{"title":"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。","authors":"Eman Alhalal","doi":"10.1111/ijn.70066","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>This is a cross-sectional study.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The study revealed that trauma-informed care exhibited a significant negative association with secondary trauma (β = −0.351, <i>p</i> < 0.0001) and burnout (β = −0.535, <i>p</i> < 0.0001) and a positive association with posttraumatic growth (β = 0.281, <i>p</i> < 0.0001). Further, trauma-informed care is indirectly associated with posttraumatic growth through the mediation of burnout (β = 0.265, <i>p</i> < 0.0001) and secondary traumatic stress (β = −0.103, <i>p</i> = 0.003).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>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.</p>\n </section>\n </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Trauma-Informed Care and Nurses' Secondary Trauma, Burnout and Posttraumatic Growth: A Study With the Structural Equation Model\",\"authors\":\"Eman Alhalal\",\"doi\":\"10.1111/ijn.70066\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>This is a cross-sectional study.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>The study revealed that trauma-informed care exhibited a significant negative association with secondary trauma (β = −0.351, <i>p</i> < 0.0001) and burnout (β = −0.535, <i>p</i> < 0.0001) and a positive association with posttraumatic growth (β = 0.281, <i>p</i> < 0.0001). Further, trauma-informed care is indirectly associated with posttraumatic growth through the mediation of burnout (β = 0.265, <i>p</i> < 0.0001) and secondary traumatic stress (β = −0.103, <i>p</i> = 0.003).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>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.</p>\\n </section>\\n </div>\",\"PeriodicalId\":14223,\"journal\":{\"name\":\"International Journal of Nursing Practice\",\"volume\":\"31 5\",\"pages\":\"\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-10-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Nursing Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/ijn.70066\",\"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":"International Journal of Nursing Practice","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/ijn.70066","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
Trauma-Informed Care and Nurses' Secondary Trauma, Burnout and Posttraumatic Growth: A Study With the Structural Equation Model
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.
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.
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