• Title/Summary/Keyword: Traumatic stress

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Traumatic Events Experience, Perceived Stress, and Stress Coping of Nurses in Regional Trauma Centers (권역외상센터 간호사의 외상사건 경험, 지각된 스트레스 및 스트레스 대처방식)

  • Park, Jun-Yeong;Seo, Eun Ji
    • Journal of muscle and joint health
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    • v.27 no.2
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    • pp.122-131
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    • 2020
  • Purpose: This study aims to investigate major traumatic events experienced by nurses in regional trauma centers and explore the relationship among their traumatic events experience, perceived stress, and stress coping. Methods: Data were collected from 208 nurses in the trauma emergency room (trauma-bay) and trauma intensive care unit at four regional trauma centers. Results: The mean score of the traumatic events experience was 44.3 out of 76 points. The scores for physical injuries caused by traffic accidents or falls as well as patient care with abnormal behaviors were high. Significantly positive correlations among traumatic events experience, perceived stress, and stress coping were identified. Conclusion: Nurses working in the regional trauma centers experienced many various traumatic events, leading to high levels of stress. This study suggests that it is necessary to establish a regular surveillance system for nurses' traumatic events experience and perceived stress.

Factors Influencing Post-traumatic Stress Disorder in Intensive Care Unit Nurses in Dedicated Hospitals for Coronavirus 19 (코로나바이러스 감염증(COVID-19) 전담병원 중환자실 간호사의 외상 후 스트레스 장애 영향 요인)

  • Jeong, Hyun Ok;Park, Hye-Ja
    • Journal of East-West Nursing Research
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    • v.28 no.2
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    • pp.170-178
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    • 2022
  • Purpose: This study aimed to identify the factors influencing post-traumatic stress disorder in intensive care unit nurses in dedicated hospitals for coronavirus disease of 2019 (COVID-19) during the peak of the outbreak. Methods: This study used a cross-sectional correlational design. A total of 100 participants completed questionnaires comprising the Impact of Event Scale-Revised (IES-R), coping strategy indicator, social support, and post-traumatic growth. Post-traumatic stress disorder was classified as normal, mild risk, and high risk. Data were analyzed using 𝛘2 test, Fisher's exact test, Kruskal-Wallis test with multiple comparison analysis, Pearson correlation coefficient, and multinominal logistic regression analysis. Results: Fifty seven nurses (57.0%) had a high risk of post-traumatic stress. Higher levels of post traumatic stress were associated with higher levels of social support seeking, and higher levels of avoidance, and lower levels of social support from supervisors. Higher post traumatic growth was correlated with higher social support for seeking coping, and problem solving coping strategies, and social support from supervisors and colleagues. Post-traumatic stress risk was associated with social support seeking and supervisors' social support. In addition, a higher risk of post-traumatic stress was related to COVID-19 work duration and supervisors' social support. Conclusion: Supportive programs, including increasing social support and building coping skills, may be suggested to safeguard the mental health of critical care nurses during the pandemic.

Comparative Analysis on the Levels of Stress by the Police Department Size (경찰관서 규모에 따른 스트레스 수준 비교 분석)

  • Sin, Seong-Won
    • The Journal of the Korea Contents Association
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    • v.13 no.12
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    • pp.463-469
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    • 2013
  • In this study, I examine whether differences in the levels of stress exist with regard to the police department size. To accomplish this, a way ANOVA analysis of variance(One-way ANOVA) was conducted. As a result, a significant difference was found in Job stress and traumatic stress according to the department size and grade. Specifically, first, in the job stress level on the department size, the smaller department size was, the higher job stress level was and the bigger department size was, the lower job stress level was. Second, in the traumatic stress level on the department size, the smaller department size was, the higher traumatic stress level was and the bigger department size was, the lower traumatic stress level was. Third, in the job stress level on the department grade, the lower department grade was, the lower job stress level was and the higher department grade was, the higher job stress level was. Fourth, in the traumatic stress level on the department grade, the lower department grade was, the lower traumatic stress level was and the higher department grade was, the higher traumatic stress level was.

he Influence of Posttraumatic Stress on Suicidal Ideation in Firefighters : Cognitive Emotion Regulation as a Moderator (소방공무원의 외상 후 스트레스가 자살생각에 미치는 영향 - 인지적 정서조절의 조절효과-)

  • Kim, Sung-Jung;Yook, Sung-Pil
    • Fire Science and Engineering
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    • v.32 no.2
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    • pp.92-101
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    • 2018
  • This study investigated the impact of post-traumatic stress of the fire-fighting officers who are exposed to traumatic events repeatedly on suicide and attempted to verify the moderating effect of cognitive emotion regulation in the relationship between post-traumatic stress and suicidal ideation. For this investigation, this study measured Post-traumatic stress Diagnostic Scale, Korean Beck scale for Suicidal Ideation, Cognitive Emotion Regulation Questionnaire. The research results are as follows. First, Post-traumatic stress, suicidal ideation, adaptive cognitive emotion regulation, and maladaptive cognitive emotion regulation were correlated. second, A hierarchical regression analysis was conducted in order to examine the moderating effect of cognitive emotion regulation in the relationship between post-traumatic stress and suicidal ideation, and as a result, it was found that a sub-factor of cognitive emotion regulation, adaptive cognitive emotion regulation had a moderating effect in a group of persons with low post-traumatic stress, while maladaptive cognitive emotion regulation had a moderating effect in a group of persons with high post-traumatic stress. These results, this study discussed the necessity of follow-up studies, in addition to its academic and clinical implications.

Analysis of Factors Influencing Secondary Traumatic Stress, Burnout, and Physical Symptoms in Firefighters (소방대원의 이차 외상성 스트레스, 소진 및 신체적 증상의 영향요인 분석)

  • Oh Jin-Hwan;Lim Nan-Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.1
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    • pp.96-106
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    • 2006
  • Purpose: This study was dont: to evaluate the factors that influence secondary traumatic stress, burnout, and physical symptoms experienced by firefighters. In addition, a hypothetical model was developed. Method: The data were collected using self-reported questionnaires from 410 field service firefighters. Data analysis was done with the SPSSWIN 10.0 program for descriptive statistics and Windows LISREL program to determine the causal relationship between the measurement variables. Results: The hypothetical model which was developed fits well with actual data(${\chi}^2$=3.16, p=0.99, GFI=1.00, AGFI=0.99, NFI=0.99, and NNFI=1.06). The variable, personality type, social support, and impact mobilization frequency had a significant effect and accounted for 7% of the secondary traumatic stress in firefighters. The variables, career, social support, and secondary traumatic stress had a significant effect and accounted for 24% of the burnout in firefighters. Social support, impact mobilization frequency, and secondary traumatic stress were important variables and accounted for 31% of the physical symptoms in firefighters. Conclusion: It is necessary for firefighters to manage themselves according to their personality types. Strategies that can increase the firefighters' social support and decrease their perceived secondary traumatic stress also need to be developed to minimize or prevent a negative effect on their health.

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Influence of post-traumatic stress and compassion competence on the quality of life of emergency medical technicians (119 구급대원의 외상 후 스트레스와 공감역량이 삶의 질에 미치는 영향)

  • Seo, Kawoun;Park, Jung-Hee
    • The Korean Journal of Emergency Medical Services
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    • v.24 no.3
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    • pp.129-140
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    • 2020
  • Purpose: This descriptive correlational study investigated the effects of post-traumatic stress and compassion competence on the quality of life of 119 Emergency medical technicians(EMTs). Methods: The data of 119 EMTs were collected between May 1 and September 30, 2020. Data analysis was performed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression with SPSS 24.0 program. Results: Post-traumatic stress was seen to be negatively correlated with the quality of life (r=-.456, p<.001) and compassion competence was positively correlated with quality of life (r=.250, p=.006). Participants' subjective health status (β=0.30, p<.001), post-traumatic stress (β=-0.39, p=.001) and compassion competence (β=0.29, p<.001) explained 38.5% of variance in the quality of life of the 119 EMTs. Conclusion: These findings indicate that post-traumatic stress and compassion competence are important factors to improve the quality of life of EMTs. Therefore, systematic programs for reducing post-traumatic stress and enhancing compassion competence levels should be developed.

The Effect of Resiliency Training Program for Child Protection Agency Counselors to Prevent Secondary Traumatic Stress (아동보호전문기관 상담원을 대상으로 한 이차외상스트레스 예방을 위한 레질리언스 훈련 프로그램의 효과 연구)

  • Hyun, Jinhee;Kim, Heeguk
    • The Journal of the Korea Contents Association
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    • v.19 no.4
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    • pp.532-545
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    • 2019
  • The objective of this study is to find out the effect of the secondary traumatic stress prevention program for counselors at child protection agencies. The quasi-experiment design was used for pre-test, post-test, and for follow-up test, performed 3 months after the program. Experimental group consisted of 9 counselors, while the comparison group consisted of 10 counselors. As a result, it was revealed that secondary traumatic stress prevention program was effective in decreasing the secondary traumatic stress and depression of the counselors, and also effective in increasing stress coping even though it was not statistically significant. Follow-up test did not present statistically significant changes in secondary traumatic stress, depression, and stress coping. It was found that, to achieve continued effect of the program, much longer and sustained program is required. Based on these findings, the necessity and application of the secondary traumatic stress prevention program were suggested.

The Effects of Firefighters' Experience of Trauma and Forest Walks on Burnout (소방공무원의 외상사건 경험 및 산림산책이 소진에 미치는 영향)

  • Shin, Sun-Hee;Kong, Ha-Sung
    • Journal of the Korea Safety Management & Science
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    • v.22 no.2
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    • pp.57-71
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    • 2020
  • The purpose of this study is to explore the effects of fire officers' experience of traumatic events and subsequent forest healing on their occupational burnout. The results are as follows: First, the experience of traumatic events, social and psychological healing, and relieving stress by strolling had a significant effect on burnout. The more fire officers are exposed to traumatic events, the more they lose self-control in social and psychological aspects, and the lower the level of stress relieved through strolling, the higher the level of burnout. Thi sresult suggests that the more fire office rsare called out for fire fighting, the more they see their colleagues with severein juries, and the higher the level of mental and physical an xiety, the more they areex hausted. Moreover, for es thealing help store duce the irmental and physi calfatig uecaused by traumatic events, thu spreven ting them from suffering from burn out. Second, the experience of traumatic events, social and psychological healing, and relieving stress by strolling had a significant impact on occupational stress. The more fire officers are exposed to traumatic events, the more they lose self-control in social and psychological aspects, and the lower the level of stress relieved through strolling, the higher the level of occupational stress. This result indicates that to relieve job stress caused by fire fighting, increased forest healing activities, including various programs such as psychotherapy, developing interpersonal relationships and self-control, and creating a positive mind-set, can reducejobstress and help fire officers recover from it. Lastly, job stress had a mediation effect on the effects of the experience of traumatic events and forest healing on burnout. This implies that burnout can be prevented when fire officers gain high emotional stability through social and psychological healing and stress-relief strolling over a traumatic experience, and stronger support from the organization and family can keep them from being emotionally drained, thus contributing to the prevention of burnout.

Comparison of Post Traumatic Stress Disorder according to Organizational Characteristics among Police Officers (경찰관의 조직적 특성에 따른 외상후 스트레스 장애 비교 분석)

  • Sin, Seong-Won
    • The Journal of the Korea Contents Association
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    • v.12 no.9
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    • pp.211-216
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    • 2012
  • In this study, the relationship between the organizational characteristics of police officers and the level of post-traumatic stress disorder in the comparative analysis was to check for post-traumatic stress disorder, according to the organizational characteristics affect. To accomplish this, a way ANOVA analysis of variance(One-way ANOVA) was conducted. The department in post-traumatic stress disorder level, a significant difference was found. It was more likely to be exposed to a traumatic experience if who is working in the front-line department. Post-traumatic stress disorder according to the work unit, a significant difference was found. The level of Post-traumatic stress disorder in outside job unit officers was higher than that of desk job unit offcers. Post-traumatic stress disorder according to the rank and duration of employment and the administrative district level, a significant difference was not found.

Mediating effect of resilience between post-traumatic stress and emotional exhaustion in nurses during the COVID-19 pandemic (COVID-19 유행시기에 병원간호사의 외상후스트레스와 정서적 소진의 관계에서 회복탄력성의 매개효과)

  • Jeong, Juhee;Song, Yeoungsuk
    • The Journal of Korean Academic Society of Nursing Education
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    • v.28 no.2
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    • pp.193-203
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    • 2022
  • Purpose: This study explored the mediating role of resilience between post-traumatic stress and emotional exhaustion in nurses during the COVID-19 pandemic. Methods: The data were collected from 193 nurses working at a hospital in Daegu from October 16 to 30, 2020, in the middle of the COVID-19 pandemic. Participants conducted self-reported surveys of post-traumatic stress (Impact of Event Scale-Revised Korean version), emotional exhaustion (Maslach Burnout Inventory), and resilience (Korean Resilience Quotient Test). The data were analyzed using descriptive statistics, frequency, t-tests, Mann-Whitney U tests, Kruskal-Wallis tests, Pearson correlation coefficients, and multiple regression. Mediation analysis was performed using the Baron and Kenny method and Sobel test. Results: The mean scores for post-traumatic stress, resilience, and emotional exhaustion were 16.18±16.18, 183.41±18.29, and 32.64±9.66, respectively. A higher level of post-traumatic stress was associated with lower resilience (r=-.20, p=.004) and with higher emotional exhaustion (r=.33, p<.001). A higher level of resilience was associated with lower emotional exhaustion (r=-.35, p<.001). The resilience was confirmed to have a partial mediating effect in the relationship between post-traumatic stress and emotional exhaustion, verified by the Sobel test (Z=2.31, p=.02). Conclusion: Resilience had a partial mediating effect in the relationship between post-traumatic stress and emotional exhaustion. Thus, nurses should develop individual strengths to reduce emotional exhaustion, and managers should also make efforts to increase the nurses' resilience. It is also necessary to develop and apply a program to strengthen nurses' resilience.