Nurses' psychological trauma: “They leave me lying awake at night”

Foli, Karen J.; Reddick, Blake; Zhang, Lingsong; Krcelich, Kathryn

doi:10.1016/j.apnu.2020.04.011

Cited by 28 publications

(48 citation statements)

References 39 publications

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“…The current study is part of an investigation of Indiana nurses (n = 1,478) focused on predictors, including psychological trauma, of SU in nursing. Additional findings have been reported elsewhere (Foli et al, , 2020a(Foli et al, , 2020b). An online survey consisting of multiple single-item questions and validated tools was distributed to RNs in the state of Indiana.…”

Section: Methodssupporting

confidence: 81%

Predictors of Substance Use in Registered Nurses: The Role of Psychological Trauma

2021

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Substance use disorders (SUDs) in nursing have individual well-being, patient safety, and licensure/regulatory implications. Literature is scarce related to predicting SUDs in registered nurses; this study included specific items surrounding nurses’ psychological trauma. An online survey, consisting of validated scales and investigator-generated items was distributed to 4,000 registered nurses in Indiana with a yield of 1,478 surveys. The World Health Organization: Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) was used as the dependent variable to assess risk of SUDs. Three multivariate regression models with predictive variables for risk of tobacco ( R2 = 0.08), alcohol ( R2 = 0.09), and other substances ( R2 = 0.10) use were found. Of concern, nurses are at moderate risk for tobacco use at 11.6%; alcohol use at 11.6% and for other substances at 10.4%. Each regression model contained distinct predictor variables; however, variables occurring in all three models were: depression, anxiety, and items surrounding psychological trauma (adverse childhood experiences, life events, lateral workplace violence).

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Section: Methodssupporting

confidence: 81%

Predictors of Substance Use in Registered Nurses: The Role of Psychological Trauma

2021

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“…This period is called the ‘post COVID-19 epidemic period’ that the epidemic situation has been basically controlled and medical staff have returned to normal work. An preliminary interview guide developed by reading extensive literature review, seeking psychologist's opinion ( Liu et al, 2019 ; Foli, et al, 2020 ). Then the interview outline was formed after discussion, negotiation, and revision between the team members and experts with relevant experience, besides we selected two nurses for pre-interview.…”

Section: Methodsmentioning

confidence: 99%

“…As one of the main participants in disaster relief, health care providers are always the frontline personnel, nurses, in particular, play a key role in the frontline care and treatment of patients (Pourvakhshoori, Norouzi, Ahmadi, Hosseini, & Khankeh, 2017). Due to the nature of their work, the frontline nurses involved in the fight J o u r n a l P r e -p r o o f against the epidemic often have different experience (Foli, Reddick, Zhang, Krcelich, 2020). Previous studies have shown that when nurses participate in the fight against epidemics like SARS (Chung, Wong, Suen, Chung, 2005), MERS-Cov (Kim, 2018), Ebola (Liu et al, 2019), they would suffer from anxiety, fear, sleep disturbances, and other physical and mental health problems.…”

Section: Introductionmentioning

confidence: 99%

The experience of frontline nurses four months after COVID-19 rescue task in China: A qualitative study

Zhang

Sheng

Wang

et al. 2021

Archives of Psychiatric Nursing

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Yet, there are some traumas at the professional and organizational levels that are avoidable, such as insufficient resource trauma, which are under the control of leaders in organizations. Insufficient resource trauma occurs when there is a lack of nursing staff, healthcare professionals, supplies, knowledge and other resources that are needed to render quality care (Foli et al, 2020). Although this theory was conceptualized pre‐COVID‐19 pandemic, the nurse‐specific traumas have intensified in the midst of this disaster.…”

Section: Introductionmentioning

confidence: 99%

Voices from the COVID‐19 frontline: Nurses’ trauma and coping

Foli

Förster

Cheng

et al. 2021

Journal of Advanced Nursing

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Aim To describe the experiences of frontline nurses who are working in critical care areas during the COVID‐19 pandemic with a focus on trauma and the use of substances as a coping mechanism. Design A qualitative study based on content analysis. Methods Data were collected from mid‐June 2020 to early September 2020 via an online survey. Nurses were recruited through the research webpage of the American Association of Critical Care Nurses as well as an alumni list from a large, public Midwest university. Responses to two open‐ended items were analysed: (1) personal or professional trauma the nurse had experienced; and (2) substance or alcohol use, or other mental health issues the nurse had experienced or witnessed in other nurses. Results For the item related to psychological trauma five themes were identified from 70 nurses’ comments: (1) Psychological distress in multiple forms; (2) Tsunami of death; (3) Torn between two masters; (4) Betrayal; and (5) Resiliency/posttraumatic growth through self and others. Sixty‐five nurses responded to the second item related to substance use and other mental health issues. Data supported three themes: (1) Mental health crisis NOW!!: ‘more stressed than ever and stretched thinner than ever’; (2) Nurses are turning to a variety of substances to cope; and (3) Weakened supports for coping and increased maladaptive coping due to ongoing pandemic. Conclusions This study brings novel findings to understand the experiences of nurses who care for patients with COVID‐19, including trauma experienced during disasters, the use of substances to cope and the weakening of existing support systems. Findings also reveal nurses in crisis who are in need of mental health services. Impact Support for nurses’ well‐being and mental health should include current and ongoing services offered by the organization and include screening for substance use issues.

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Nurses' psychological trauma: “They leave me lying awake at night”

Cited by 28 publications

References 39 publications

Predictors of Substance Use in Registered Nurses: The Role of Psychological Trauma

Predictors of Substance Use in Registered Nurses: The Role of Psychological Trauma

The experience of frontline nurses four months after COVID-19 rescue task in China: A qualitative study

Voices from the COVID‐19 frontline: Nurses’ trauma and coping

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