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Updated: Feb 22, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Secondary Traumatic Stress in NICU Nurses: A Mixed-Methods Study.
Cheryl Tatano Beck1, Regina M Cusson, Robert K Gable
1School of Nursing (Drs Beck and Cusson) and Neag School of Education (Dr Gable), University of Connecticut, Storrs.
Nearly half of neonatal intensive care unit (NICU) nurses experience moderate to severe secondary traumatic stress. This study highlights the need for awareness and support for NICU nurses facing occupational stress.
Area of Science:
- Nursing
- Psychology
- Occupational Health
Background:
- Secondary traumatic stress is a known occupational hazard for healthcare providers.
- Previous research has identified this stress in various nursing specialties.
- No studies had specifically focused on neonatal intensive care unit (NICU) nurses prior to this research.
Purpose of the Study:
- To determine the prevalence and severity of secondary traumatic stress among NICU nurses.
- To qualitatively explore the traumatic experiences of NICU nurses caring for critically ill infants.
Main Methods:
- A convergent parallel mixed-methods design was employed.
- Neonatal nurses completed the Secondary Traumatic Stress Scale (STSS) and provided qualitative descriptions of their experiences.
- Quantitative data were analyzed using SPSS version 24, and qualitative data underwent content analysis.
Main Results:
- Out of 175 NICU nurses surveyed, 49% reported moderate to severe secondary traumatic stress.
- Qualitative analysis identified five distinct themes describing nurses' traumatic experiences.
- The findings underscore the significant psychological impact of caring for critically ill infants.
Conclusions:
- NICU nurses require education on recognizing the signs of secondary traumatic stress.
- Implementing support systems and coping strategies is crucial for NICU nurses.
- Further research with improved response rates is recommended to enhance the generalizability of findings.
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