Examining the Secondary Traumatic Stress Levels of Emergency Service Healthcare Workers in Contact and Non-Contact with Covid-19 Pandemic Patients

Year 2024, Volume: 10 Issue: 2, 189 - 200, 30.06.2024

Omer Karaman , Atakan Savrun , Yeliz Kaşko Arıcı

https://doi.org/10.19127/mbsjohs.1503059

Abstract

Objective: The fight against the Covid-19 pandemic has not only been limited to physical risks but has also led to profound psychological impacts. Secondary traumatic stress (STS) is an important concept reflecting the effects of traumatic experiences frequently encountered by healthcare workers. This study aims to investigate the levels of STS experienced by emergency department healthcare workers during the Covid-19 pandemic. The research aims to provide insights into the impact on the mental health of healthcare workers during and after the Covid-19 pandemic. Furthermore, the analysis of the data obtained will yield important conclusions for understanding the long-term effects of the pandemic and preparing healthcare systems for such crises.
Method: The study population consisted of doctors, nurses, and other healthcare personnel (health officers, midwives, technicians, paramedics, aides, etc.) working in emergency departments. The study covered 239 participants from various provinces within the authors’ network.
Results: The study found no significant variation in STS based on whether participants lived in a major city or not. However, significant differences were identified based on gender. Additionally, significant differences were observed in the "avoidance," "arousal" subscales, and total score of STS based on the job categories of emergency department staff. Furthermore, STS scores varied significantly based on years of service among emergency department staff. Moreover, the study identified significant differences in STS scores based on the frequency of encounters with Covid-19 patients during the pandemic.
Conclusion: According to the data obtained, factors such as gender, years of service, and professional experience need to be considered to support the mental health of emergency department staff. It is also important to develop support programs and coping strategies specifically for female employees. Additionally, training and mentoring programs can be developed to enhance the coping skills of new emergency department staff with occupational stress. Given that the frequency of encounters with Covid-19 patients during the pandemic affects the STS levels of emergency department staff, ensuring psychosocial support for healthcare workers during this period is crucial. Moreover, in extraordinary situations like the Covid-19 pandemic, it is essential to strengthen coping strategies for traumatic experiences among emergency department staff and facilitate access to supportive resources. This approach can ensure the sustainability of healthcare services and preserve the health and well-being of emergency department staff.

Keywords

Covid-19 pandemic, healthcare worker, secondary stress level.

Ethical Statement

Ethical approval for the study was obtained from the Clinical Research Ethics Committee of Ordu University, Faculty of Medicine (Date: April 30th, 2020, Decision Number: 2020/84).

Supporting Institution

no

Thanks

We extend our thanks to Prof. Dr. Ülkü KARAMAN, Şeyda Tuba SAVRUN, and Assoc. Prof. Dr. Emre GÖKÇEN for their contributions to the research.

References

• Cai H, Tu B, Ma J, Chen L, Fu L, Jiang Y, et al. Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID-19) in Hubei, China. Medical Sci Monitor: Int Med J Experiment Clin Res. 2020;26:e924171.
• Elwood LS, Mott J, Lohr JM, Galovski TE. (2011). Secondary trauma symptoms in clinicians: A critical review of the construct, specificity, and implications for trauma-focused treatment. Clinical Psychology Review, 2011;31(1):25–36. doi: 10.1016/j.cpr.2010.09.004
• Kellogg MB. Secondary traumatic stress in nursing: A walker and avant concept analysis. Advances in Nursing Science, 2021;44(2):157–170. https://doi.org/10.1097/ANS.0000000000000338
• Xu Z, Zhao B, Zhang Z, Wang X, Jiang Y, Zhang M, Li P. Prevalence and associated factors of secondary traumatic stress in emergency nurses: a systematic review and meta-analysis. European Journal of Psych traumatology, 2024;15(1). https://doi.org/10.1080/20008066.2024.2321761
• Luftman K, Aydelotte J, Rix K, Ali S, Houck K, Coopwood TB, et al. PTSD in those who care for the injured. Injury, 2017;48(2):293–296. https://doi.org/10.1016/j.injury.2016.11.001
• Beck C.T. Secondary traumatic stress in nurses: a systematic review. Arch Psychiatry Nurs. 2011;25(1):1–10. doi: 10.1016/j.apnu.2010.05.005
• Orrù G, Marzetti F, Conversano C, Vagheggini G, Miccoli M, Ciacchini R, et al. Secondary traumatic stress and burnout in healthcare workers during COVID-19 outbreak. Int J Environ Res Public Health. 2021;18(1):337.
• Ratrout HF, Hamdan-Mansour AM. Secondary traumatic stress among emergency nurses: prevalence, predictors, and consequences. Int J Nurs Pract. 2020;26(1) doi: 10.1111/ijn.12767.
• İlhan B, Küpeli I. Secondary traumatic stress, anxiety, and depression among emergency healthcare workers in the middle of the COVID-19 outbreak: A cross-sectional study. Am J Emerg Med. 2022;52:99–104. doi: 10.1016/j.ajem.2021.11.051
• Derya S, Tetik B, Acun Delen L. Investigation with structural equation model of the relationship between Covid-19 phobia and secondary traumatic stress level in 112 emergency service personnel. JCS 2021; 6(1):18-23.
• Bride B.E., Robinson M.M., Yegidis B., and Figley C.R. Development and validation of the secondary traumatic stress scale. Research on Social Work Practice, 2018;14: 27-35.
• Yıldırım G, Kıdak LB, Yurdabakan İ. ‘Secondary Traumatic Stress Scale: an adaptation study’. Anadolu Psikiyatri Dergisi, 2018; 19(1):45-51.
• Orrù G, Marzetti F, Conversano C, Vagheggini G, Miccoli M, Ciacchini R. et al. Secondary traumatic stress and burnout in healthcare workers during COVID-19 outbreak. Int J Environ Res Public Health. 2021;18(1):337.
• Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3) doi: 10.1001/jamanetworkopen.2020.3976.
• Del Rio-Casanova L, Sanchez-Martin M, Garcia-Dantas A, Gonzalez-Vazquez A, Justo A. Psychological responses according to gender during the early stage of COVID-19 in Spain. Int J Environ Res Public Health. 2021;18(7) doi: 10.3390/ijerph18073731.
• Salameh B, Daibes AG, Qaddumi, J. Assessing the prevalence, predictors, and consequences of secondary traumatic stress among emergency nurses in Palestine during the COVID-19 pandemic. SAGE Open Nursing, 2023;9: 23779608231207224. https://doi.org/10.1177/23779608231207224
• esirli A, Erden SC, Atilgan M, Varlihan A, Habaci MF, Yeniceri T, et al. The relationship between anxiety and depression levels with perceived stress and coping strategies in health care workers during the COVID-19 pandemic. Med Bull Sisli Etfal Hospital. 2021;55(1):1.