{"title":"分娩护士在经历创伤后的支持需求","authors":"Catherine Crawford, Jessica R. Williams","doi":"10.1016/j.jogn.2024.01.008","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>To examine the effect of psychological distress, overall distress, and institutional support following a traumatic workplace event on absenteeism, turnover intention, and resilience among labor and delivery nurses.</p></div><div><h3>Design</h3><p>A quantitative cross-sectional survey.</p></div><div><h3>Setting</h3><p>Online distribution from January 13, 2021, to February 2, 2021.</p></div><div><h3>Participants</h3><p>A nationwide convenience sample of labor and delivery nurses recruited from the Association of Women’s Health, Obstetric and Neonatal Nurses (<em>N</em> = 171).</p></div><div><h3>Methods</h3><p>Participants completed a survey that included the Second Victim Experience and Support Tool–Revised and the Second Victim Support Desirability survey. We compared available versus desired support options using descriptive analyses. We examined levels of psychological distress and lack of institutional support in relation to turnover intention, absenteeism, and resilience using multiple regression analyses.</p></div><div><h3>Results</h3><p>Participants identified and described various traumatic experiences in the workplace, including neonatal and maternal death, complicated births, and workplace violence. Participants indicated that the available support services did not meet their needs. Psychological distress, overall distress, and lack of institutional support were associated with absenteeism and turnover, whereas only institutional support was associated with resilience.</p></div><div><h3>Conclusion</h3><p>Labor and delivery nurses encounter various traumatic events in the workplace, and the support services provided after an event do not meet their needs. Additional research is needed to understand the scope of the problem and investigate best practices to assist labor and delivery nurses following traumatic events.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Pages 383-396"},"PeriodicalIF":1.8000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Support Needs of Labor and Delivery Nurses After Traumatic Experiences\",\"authors\":\"Catherine Crawford, Jessica R. Williams\",\"doi\":\"10.1016/j.jogn.2024.01.008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>To examine the effect of psychological distress, overall distress, and institutional support following a traumatic workplace event on absenteeism, turnover intention, and resilience among labor and delivery nurses.</p></div><div><h3>Design</h3><p>A quantitative cross-sectional survey.</p></div><div><h3>Setting</h3><p>Online distribution from January 13, 2021, to February 2, 2021.</p></div><div><h3>Participants</h3><p>A nationwide convenience sample of labor and delivery nurses recruited from the Association of Women’s Health, Obstetric and Neonatal Nurses (<em>N</em> = 171).</p></div><div><h3>Methods</h3><p>Participants completed a survey that included the Second Victim Experience and Support Tool–Revised and the Second Victim Support Desirability survey. We compared available versus desired support options using descriptive analyses. We examined levels of psychological distress and lack of institutional support in relation to turnover intention, absenteeism, and resilience using multiple regression analyses.</p></div><div><h3>Results</h3><p>Participants identified and described various traumatic experiences in the workplace, including neonatal and maternal death, complicated births, and workplace violence. Participants indicated that the available support services did not meet their needs. Psychological distress, overall distress, and lack of institutional support were associated with absenteeism and turnover, whereas only institutional support was associated with resilience.</p></div><div><h3>Conclusion</h3><p>Labor and delivery nurses encounter various traumatic events in the workplace, and the support services provided after an event do not meet their needs. Additional research is needed to understand the scope of the problem and investigate best practices to assist labor and delivery nurses following traumatic events.</p></div>\",\"PeriodicalId\":54903,\"journal\":{\"name\":\"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing\",\"volume\":\"53 4\",\"pages\":\"Pages 383-396\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2024-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0884217524000108\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0884217524000108","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
目的 研究创伤性工作场所事件后的心理困扰、总体困扰和机构支持对分娩护士旷工、离职意向和复原力的影响。参与者从妇女健康、产科和新生儿护士协会（Association of Women's Health, Obstetric and Neonatal Nurses，N=171）招募的全国范围内的分娩护士（方便抽样）.方法参与者完成一项调查，其中包括第二次受害者体验和支持工具-修订版以及第二次受害者支持可取性调查。我们通过描述性分析比较了可用支持选项和期望支持选项。我们使用多元回归分析法研究了心理困扰水平和缺乏机构支持与离职意向、旷工和复原力之间的关系。结果参与者确定并描述了工作场所的各种创伤经历，包括新生儿和产妇死亡、难产和工作场所暴力。参与者表示，现有的支持服务无法满足他们的需求。心理困扰、整体困扰和缺乏机构支持与缺勤和离职有关，而只有机构支持与复原力有关。需要开展更多的研究来了解问题的范围，并调查在创伤事件后帮助分娩护士的最佳实践。
Support Needs of Labor and Delivery Nurses After Traumatic Experiences
Objective
To examine the effect of psychological distress, overall distress, and institutional support following a traumatic workplace event on absenteeism, turnover intention, and resilience among labor and delivery nurses.
Design
A quantitative cross-sectional survey.
Setting
Online distribution from January 13, 2021, to February 2, 2021.
Participants
A nationwide convenience sample of labor and delivery nurses recruited from the Association of Women’s Health, Obstetric and Neonatal Nurses (N = 171).
Methods
Participants completed a survey that included the Second Victim Experience and Support Tool–Revised and the Second Victim Support Desirability survey. We compared available versus desired support options using descriptive analyses. We examined levels of psychological distress and lack of institutional support in relation to turnover intention, absenteeism, and resilience using multiple regression analyses.
Results
Participants identified and described various traumatic experiences in the workplace, including neonatal and maternal death, complicated births, and workplace violence. Participants indicated that the available support services did not meet their needs. Psychological distress, overall distress, and lack of institutional support were associated with absenteeism and turnover, whereas only institutional support was associated with resilience.
Conclusion
Labor and delivery nurses encounter various traumatic events in the workplace, and the support services provided after an event do not meet their needs. Additional research is needed to understand the scope of the problem and investigate best practices to assist labor and delivery nurses following traumatic events.
期刊介绍：
JOGNN is a premier resource for health care professionals committed to clinical scholarship that advances the health care of women and newborns. With a focus on nursing practice, JOGNN addresses the latest research, practice issues, policies, opinions, and trends in the care of women, childbearing families, and newborns.
This peer-reviewed scientific and technical journal is highly respected for groundbreaking articles on important - and sometimes controversial - issues. Articles published in JOGNN emphasize research evidence and clinical practice, building both science and clinical applications. JOGNN seeks clinical, policy and research manuscripts on the evidence supporting current best practice as well as developing or emerging practice trends. A balance of quantitative and qualitative research with an emphasis on biobehavioral outcome studies and intervention trials is desired. Manuscripts are welcomed on all subjects focused on the care of women, childbearing families, and newborns.
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