Secondary traumatic stress and vicarious posttraumatic growth in oncology nurses: the mediating role of empathy.

IF 3 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Frontiers in Public Health Pub Date : 2024-09-17 eCollection Date: 2024-01-01 DOI:10.3389/fpubh.2024.1454998
Yitong Cai, Ming Liu, Yifei Li, Juan Li, Jie Geng, Xiaoying Liu, Jingping Zhang
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Abstract

Background: The relationship between secondary traumatic stress (STS), empathy, and vicarious post-traumatic growth (VPTG) in oncology nurses is unclear. Understanding these links is crucial for improving nurse well-being and patient care quality.

Objective: This study aimed to investigate the relationships between STS, empathy, and VPTG among oncology nurses.

Methods: This cross-sectional study was conducted in a multicentric setting. Data collection involved oncology nurses completing questionnaires assessing STS, empathy, and VPTG levels. Data analysis included correlation analyses, multiple stepwise regression analysis, and structural equation modeling (SEM) to examine the interrelationships between these variables. The study adhered to the STROBE checklist.

Results: A total of 391 oncology nurses participated in the study. They showed moderate to low levels of VPTG and high levels of STS. STS exhibited a negative association with VPTG, while empathy demonstrated a positive direct association with both VPTG and STS. Moreover, SEM indicated that empathy mediated the relationship between STS and VPTG, with a partial mediating effect of 0.127. Factors such as receiving psychological training, educational attainment, STS, and empathy collectively explained 24% of the variance in VPTG.

Conclusion: Our findings highlighted the negative correlation between STS and VPTG among oncology nurses. Additionally, empathy was found to mediate the relationship between STS and VPTG, suggesting it plays a significant role in influencing VPTG.

Implications for practice: To aid oncology nurses, interventions should focus on reducing STS and enhancing empathy. Strategies like resilience workshops, peer support, and stress management can foster VPTG. Creating a supportive work environment is crucial for nurses' well-being and quality patient care.

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肿瘤科护士的继发性创伤应激和创伤后替代性成长:移情的中介作用。
背景:肿瘤科护士的二次创伤应激(STS)、移情和创伤后替代性成长(VPTG)之间的关系尚不清楚。了解这些关系对于提高护士的福利和患者护理质量至关重要:本研究旨在调查肿瘤科护士的 STS、移情和 VPTG 之间的关系:这项横断面研究是在多中心环境下进行的。数据收集包括肿瘤科护士填写问卷,评估 STS、移情和 VPTG 水平。数据分析包括相关分析、多元逐步回归分析和结构方程模型(SEM),以研究这些变量之间的相互关系。研究采用了 STROBE 检查表:共有 391 名肿瘤科护士参与了研究。她们的 VPTG 水平为中低水平,STS 水平较高。STS 与 VPTG 呈负相关,而移情与 VPTG 和 STS 直接呈正相关。此外,SEM 显示移情对 STS 和 VPTG 之间的关系起中介作用,部分中介效应为 0.127。接受过心理培训、教育程度、STS 和移情等因素共同解释了 VPTG 24% 的变异:我们的研究结果表明,肿瘤科护士的 STS 与 VPTG 之间存在负相关。此外,研究还发现移情对 STS 和 VPTG 之间的关系具有中介作用,这表明移情在影响 VPTG 方面发挥着重要作用:实践启示:为帮助肿瘤科护士,干预措施应侧重于减少 STS 和增强同理心。抗压能力研讨会、同伴支持和压力管理等策略可以促进 VPTG。创造一个支持性的工作环境对于护士的健康和高质量的患者护理至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Public Health
Frontiers in Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.80
自引率
7.70%
发文量
4469
审稿时长
14 weeks
期刊介绍: Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice. Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.
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