心理资本和职场社会支持对儿科肿瘤科护士创伤后应激障碍(PTSD)症状的影响

IF 1 4区 医学 Q3 NURSING Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2022-07-01 Epub Date: 2022-04-13 DOI:10.1177/27527530211073737
Michelle Schuster, Laura Berbert, Shannon Meyer, Patricia A Dwyer
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引用次数: 3

摘要

工作相关的创伤后应激障碍(PTSD)可以在护士中发展。儿童肿瘤护理是一个潜在的高风险亚专科创伤后应激障碍继发的工作性质。本研究旨在描述儿科肿瘤科护士PTSD症状的患病率,并探讨护士心理资本、工作场所社会支持与PTSD症状的关系。方法:采用横断面相关调查设计。在美国从事直接病人护理工作的儿科肿瘤科护士完成了人口统计问卷、心理资本问卷(PCQ)、同事支持量表、主管支持量表和创伤后精神障碍诊断与统计手册核对表(PCL-5)。使用描述性统计和推理统计,包括逻辑回归模型来分析数据。PCL-5的临界值≥31分用于确定PTSD症状的患病率。结果:共纳入424名护士。PTSD症状的患病率为13.4%。工作环境(住院)、同事和领导社会支持减少、心理资本与PTSD症状独立相关。在控制协变量后,只有心理资本与PTSD症状相关。PCQ评分每降低1个单位,儿科肿瘤科护士出现PTSD症状的可能性增加4.25倍。讨论:儿科肿瘤科护士的PTSD患病率与其他护理专业的患病率一致。护士心理资本可能对PTSD症状有保护作用。对未来研究的启示:研究结果支持创伤后应激障碍是护士工作场所的一个严重问题。应考虑培养护士心理能力的工作场所项目,以防止PTSD症状的发展。
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The Impact of Psychological Capital and Workplace Social Support on Pediatric Oncology Nurses' Post Traumatic Stress Disorder (PTSD) Symptomology.

Introduction: Work-related post traumatic stress disorder (PTSD) can develop in nurses. Pediatric oncology nursing is a potentially high-risk subspecialty for PTSD secondary to the nature of the work. This study aimed to describe the prevalence of PTSD symptomology and explore relationships between nurse psychological capital, workplace social supports, and PTSD symptomology in pediatric oncology nurses. Methods: The study utilized a cross-sectional correlational survey design. Pediatric oncology nurses working in direct patient care in the United States completed a demographics questionnaire, Psychological Capital Questionnaire (PCQ), Coworker Support Scale, Supervisor Support Scale, and the Post traumatic Checklist for Diagnostic and Statistical Manual of Mental Disorders (PCL-5). Descriptive and inferential statistics, including logistic regression models, were used to analyze data. A cutoff score of ≥31 on the PCL-5 was used to determine the prevalence of PTSD symptomology. Results: The sample included 424 nurses. The prevalence of PTSD symptomology was 13.4%. Work setting (inpatient), decreased coworker and leadership social support, and psychological capital were independently associated with PTSD symptomology. After controlling for covariates, only psychological capital was associated with PTSD symptomology. For a 1 unit decrease in PCQ score, pediatric oncology nurses were 4.25 times more likely to have PTSD symptomology. Discussion: PTSD prevalence rates in pediatric oncology nurses are aligned with rates found in other nursing specialties. Nurse psychological capital may play a protective role against PTSD symptomology. Implications for Future Research: Findings support PTSD as a serious workplace concern for nurses. Workplace programs that foster nurses' psychological capabilities should be considered to protect against the development of PTSD symptomology.

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