Objective To explore the latent classes and influencing factors of vicarious traumatization in emergency department nurses,and compare the levels of vicarious posttraumatic growth according to their classifications. Methods A total of 498 emergency department nurses from 20 public general hospitals in Anhui Province were selected by convenient sampling method from March to May 2022. The general data questionnaire,the Vicarious Traumatization Questionnaire and the Posttraumatic Growth Inventory were used for questionnaire investigation. Results The vicarious traumatization of emergency department nurses could be divided into three categories:low trauma group(15.5%),medium trauma group(53.0%) and high trauma-impaired life belief group(31.5%). Nurses with different categories had differences in vicarious posttraumatic growth scores(F=3.736,P=0.025). Logistic regression results showed that personality,whether to participate in public emergency response training,and nurse-patient relationship were influencing factors of the latent categories of vicarious traumatization. Conclusion Vicarious traumatization for emergency department nurses could be divided into three categories,the higher the degree of vicarious traumatization,the higher the level of vicarious posttraumatic growth. Nursing managers should pay special attention to emergency department nurses who are introverted,have not participated in emergency training for public emergencies,and have poor nurse-patient relationships,and take targeted intervention measures to reduce the occurrence of vicarious traumatization.
HU Anni
,
ZHU Hongmei
,
XU Min
,
JIA Juanhua
,
GE Liuna
,
HAN Jiangying
. Latent profile analysis of vicarious traumatization in emergency department nurses and comparison of vicarious posttraumatic growth among different classes[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024
, 5(9)
: 786
-792
.
DOI: 10.3761/j.issn.2096-7446.2024.09.003
[1] 马君英. 替代性创伤研究述评[J]. 医学与社会,2010,23(4):91-93.
Ma JY.A review of study on vicarious traumatization[J]. Med Soc,2010,23(4):91-93.
[2] 古月,吴际军,荣娴,等. 突发公共卫生事件下医护人员心理弹性、继发性创伤压力对替代性创伤的影响研究[J]. 职业与健康,2021,37(19):2647-2651,2656.
Gu Y,Wu JJ,Rong X,et al.Study on influence of medical staff‘s psychological resilience and secondary traumatic stress on alternative trauma in public health emergencies[J]. Occup Heal,2021,37(19):2647-2651,2656.
[3] 高迪,殷欣悦,毕莹鑫,等. 山东省急诊科护士角色压力与职业获益感现状及相关性研究[J]. 中华急危重症护理杂志,2022,3(6):491-496.
Gao D,Yin XY,Bi YX,et al.Status and correlation of role stress and professional benefits of nurses in emergency department in Shandong Province[J]. Chin J Emerg Crit Care Nurs,2022,3(6):491-496.
[4] Renkiewicz GK,Hubble MW.Secondary trauma response in emergency services systems(STRESS) project:quantifying and predicting vicarious trauma in emergency medical services personnel[J]. Br Paramed J,2023,7(4):23-34.
[5] Arnold D,Calhoun LG,Tedeschi R,et al.Vicarious posttraumatic growth in psychotherapy[J]. J Humanist Psychol,2005,45(2):239-263.
[6] Yaakubov L,Hoffman Y,Rosenbloom T.Secondary traumatic stress,vicarious posttraumatic growth and their association in emergency room physicians and nurses[J]. Eur J Psychotraumatol,2020,11(1):1830462.
[7] Dar IA,Iqbal N.Beyond linear evidence:the curvilinear relationship between secondary traumatic stress and vicarious posttraumatic growth among healthcare professionals[J]. Stress Health,2020,36(2):203-212.
[8] 李峥,刘宇. 护理学研究方法[M]. 北京:人民卫生出版社,2012.
Li Z,Liu Y.Nursing research methods[M]. Beijing:People‘s Medical Publishing House,2012.
[9] 韩雪. 灾难救助者替代性创伤问卷的编制及初步应用[D]. 哈尔滨:哈尔滨工程大学,2009.
Han X.Development and preliminary application of alternative trauma questionnaire for disaster rescuers[D]. Harbin:Harbin Engineering University,2009.
[10] Tedeschi RG,Calhoun LG.The Posttraumatic Growth Inventory:measuring the positive legacy of trauma[J]. J Trauma Stress,1996,9(3):455-471.
[11] 汪际,陈瑶,王艳波,等. 创伤后成长评定量表的修订及信效度分析[J]. 护理学杂志,2011,26(14):26-28.
Wang J,Chen Y,Wang YB,et al.Revision of the Posttraumatic Growth Inventory and testing its reliability and validity[J]. J Nurs Sci,2011,26(14):26-28.
[12] 郑改改,邓雨芳,杨巧芳,等. 河南省8所三级甲等医院抗击新冠肺炎一线医护人员替代性创伤现状调查[J]. 中国护理管理,2021,21(5):702-706.
Zheng GG,Deng YF,Yang QF,et al.Investigation on the current status of vicarious traumatization among medical staff in the front line of COVID-19 pandemic in 8 tertiary grade A hospitals in Henan Province[J]. Chin Nurs Manag,2021,21(5):702-706.
[13] 赖丽足,任志洪,颜懿菲,等. 共情的双刃剑效应:COVID-19心理热线咨询师的继发性创伤应激和替代性创伤后成长[J]. 心理学报,2021,53(9):992-1002.
Lai LZ,Ren ZH,Yan YF,et al.The double-edged-sword effect of empathy:the secondary traumatic stress and vicarious posttraumatic growth of psychological hotline counselors during the outbreak of COVID-19[J]. Acta Psychol Sinica,2021,53(9):992-1002.
[14] Triplett KN,Tedeschi RG,Cann A,et al.Posttraumatic growth,meaning in life,and life satisfaction in response to trauma[J]. Psychol Trauma Theory Res Pract Policy,2012,4(4):400-410.
[15] Huang X,Shi YB,Gao GN.Revealing personality triggers for media vicarious traumatization:a fuzzy-set qualitative comparative analysis[J]. Healthcare,2022,10(10):1850.
[16] 官小莉,胡露红,黄丽红,等. 821名抗击新型冠状病毒肺炎一线医护人员替代性创伤现状及影响因素分析[J]. 护理学报,2020,27(15):50-55.
Guan XL,Hu LH,Huang LH,et al.Analysis on the status quo and influencing factors of alternative trauma among 821 frontline medical staff in novel coronavirus[J]. J Nurs,2020,27(15):50-55.
[17] 李彪,鄢传东,孟婧,等. 武汉市失独家庭帮扶人员替代性创伤现状及其影响因素[J]. 医学与社会,2022,35(7):140-144.
Li B,Yan CD,Meng J,et al.Status quo and influencing factors of vicarious trauma among assistance staff of child-bereft families in Wuhan[J]. Med Soc,2022,35(7):140-144.