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Experiences of traumatic events, knowledge and attitudes concerning post-traumatic stress disorder, and resilience among nurses and paramedics working in emergency department

응급실 간호사와 응급구조사의 외상성 사건의 경험, 외상후 스트레스장애에 대한 지식, 태도 및 회복탄력성

  • Hong, Sun-Woo (Department of Emergency Medical Services, Daejeon University) ;
  • Bang, Kyung-Sook (College of Nursing, The Research Institute of Nursing Science, Seoul National University) ;
  • Bang, Hwal Lan (Department of Nursing, Andong National University) ;
  • Hyun, Hye Jin (College of Nursing, Kangwon National University) ;
  • Lee, Miyoung (Department of Nursing, Woosong University) ;
  • Jung, Yu Na (Emergency Medical Center, Pusan National University Hospital)
  • Received : 2022.12.13
  • Accepted : 2023.01.13
  • Published : 2023.02.28

Abstract

Purpose: This study aimed to assess exposure to traumatic events, knowledge and attitudes concerning post-traumatic stress disorder (PTSD) and the level of resilience among nurses and paramedics working in emergency departments. Methods: Data were collected from May 22 to June 12, 2022, using a self-administered survey questionnaire. The participants comprised 135 nurses and 80 paramedics working in emergency departments. The collected data were analyzed with descriptive statistics, a t-test, and an analysis of variance with Scheffé's test. Results: Compared with emergency room nurses, paramedics were more positive about the government's spending on job opportunities for people with PTSD. There were no significant differences in attitude regarding government strategies and people with PTSD between nurses and paramedics. Paramedics had higher scores on the effective treatment for PTSD, while emergency room nurses showed higher scores on effective psychotherapy. General knowledge of PTSD differed according to sex (t=-2.33, p=.021) and education level (F=3.21, p=.042). Resilience scores differed significantly according to sex (t=2.02, p=.045), education level (F=4.10, p=.018), self-reported economic state (F=10.34, p<.001), and self-reported health (F=11.57, p<.001). Conclusion: The findings support that emergency department nurses and paramedics are in need of self-care programs to support their mental health and indicate that intervention programs should be developed to enhance resilience in emergency department professionals.

Keywords

Acknowledgement

This research was supported by Daejeon University fund (2021).

References

  1. National Emergency Medical Center. Emergency medical services [Internet]. Seoul: National Emergency Medical Center; 2022 [cited 2022 December 12]. Available from: https://www.e-gen.or.kr/nemc/emergency_medical_services_system.do
  2. Baik SY, Cho EH, Kim YA, Choi MN. Emergency department nursing activities: Retrospective study on data from electronic nursing records. Korean Journal of Adult Nursing. 2019;31(5):496-506. https://doi.org/10.7475/kjan.2019.31.5.496
  3. Park EY, Lee EN. Predictors of violent behavior by patient or caregiver of patient in the emergency department. Korean Journal of Adult Nursing. 2014;26(5):500-511. https://doi.org/10.7475/kjan.2014.26.5.500
  4. Schuster M, Dwyer PA. Post-traumatic stress disorder in nurses: An integrative review. Journal of Clinical Nursing. 2020;29(15-16):2769-2787. https://doi.org/10.1111/jocn.15288
  5. Han JW, Lee BS. The relationship of post-traumatic stress, job stress and turnover intention in emergency department nurses. Journal of Korean Academy of Nursing Administration. 2013;19(3):340-350. https://doi.org/10.11111/jkana.2013.19.3.340
  6. Streb M, Haller P, Michael T. PTSD in paramedics: Resilience and sense of coherence. Behavioural and Cognitive Psychotherapy. 2014;42(4):452-463. https://doi.org/10.1017/S1352465813000337
  7. Ko DR, Kim GB, Lee JH. The prevalence of post-traumatic stress disorder among emergency room workers and factors contributing to its occurrence. Quality Improvement in Health Care. 2021;27(1):10-19. https://doi.org/10.14371/QIH.2021.27.1.10
  8. Kim YL, Seo EJ, Seo YS, Dee V, Hong EH. Effects of Middle East Respiratory Syndrome Coronavirus on post-traumatic stress disorder and burnout among registered nurses in South Korea. International Journal of Healthcare. 2018;4(2):27-33. https://doi.org/10.5430/ijh.v4n2p27
  9. Kim SY, Eom MR, Oh HY, Ahn HY. Violence episodes and responses of emergency room nurses. Journal of Korean Academy of Fundamentals of Nursing. 2007;14(4):446-456.
  10. Oginska-Bulik N, Kobylarczyk M. Relation between resiliency and post-traumatic growth in a group of paramedics: The mediating role of coping strategies. International Journal of Occupational Medicine and Environmental Health. 2015;28(4):707-719. https://doi.org/10.13075/ijomeh.1896.00323
  11. Austin CL, Pathak M, Thompson S. Secondary traumatic stress and resilience among EMS. Journal of Paramedic Practice. 2018;10(6):240-247. https://doi.org/10.12968/jpar.2018.10.6.240
  12. Gunderson J, Grill M, Callahan P, Marks M. Evidence-based program improves & sustains first-responder behavioral health. Journal of Emergency Medical Services. 2014;39(3):57-61.
  13. Carmassi C, Gesi C, Simoncini M, Favilla L, Massimetti G, Olivieri MC, et al. DSM-5 PTSD and posttraumatic stress spectrum in Italian emergency personnel: Correlations with work and social adjustment. Neuropsychiatric Disease and Treatment. 2016;12:375-381. https://doi.org/10.2147/NDT.S97171
  14. Jeong JH, Song YS. Mediating effect of resilience between post-traumatic stress and emotional exhaustion in nurses during the COVID-19 pandemic. Journal of Korean Academic Society of Nursing Education. 2022;28(2):193-203. https://doi.org/10.5977/jkasne.2022.28.2.193
  15. Qutishat M, Sharour LA, Al-Dameery K, Al-Harthy I, Al-Sabei S. COVID-19-related posttraumatic stress disorder among Jordanian nurses during the pandemic. Disaster Medicine and Public Health Preparedness. 2022;16(6):2552-2559. https://doi.org/10.1017/dmp.2021.199
  16. Kim ON, Choi SY. Factors affecting post-traumatic stress of nurses in direct care for COVID-19 patients. Journal of Korean Clinical Nursing Research. 2021;27(2):121-129. https://doi.org/10.22650/JKCNR.2021.27.2.121
  17. Ahmed AS. Post-traumatic stress disorder, resilience and vulnerability. Advances in Psychiatric Treatment. 2007;13(5):369-375. https://doi.org/10.1192/apt.bp.106.003236
  18. Kim JH. Resilience. Seoul: Wisdomhouse; 2011. p. 1-268.
  19. Tsai J, Shen J, Southwick SM, Greenberg S, Pluta A, Pietrzak PH. Public attitudes and literacy about posttraumatic stress disorder in U.S. adults. Journal of Anxiety Disorders. 2018;55:63-69. https://doi.org/10.1016/j.janxdis.2018.02.002
  20. Bang KS, Bang HR, Hong SW, Lim JH. Validity and reliability of Korean version of post-traumatic stress disorder scale (K-PTSD) measuring attitudes and knowledge of PTSD. Journal of Korean Academic Society of Nursing Education. 2020;26(1):47-55. https://doi.org/10.5977/jkasne.2020.26.1.47
  21. Connor KM, Davidson JR. Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety. 2003;18(2):76-82. https://doi.org/10.1002/da.10113
  22. Baek HS, Lee KU, Joo EJ, Lee MY, Choi KS. Reliability and validity of the Korean version of the Connor-Davidson resilience scale. Psychiatry Investigation. 2010;7(2):109-115. https://doi.org/10.4306/pi.2010.7.2.109
  23. Olaya B, Alonso J, Atwoli L, Kessler RC, Vilagut G, Haro JM. Association between traumatic events and post-traumatic stress disorder: Results from the ESEMeD-Spain study. Epidemiology and Psychiatric Sciences. 2015;24(2):172-183. https://doi.org/10.1017/S2045796014000092
  24. Hong SW, Bang KS, Bang HL, Lim JH. Attitude and knowledge on PTSD of nursing and paramedic students in Korea. Journal of Korean Academic Society of Nursing Education. 2020;26(4):393-401. https://doi.org/10.5977/jkasne.2020.26.4.393
  25. Harik JM, Matteo RA, Hermann BA, Hamblen JL. What people with PTSD symptoms do (and do not) know about PTSD: A national survey. Depression and Anxiety. 2017;34(4):374-382. https://doi.org/10.1002/da.22558
  26. Alexander R, Feeney J, Hohaus L, Noller P. Attachment style and coping resources as predictors of coping strategies in the transition to parenthood. Personal Relationships. 2001;8(2):137-152. https://doi.org/10.1111/j.1475-6811.2001.tb00032.x
  27. Jeong YH. The influence of clinical nurses' resilience and organizational commitment on clinical competency [master's thesis]. Chungju: Korea National University of Transportation; 2017. p. 1-65.
  28. Kim SN, Yoo MS. Relationships between resilience, job stress, and organizational commitment in ICU nurses. Journal of Korean Academic Society of Home Health Care Nursing. 2014;21(1):36-43.
  29. Brooks S, Amlot R, Rubin GJ, Greenberg N. Psychological resilience and post-traumatic growth in disaster-exposed organisations: Overview of the literature. BMJ Military Health. 2018;166(1):52-56. https://doi.org/10.1136/jramc-2017-000876