The impact of work-related trauma on the well-being of perioperative nurses.
Perioperative nurses are confronted daily with the reality of trauma, of experiencing abuse and conflict in the workplace, dealing with practice issues such as gruesome motor vehicle accidents, as well as the heartbreaking tragedy of death (Michael 1999, Michael & Jenkins 2000). This study explored the reported impact of traumatic events upon the well-being of perioperative nurses, using both qualitative and quantitative methods of inquiry. Of the 233 respondents in this study, 161 (69%) reported being exposed to traumatic events. The types of described reactions following trauma were predominantly negative and included negative feelings, negative team member relationship issues, negative behaviour from others, physical concerns and negative working conditions. Intrusion and avoidance behaviour was reported to a significant degree. Performance distress, somatic distress, general feelings of distress and self-related health were significantly poorer in perioperative nurses who had experienced trauma, than their colleagues without such experiences. Conversely, some respondents were able to construe positive outcomes from trauma and grow from the experience. Positive outcomes included gains from the experience, team building, positive feelings and action taken. The current study contributes to understanding of the role of environmental factors, associated work-related trauma and recovery following such events. The outcomes have implications for effective trauma stress management interventions and continuing education of nurses.
Michael
R
R
School of Nursing, Curtin University, Perth, WA. michaelr@nursing.curtin.edu.au
Jenkins
H J
HJ
D003220:Conflict, Psychological; D003643:Death; D006801:Humans; D007400:Interprofessional Relations; D007588:Job Satisfaction; D016273:Occupational Exposure / Q000706:statistics & numerical data*; D013527:Perioperative Nursing / Q000706:statistics & numerical data*; D036301:Qualitative Research; D012649:Self Concept; D013315:Stress, Psychological / Q000453:epidemiology* / Q000523:psychology; D014754:Violence / Q000706:statistics & numerical data; D014904:Western Australia / Q000453:epidemiology