Trauma-Informed Care and Nurses' Secondary Trauma, Burnout and Posttraumatic Growth: A Study With the Structural Equation Model

IF 2 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2025-10-06 DOI:10.1111/ijn.70066

Eman Alhalal

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引用次数: 0

Abstract

Background

Trauma-informed care is recommended in healthcare settings. However, the understanding of its effects on nurses' well-being, including secondary trauma, burnout and posttraumatic growth, remains lacking.

Objective

This study aimed to investigate the hypothesis that trauma-informed care is associated with nurses' negative outcomes, including secondary traumatic stress and burnout, and positive outcomes, including posttraumatic growth.

Design

This is a cross-sectional study.

Methods

This study randomly recruited 291 nurses from two tertiary hospitals in Saudi Arabia. The online survey was sent to nurses in different clinical settings. Structural equation modelling analysis and confirmatory factor analysis were conducted to evaluate the hypothesised model.

Results

The study revealed that trauma-informed care exhibited a significant negative association with secondary trauma (β = −0.351, p < 0.0001) and burnout (β = −0.535, p < 0.0001) and a positive association with posttraumatic growth (β = 0.281, p < 0.0001). Further, trauma-informed care is indirectly associated with posttraumatic growth through the mediation of burnout (β = 0.265, p < 0.0001) and secondary traumatic stress (β = −0.103, p = 0.003).

Conclusions

The study provides evidence that trauma-informed care is significantly associated with nurses' outcomes, including reducing secondary trauma and burnout and promoting posttraumatic growth. Therefore, implementing trauma-informed care training and integrating its principles into daily nursing practice may have a positive effect on nurses.

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查看原文本刊更多论文

创伤知情护理与护士继发性创伤、倦怠和创伤后成长：基于结构方程模型的研究。

背景：创伤知情护理是推荐在医疗机构。然而，了解其对护士福祉的影响，包括继发性创伤，倦怠和创伤后成长，仍然缺乏。目的：本研究旨在探讨创伤知情护理与护士的消极结果（包括继发性创伤应激和倦怠）和积极结果（包括创伤后成长）相关的假设。设计：这是一项横断面研究。方法：本研究随机招募沙特阿拉伯两所三级医院的291名护士。在线调查被发送给不同临床环境的护士。采用结构方程建模分析和验证性因子分析对假设模型进行评价。结果：创伤知情护理与继发性创伤呈显著负相关（β = -0.351, p）。结论：创伤知情护理与护士的预后显著相关，包括减少继发性创伤和倦怠，促进创伤后成长。因此，实施创伤知情护理培训并将其原则融入日常护理实践可能对护士产生积极影响。

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

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.