Vicarious Trauma and Health Outcomes in Forensic Mental Health Nurses.

Journal of forensic nursing Pub Date : 2024-04-01 Epub Date: 2023-09-26 DOI:10.1097/JFN.0000000000000450
Claire Newman, Michael Roche, Doug Elliott
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Abstract

Background: Nurses working in forensic mental health settings are at risk of vicarious trauma because of their exposure to traumatized patients and distressing material such as the aversive details of patient crimes.

Aim: The aim of this study was to determine the incidence of vicarious trauma and explore its impact on health and absence from work.

Methods: A cross-sectional descriptive correlational study was undertaken. All 205 forensic mental health nurses working in a high-security inpatient facility were invited to participate. An online survey included the Vicarious Trauma Scale and the SF-36v2 to measure mental and physical health. Absence from work was also explored.

Results: Sixty-seven respondents completed the survey. Almost half of respondents had a moderate level of vicarious trauma, and only over one-quarter experienced high levels. Higher levels of vicarious trauma were associated with poorer mental health ( r = -0.59, p < 0.000) and absence from work ( r = 0.27, p < 0.010).

Conclusions: Forensic mental health nurses are at a greater risk of vicarious trauma than nurses working in mainstream mental health services, given their exposure to aversive details of patients' violent crimes. Adverse mental health consequences of vicarious trauma, and other forms of workplace trauma experienced by forensic mental health nurses, are likely to include trauma-related symptoms, depression, and anxiety. Forensic mental health nurses experiencing vicarious trauma may use sick leave as time away from work to care for their own mental health or a coping mechanism for workplace-induced psychological distress.

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法医心理健康护士的副作用创伤和健康结果。
背景:在法医心理健康环境中工作的护士面临着替代性创伤的风险,因为他们接触到受创伤的患者和令人痛苦的材料,如患者犯罪的令人厌恶的细节。目的:本研究旨在确定替代性创伤的发生率,并探讨其对健康和缺勤的影响。方法:采用横断面描述性相关研究。所有205名在高度安全的住院机构工作的法医心理健康护士都被邀请参加。一项在线调查包括副创伤量表和SF-36v2,用于测量心理和身体健康。还探讨了缺勤问题。结果:67名受访者完成了调查。近一半的受访者有中等程度的替代性创伤,只有超过四分之一的人经历过高程度的创伤。较高程度的替代性创伤与较差的心理健康(r=-0.59,p<0.000)和缺勤(r=0.27,p<0.010)有关。替代性创伤的不良心理健康后果,以及法医心理健康护士经历的其他形式的工作场所创伤,可能包括创伤相关症状、抑郁和焦虑。经历替代性创伤的法医心理健康护士可能会利用病假作为休假时间来照顾自己的心理健康,或作为应对工作场所引发的心理困扰的机制。
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