Experiences and Well-Being of Early-Career Trauma Nurses in India: A Mixed Methods Study.

IF 0.7 4区医学 Q4 CRITICAL CARE MEDICINE

Journal of Trauma Nursing Pub Date : 2025-07-01 Epub Date: 2025-07-04 DOI:10.1097/JTN.0000000000000862

Rajesh Kumar, Antima Soni, Tarannum Ahmed, Kalpana Beniwal

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引用次数: 0

Abstract

Background: Trauma nursing is fast-paced and high-pressure work that can affect nurses' physical and mental health. However, these effects remain unexplored among novice trauma nurses in a newly established trauma center in India.

Objective: To examine relationships between professional quality of life, sleep disturbances, anxiety, and resilience and to explore the experiences of novice trauma nurses in a newly established trauma center in India.

Methods: This sequential mixed-methods study was conducted between April and June 2024 in a newly established trauma center in India. A purposive sample of 80 nurses was surveyed using a demographic questionnaire, the Brief Resilience Scale, the Generalized Anxiety Disorder Scale, the Insomnia Severity Index, and the Professional Quality of Life Scale. Nine nurses were interviewed to explore their trauma experiences. The analysis included descriptive and inferential statistics, bootstrap-based mediation testing, and thematic content analysis.

Results: A total of 80 nurses completed the survey (response rate: 67.8%) with a mean age of 27.7 years (standard deviation [SD] = 2.89) and average years of trauma experience of 2.08 years (SD = 1.93). Higher compassion satisfaction correlated with fewer sleep disturbances (r = -.23, p = .037). Burnout positively correlated with anxiety (r = .24, p = .033) and sleep disturbances (r = .34, p = .023), and negatively with nurses' resilience (r = -.12, p = .049). Professional quality of life significantly correlated with resilience (r = .18, p = .048). Resilience mediated the relationship between anxiety and both burnout (β = .24, bootstrap confidence interval [BCI] = 0.04, 0.46, p = .041) and secondary traumatic stress (β = .24, BCI = 0.03, 0.52, p = .029). Qualitative analysis revealed three major themes: personal and professional adaptation to trauma life, adverse physical and psychological issues, and challenges faced in trauma care.

Conclusion: Our findings highlight the adverse impact of trauma nursing on sleep, resilience, anxiety, and professional quality of life among novice nurses in a newly established Level I trauma center in India. Targeted interventions are required to enhance resilience and mitigate the impact of caring for trauma patients.

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印度早期职业创伤护士的经验和幸福感：一项混合方法研究。

背景：创伤护理是一项快节奏、高压的工作，会影响护士的身心健康。然而，在印度新成立的创伤中心的新手创伤护士中，这些影响仍未得到探索。目的：探讨印度一家新成立的创伤中心新手创伤护士的职业生活质量、睡眠障碍、焦虑和心理弹性之间的关系。方法：这项顺序混合方法研究于2024年4月至6月在印度新成立的创伤中心进行。采用人口统计问卷、简易弹性量表、广泛性焦虑障碍量表、失眠严重程度指数和职业生活质量量表对80名护士进行调查。对9名护士进行了访谈，探讨她们的创伤经历。分析包括描述性和推断性统计、基于引导的中介检验和专题内容分析。结果：共80名护士完成调查，应答率67.8%，平均年龄27.7岁（标准差[SD] = 2.89），平均创伤经历2.08年（SD = 1.93）。较高的同情满意度与较少的睡眠障碍相关（r = -）。23, p = .037)。职业倦怠与焦虑（r = 0.24, p = 0.033）、睡眠障碍（r = 0.34, p = 0.023）呈正相关，与护士心理弹性呈负相关（r = -）。12, p = .049)。职业生活质量与心理弹性显著相关（r = 0.18, p = 0.048）。心理弹性在焦虑与倦怠（β = 0.24， bootstrap置信区间[BCI] = 0.04, 0.46, p = 0.041）和继发性创伤应激（β = 0.24, BCI = 0.03, 0.52, p = 0.029）之间起中介作用。定性分析揭示了三个主要主题：个人和职业对创伤生活的适应，不利的身心问题，以及创伤护理面临的挑战。结论：我们的研究结果强调了创伤护理对印度新成立的一级创伤中心新手护士的睡眠、恢复力、焦虑和职业生活质量的不利影响。需要有针对性的干预措施来增强复原力并减轻照顾创伤患者的影响。

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

Journal of Trauma Nursing CRITICAL CARE MEDICINENURSING&-NURSING

CiteScore

1.20

自引率

10.00%

发文量

106

期刊介绍： Journal of Trauma Nursing (JTN) is the official journal of the Society of Trauma Nurses. The Society of Trauma Nurses believes that trauma is a disease impacting patients through the continuum of care. The mission of STN is to ensure optimal trauma care through education, collaboration, leadership and membership engagement. As the official publication of the Society of Trauma Nurses, the Journal of Trauma Nursing supports the STN’s strategic goals of effective communication, education and patient advocacy with original, peer-reviewed, research and evidence-based articles and information that reflect the highest standard of collaborative care for trauma patients. The Journal of Trauma Nursing, through a commitment to editorial excellence, implements STN’s vision to improve practice and patient outcomes and to become the premiere global nursing organization across the trauma continuum.