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Post-Traumatic Stress Disorder in Intensive Care Unit Nurses: A Concept Analysis
Paula Levi1, Patricia A Patrician1, David E Vance1
1University of Alabama at Birmingham.
Workplace Health & Safety
|December 28, 2020
Summary
Intensive care unit (ICU) nurses face high risks of post-traumatic stress disorder (PTSD) due to work stress and lack of support. This can lead to burnout and job dissatisfaction, impacting patient care and organizations.
Area of Science:
- Nursing
- Psychology
- Occupational Health
Background:
- Intensive care unit (ICU) nurses experience significant psychological stress.
- This environment increases their risk for developing post-traumatic stress disorder (PTSD).
- Understanding PTSD in this population is crucial for their well-being and patient care.
Purpose of the Study:
- To conduct a literature review on post-traumatic stress disorder (PTSD) in intensive care unit (ICU) nurses.
- To analyze the impact of PTSD on ICU nurses' lives, patient care, and healthcare organizations.
- To define PTSD within the context of ICU nursing using conceptual analysis.
Main Methods:
- Literature search of CINAHL, PubMed, and PsycINFO databases.
- Keywords: "post-traumatic stress disorder", "psychological stress", "intensive care unit nurses".
- Inclusion criteria: 2010-2020, peer-reviewed, English, specific to ICU nurses and PTSD/stress.
Main Results:
- Antecedents include stressful work environments, exposure to trauma, and lack of support.
- Defining attributes: reexperiencing, avoidance, negative alterations in cognition/mood, hyperarousal.
- Consequences: burnout, job dissatisfaction, intent to leave, impacting nurses, patients, and organizations.
Conclusions:
- Hospital administrators and nurse managers must implement policies to mitigate PTSD risk.
- Occupational health nurses play a role in recognition and intervention strategies.
- Proactive measures are needed to support ICU nurses' mental health and prevent PTSD.
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