The relationship between secondary traumatic stress and burnout in critical care nurses: The mediating effect of resilience |
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| Affiliation: | 1. The Graduate School of Converging Clinical and Public Health, Ewha Womans University, Ewha Womans University, Mokdong Hospital, Republic of Korea;2. College of Nursing, Ewha Womans University, Republic of Korea;1. Department of Emergency Medicine, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy;2. Department of Medicine and Surgery, University of Milan-Bicocca, Monza, Italy;3. Department of Anesthesia and Intensive Care Medicine, Niguarda Ca’ Granda, Milan, Italy;1. Department of Nursing, Chungbuk National University, 1 Chungdae-ro, Seowon-Gu, Cheongju, Chungbuk 28644, Republic of Korea;2. College of Nursing, Gachon University, 191 Hambakmoero, Yeonsu-gu, Incheon 21936, Republic of Korea;3. Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-Ro 43-gil, Songpa-Gu, Seoul 05505, Republic of Korea;1. Adult Critical Care Unit, Royal London Hospital, Barts Health NHS Trust, London, UK;2. Critical Care Outreach Team, Royal London Hospital, Whitechapel Road, E1 1FR London, UK;3. Critical Care Nursing, King’s College London, UK;1. Anesthesia and Intensive Care Medicine, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden;2. Integrative Physiology, Department of Medical Cell Biology, Uppsala University, Uppsala, Sweden;3. Department of Epidemiology, McGill University, Montréal, Quebec, Canada;4. Lady Davis Institute of Medical Research, Jewish General Hospital, Montréal, Quebec, Canada;5. Hedenstierna Laboratory, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden;1. Neuro Intensive Care Unit, Department of Neurosurgery, Clinical Medical College of Yangzhou University, Yangzhou 225001, China;2. Clinical Medical College of Yangzhou University, Yangzhou 225009, China;3. School of Nursing, Yangzhou University, Yangzhou 225009, China;4. School of Public Health, Medical College of Yangzhou University, Yangzhou University, Yangzhou 225009, China |
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| Abstract: | PurposeTo examine the mediating factor on the association of secondary traumatic stress and burnout among critical care nurses.DesignA correlational study.MethodsData were collected from a convenience sampling of 147 nurses from two general hospitals who had six or more months of experience working in an intensive care unit. The collected data were analyzed through t-test, ANOVA, Scheffé test, Mann-Whitney test, Kruskal-Wallis test, Bonferroni correction, and Pearson’s correlation coefficient using SPSS 25.0. The mediating effect of resilience was analyzed through the three-stage mediation effect test procedure using hierarchical regression analysis and the Sobel test.ResultsSecondary traumatic stress had a statistically significant positive correlation with burnout (r = 0.45, p <.001), and a statistically significant negative correlation between burnout and resilience (r = −0.54, p <.001) was observed. Secondary traumatic stress was found to have a statistically significant effect on resilience, which was the mediating variable (β = −0.17, p =.042). Additionally, secondary traumatic stress had a statistically significant effect on burnout (β = 0.45, p <.001). The significance of the mediating effect of resilience on the relationship between secondary traumatic stress and burnout was investigated using the Sobel test, and the mediating effect of resilience was found to be statistically significant (Z = 1.98, p =.048).ConclusionResilience was found to have a partial mediating effect in the relationship between critical care nurses’ secondary traumatic stress and burnout. The study thus provides basic data on the importance of resilience in preventing burnout from secondary traumatic stress. |
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| Keywords: | Burnout Resilience Compassion fatigue Critical care nursing Nurses |
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