title: Nurses, indirect trauma, and prevention.
abstract: OBJECTIVE
  To begin examining the nature of vicarious or indirect trauma and to discuss risk factors and prevention strategies. Despite the fact that many nurses are traumatized indirectly, few recognize the insidious development of such trauma. The dynamics of indirect trauma are relevant to nursing as are risk factors and prevention strategies.
  
  
  METHODS
  Brief review of the literature (1974-1997) on vicarious trauma, compassion fatigue, secondary traumatic stress disorder, and traumatic countertransference using short vignettes for illustration.
  
  
  CONCLUSIONS
  Nurses who are informed about vicarious trauma and who actively maintain a balanced personal and professional life are in the best position to bring themselves and their clients through the many hazards of trauma work. The implications of vicarious or indirect trauma for nurses and clients are serious and complex requiring thoughtful analysis and research to clarify its effects.
authors.affiliation: Veterans Administration Medical and Regional Office Center, Togus, Maine 04330, USA.
authors.forename: M L
authors.initials: ML
authors.lastname: Clark
authors.forename: S
authors.initials: S
authors.lastname: Gioro
mesh_terms: D001008:Anxiety Disorders / Q000517:prevention & control* / Q000523:psychology; D003379:Countertransference; D006801:Humans; D009784:Occupational Diseases / Q000517:prevention & control* / Q000523:psychology; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000451:nursing*