A National Survey of Secondary Traumatic Stress and Work Productivity of Emergency Nurses Following Trauma Patient Care.
A National Survey of Secondary Traumatic Stress and Work Productivity of Emergency Nurses Following Trauma Patient Care.
复制标题
创伤患者护理后紧急护士的继发性创伤压力和工作生产力的全国性调查。
DOI：
10.1097/jtn.0000000000000592
复制
发表时间：
2021-07-01
期刊：
影响因子：
--
通讯作者：
Schwytzer D
中科院分区：
文献类型：
--
作者：
Jobe JA;Gillespie GL;Schwytzer D
二次创伤应激是常见的急诊护士在创伤护理工作，但它是未知的，如果这种二次创伤应激负相关的工作效率。本研究旨在探讨急诊科创伤护理人员的二次创伤压力与工作效能的关系。本研究采用横断面调查设计，以急诊科护士为系统随机样本。受访者（N = 255）在过去30天内完成了基于创伤患者护理的事件影响量表修订版（IES-R）和医疗保健生产力调查（HPS）。采用双尾皮尔逊相关分析探讨急诊创伤护理人员继发性创伤应激与工作效率的关系。平均IES-R评分为19.1，HPS评分为2.7。大约38%的受访者报告了高继发性创伤压力，29%的人报告了工作效率下降。IES-R与HPS总体相关不显著，但IES-R侵入与HPS认知需求显著相关（p = 0.003）和安全和能力（p = 0.011），IES-R-避免使用HPS-安全性和能力（p = 0.003）和IES-R-高唤醒与HPS-认知需求（p = 0.002）和HPS-处理/管理工作量（p = 0.015）。二次创伤压力和工作效率下降是一些急诊护士的重大问题。为了解决这个问题，雇主可以提供减压和管理技术，以提供创伤病人护理的急诊护士。此外，急诊护士需要积极主动地寻求社会支持，并利用缓解和减少压力的计划。
Secondary traumatic stress is common for emergency nurses working in trauma care, but it is unknown if this secondary traumatic stress negatively correlates to work productivity. The purpose of this research was to examine the relationship of secondary traumatic stress to work productivity of emergency nurses who provide trauma patient care in the emergency department. This study used a cross-sectional survey design with a systematic random sample of emergency nurses. Respondents (N = 255) completed the Impact of Events Scale-Revised (IES-R) and Healthcare Productivity Survey (HPS) based on trauma patient care within the preceding 30 days. A 2-tailed Pearson correlation was calculated to explore the relationship between secondary traumatic stress and work productivity for emergency nurses providing trauma patient care. Mean IES-R score was 19.1, and HPS score was 2.7. About 38% of respondents reported high secondary traumatic stress, and 29% reported decreased work productivity. While overall correlation between IES-R and HPS was not significant, IES-R-intrusion was significantly correlated with HPS-cognitive demands (p = 0.003) and safety and competency (p = 0.011), IES-R-avoidance with HPS-safety and competency (p = 0.003), and IES-R-hyperarousal with HPS-cognitive demands (p = 0.002) and HPS-handle/manage workload (p = 0.015). Secondary traumatic stress and decreased work productivity were significant problems for some emergency nurses. To address this problem, employers can provide stress reduction and management techniques to emergency nurses providing trauma patient care. In addition, emergency nurses need to be proactive in seeking social support and using stress mitigation and reduction programs.