be created for nurses experiencing secondary traumatic stress.

摘要

目的

本研究旨在采用现象学方法评估护理经历心理创伤者的精神科护士的继发性创伤应激及应对经历。

材料与方法

本研究采用现象学研究方法,对居住在土耳其的18名精神科护士进行了半结构化深度访谈。采用标准抽样方法选取样本组。访谈持续进行直至数据饱和,所有访谈均进行了录音,随后进行转录。采用主题分析法对数据进行分析。本研究按照COREQ清单进行实施和报告。

结果

在数据分析中,确定了三个主题(护理创伤经历者的困难、护理创伤经历者对个体及应对的影响、继发性创伤对职业的影响)和七个子主题(心理困难、身体困难、社会困难、心理社会困难及应对、护理质量、专业及组织方面)。

结论

研究结果表明,在护理经历心理创伤个体的精神科护士中观察到了继发性创伤应激。确定护理经历心理创伤者会对护士的心理社会状况产生负面影响,且个体应对困难。根据研究结果,认为应为经历继发性创伤应激的护士制定必要的干预方案。

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