研究组织支持对遭受工作场所暴力的心理健康专业人员二次创伤压力的影响。

IF 1.7 4区 医学 Q2 NURSING Issues in Mental Health Nursing Pub Date : 2024-11-01 Epub Date: 2024-10-04 DOI:10.1080/01612840.2024.2397539
Aneesah Coates, Thomas W Cline, Stephen E Foreman
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引用次数: 0

摘要

与普通人相比,受过创伤的人寻求临床帮助的比例更高,因此心理健康专业人员面临二次创伤应激(STS)的风险也更高。本研究的目的如下(1) 探讨暴露于工作场所暴力(WPV)与继发性创伤应激之间的关联,以及组织支持的潜在缓解作用;(2) 研究工作场所环境(住院病人与门诊病人)如何影响 STS 的体验。该研究为横断面研究。在 58 天的时间里,我们向在住院和门诊环境中工作的精神卫生专业人员收集了调查数据。共有 2,549 名专业人员做出了回应。在各种环境中,STS 的总体流行率为 87%。报告二次创伤压力水平最高的是执业护士/助理护士(49.29%),其次是护士(47.94%)和精神科医生(46.85%)。门诊专业人员的 STS 水平(48.39%)略高于住院专业人员(45.11%)。更多接触 WPV 与更高的 STS 水平相关,而更高水平的感知组织支持(POS)对 STS 水平有调节作用。这项研究表明,STS 是一种重要现象,精神卫生专业人员有可能患上这种疾病。组织支持可以在减轻 WPV 和 STS 的影响方面发挥作用。旨在改善组织支持和培养心理复原力的干预措施可能有助于降低 STS 在这一人群中的流行率。
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Examining the Impact of Organizational Support on the Secondary Traumatic Stress of Mental Health Professionals Exposed to Workplace Violence.

Mental health professionals are at a heightened risk of secondary traumatic stress (STS) due to the higher prevalence of trauma-exposed individuals seeking clinical help compared to the general population. The aims of this study were as follows: (1) to explore the association between exposure to workplace violence (WPV) and secondary traumatic stress, and the potential mitigating effects of organizational support and (2) to examine how the workplace setting (inpatient vs outpatient) affects the experience of STS. The study was cross-sectional. Over 58 days, survey data was collected from mental health professionals working in both inpatient and outpatient settings. A total of 2,549 professionals responded. The overall prevalence of STS across settings was 87%. The highest reported secondary traumatic stress levels were among nurse practitioners/APRNs (49.29%), followed by nurses (47.94%) and psychiatrists (46.85%). Levels of STS occurred at slightly higher levels among professionals in outpatient settings (48.39%) than those in inpatient settings (45.11%). Increased exposure to WPV correlated with higher levels of STS, while higher levels of perceived organizational support (POS) had a moderating effect on STS levels. This study suggests that STS is a significant phenomenon and that mental health professionals are at risk for developing the condition. Organizational support can play a role in mitigating the effects of WPV and STS. Interventions aimed at improving organizational support and building psychological resilience may help reduce the prevalence of STS among this population.

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来源期刊
Issues in Mental Health Nursing
Issues in Mental Health Nursing NURSINGPSYCHIATRY-PSYCHIATRY
CiteScore
3.30
自引率
4.80%
发文量
111
期刊介绍: Issues in Mental Health Nursing is a refereed journal designed to expand psychiatric and mental health nursing knowledge. It deals with new, innovative approaches to client care, in-depth analysis of current issues, and empirical research. Because clinical research is the primary vehicle for the development of nursing science, the journal presents data-based articles on nursing care provision to clients of all ages in a variety of community and institutional settings. Additionally, the journal publishes theoretical papers and manuscripts addressing mental health promotion, public policy concerns, and educational preparation of mental health nurses. International contributions are welcomed.
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