Occupational-Induced Secondary Traumatic Stress and Posttraumatic Stress Disorder in Respiratory Therapists

Burr, Katlyn; O'Brien, Paul; Brown, Jason R.; Penfil, Scott; Hertzog, James H.

doi:10.4187/respcare.06840

Cited by 11 publications

(9 citation statements)

References 10 publications

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“…Furthermore, previous researches showed that secondary trauma, trauma memories, and stressful events were positively associated with depression (Ashbaugh, Marinos, & Bujaki, 2017;Thabet, Thabet, & Vostanis 2016). Moreover, J o u r n a l P r e -p r o o f due to the association between post-traumatic stress disorder (PTSD) and STS (Burr, O'Brien, Brown, Penfil, & Hertzog, 2020), it can be stated that this finding is similar to previous findings confirming the association of PTSD with depression, anxiety, and SI (Cheng et al, 2020;Ni et al, 2020). It is likely that the pain and problems of patients with COVID-19, and the fear of COVID-19 disease can cause feelings of sadness, anxiety and even SI in nurses.…”

Section: Discussionmentioning

confidence: 99%

Depression, anxiety, and suicidal ideation in nurses with and without symptoms of secondary traumatic stress during the COVID-19 outbreak

Ariapooran

Ahadi

Khezeli

2022

Archives of Psychiatric Nursing

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Section: Discussionmentioning

confidence: 99%

Depression, anxiety, and suicidal ideation in nurses with and without symptoms of secondary traumatic stress during the COVID-19 outbreak

Ariapooran

Ahadi

Khezeli

2022

Archives of Psychiatric Nursing

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“…RTs who commonly work with critically ill patients are at risk for developing occupation-induced secondary traumatic stress. Burr et al [ 12 ] recently studied the prevalence of occupation-induced secondary traumatic stress and PTSD among RTs and reported that symptoms of secondary traumatic stress were present among 79% of the participants, and PTSD occurred among 36% of the RTs. Similar to this study, we found around 30% of the participants were at risk of developing PTSD (cutoff score of ≥27 for total IES) when performing CE.…”

Section: Discussionmentioning

confidence: 99%

“…Burnout and secondary traumatic stress among critical care clinicians who care for critically ill patients is common due to their frequent exposure to high levels of occupational stress [9][10][11][12]. Caring for a dying patient is shown to be independently associated with burnout syndrome among critical care nurses [13].…”

Section: Introductionmentioning

confidence: 99%

Emotional impact of compassionate extubation on respiratory therapists and nurses: A pilot study

Kaur¹,

Chen²,

Faizi³

et al. 2022

Can J Respir Ther

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Background: Compassionate extubation (CE) refers to withdrawing mechanical ventilation and allowing a patient to die peacefully at the end of life. The primary objective of this pilot study was to quantify the emotional impact of CE on Respiratory Therapists (RT) and Registered Nurses (RNs). Methods: This pilot survey was conducted between March and April 2021 at an academic medical center among RTs and RNs. It included questions on participants' demographics, work characteristics, and Impact of Events (IES) scale to assess the subjective stress caused by CE. Data were analyzed using descriptive and χ 2 statistics. Results: Among 20 participants, 18 (90%) were females, 12 (60%) were in the 20-40-year age group, 12 (60%) were RTs, and 8 (40%) RNs. Around 15 (75%) participants worked day shifts with a weekly average of 3-4 shifts, and 14 (70%) performed/observed CE within 1 month before taking this survey. CE performed/observed in a month was ≤2 among 15 (75%) and 3-5 among 4 (20%) participants. Mean total IES score was 16.7 (12.3) among all participants representing 7 (35%) having low, 6 (30%) moderate, and 7 (35%) high emotional impact when performing CE. Risk of developing post-traumatic stress disorder (PTSD) was present in 6 (30%) participants. A significantly higher number of participants in the low impact group were satisfied with the institutional CE process (p = 0.043) than those in the medium/high impact group. Conclusion: This pilot study findings reveal that RTs and RNs experience moderate to high levels of subjective stress when performing CE. One-third of the survey participants were at risk of developing PTSD.

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“…10 A different study examined moral distress in pediatric critical care providers and noted that RTs and nurses had higher moral distress intensity than physicians, but the effect on RT burnout was not reported specifically in this study. 11 Finally, Burr et al 12 examined the effect of secondary traumatic stress in RTs and found 36% of respondents met diagnostic criteria for posttraumatic stress disorder, a rate higher than what has been reported in nurses and physicians. 12 Due to limited data evaluating burnout and resilience in RT departments, we designed a survey to determine resilience and burnout resources available within RT departments and to provide an estimate of RT burnout rates both before and after the COVID-19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

“…11 Finally, Burr et al 12 examined the effect of secondary traumatic stress in RTs and found 36% of respondents met diagnostic criteria for posttraumatic stress disorder, a rate higher than what has been reported in nurses and physicians. 12 Due to limited data evaluating burnout and resilience in RT departments, we designed a survey to determine resilience and burnout resources available within RT departments and to provide an estimate of RT burnout rates both before and after the COVID-19 pandemic. We also sought to identify key drivers of burnout among RTs and compare differences in responses between areas with high and low COVID-19 prevalence.…”

Section: Introductionmentioning

confidence: 99%

Resilience and Burnout Resources in Respiratory Care Departments

et al. 2020

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BACKGROUND: Burnout is a major problem in health care, with rates of approximately 33% and 50% in nurses and physicians, respectively, prior to the COVID-19 pandemic. Respiratory therapist (RT) burnout rates and drivers have not been specifically examined. The purpose of this project was to determine resilience and burnout resources available within respiratory care departments and to provide an estimate of pre-and post-COVID-19 RT burnout rates. METHODS: A survey was developed to evaluate resilience and burnout resources in respiratory care departments. The survey was posted online to the AARConnect management, education, adult acute care, neonatal/pediatrics, COVID-19, and help line communities. Data analysis was descriptive. Key drivers of burnout among RTs were identified from qualitative answers. RESULTS: There were 221 responses, and 72% reported experiencing burnout. Ten percent of the departments that responded measured burnout; 36% utilized resilience tools, and 83% offered free employee assistance for those struggling with burnout. In January 2020, 30% of departments reported an estimated burnout rate > 40%, which increased to 44% of departments (P 5 .007) in the COVID-19 pandemic period. The most common drivers reported were poor leadership (32%), high work load (31%), and staffing (29%); 93% of respondents agreed that burnout is a major problem in health care, 33% agreed that burnout is primarily driven by external factors, 92% agreed that RTs have a similar risk of burnout as other health care professionals, 73% agreed that they were comfortable discussing challenging situations with colleagues, 32% agreed that their leadership provided adequate support for those suffering from burnout, and 79% agreed that they would be open to utilizing resilience tools from the AARC or other professional organizations. CONCLUSIONS: Most respondents experienced burnout and few respiratory care departments measured burnout. Resilience resources were not commonly used but employee assistance and wellness programs were common. Key drivers of burnout identified were poor leadership, staffing, and high workloads.

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Occupational-Induced Secondary Traumatic Stress and Posttraumatic Stress Disorder in Respiratory Therapists

Cited by 11 publications

References 10 publications

Depression, anxiety, and suicidal ideation in nurses with and without symptoms of secondary traumatic stress during the COVID-19 outbreak

Depression, anxiety, and suicidal ideation in nurses with and without symptoms of secondary traumatic stress during the COVID-19 outbreak

Emotional impact of compassionate extubation on respiratory therapists and nurses: A pilot study

Resilience and Burnout Resources in Respiratory Care Departments

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