Trauma, stress, and self-care in clinical training: Predictors of burnout, decline in health status, secondary traumatic stress symptoms, and compassion satisfaction.

Abstract

[Correction Notice: An Erratum for this article was reported in Vol 9(4) of (see record 2016-54155-001). In the article, there was an error in Table 4 of the Results. The Outcomes and Predictors columns were not clearly categorized from one another. The corrected table is present in the erratum.] Courtois and Gold (2009) have called for the inclusion of trauma in the curriculum for all mental health training programs. The present study investigated the impact of trauma-related content, stress, and self-care (SC) on trainees in such a program. The study examined potential risk factors (trauma exposures in training [being faced with or reacting to trauma-related field work experiences and course content] and perceptions of stress in field and coursework) and protective factors (SC effort and importance) in relation to burnout (BO), health status (HS), secondary traumatic stress symptoms (STSS), and compassion satisfaction (CS) among 195 students in a graduate social work training program. All students reported trauma exposures in their field placements and/or coursework, including retraumatization experiences that were associated with higher STSS and BO. Field stress and SC effort were both consistent predictors across outcomes. Higher field stress levels predicted higher BO and STSS, a greater likelihood of decline in HS, and lower CS. Lower SC effort was also associated with higher BO and STSS, and a greater likelihood of decline in HS, while higher SC effort predicted higher CS. Older students, those with traumatized field clients, and those whose field work addressed trauma, also reported higher CS. These findings suggest that clinical training involving trauma content can be both rewarding and stressful, and may evoke distress in some trainees. Given that learning about and working with trauma are essential to adequate clinical training, the authors suggest adopting a trauma-informed approach within clinical training programs. (PsycINFO Database Record

Vicarious growth among social work students: What makes the difference?

“…Social work students are required, during their field practicums, to confront various stressors, including expectations from their work placements as well as encounters with traumatic content both during their practicums and through their reading of and presentation of cases in class. Hence, students are susceptible to high rates of emotional overload (Butler, Carello, & Maguin, ; Carello & Butler, ; Cunningham, ). In addition, their young age and their lack of skills may put them at greater risk of stress or denial of the high price entailed by working in the social work profession (Litvack, Mishna, & Bogo, ; Lev‐Wiesel, ).…”

Maneuvering Through a Birth Complicated by Shoulder Dystocia

“…Secondary traumatic stress occurs as a result of the emotional distress that arises from the desire to help someone who is traumatized or suffering. 7,9 Midwives are at significant risk for secondary traumatic stress because of the close bonds they form with the individuals in their care and because of the highly empathetic nature of midwifery practice. The close relationships they tend to develop with individuals in their care can make midwives vulnerable to this type of trauma.…”

“…The close relationships they tend to develop with individuals in their care can make midwives vulnerable to this type of trauma. 7,9 Secondary traumatic stress can be further compounded by actual or threatened litigation or by expressions of anger or distrust from the laboring woman and her family. However, if the woman and family members react in a positive and thankful fashion, the risk of secondary traumatic stress is reduced.…”

“…[2][3][4][5][6] Shoulder dystocia may have profound psychological effects on the woman and intrapartum care provider and has legal implications. 5,[7][8][9] The cost burden associated with shoulder dystocia includes increased expense associated with treating short-and long-term injury resulting from the shoulder dystocia as well as legal costs to both the intrapartum care provider and the woman and her family. [4][5][6][7][8][9][10][11]…”

Abordagem do erro em unidades de terapia intensiva paulistanas

“…Ao mesmo tempo proliferam relatos sobre burnout, depressão, ansiedade e em alguns casos até suicídio entre os profissionais de saúde envolvidos com os erros cometidos 40,41,42 . Especialmente preocupante é o impacto psíquico no indivíduo diretamente ligado ao erro 43,44 .…”