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Post-Traumatic Stress Disorder Symptoms among Pediatric Healthcare Workers
Nikolaos Rigas1, Zacharias Kyritsis2, Maria Dagla1
1Department of Midwifery, University of West Attica, 12243 Athens, Greece.
Insights
Pediatric healthcare workers face high rates of post-traumatic stress disorder (PTSD) due to workplace incidents like medical errors and bullying. Addressing these risk factors is crucial for supporting staff mental health and patient care quality.
Area of Science:
- Occupational Health
- Psychiatry
- Pediatrics
Background:
- Post-traumatic stress disorder (PTSD) symptoms in pediatric healthcare settings pose significant public health challenges.
- These symptoms impact healthcare organizations, staff well-being, and patient care quality.
- PTSD symptoms manifest as intrusion, avoidance, negative mood/cognition changes, and altered arousal/reactivity.
Purpose of the Study:
- To identify risk factors for PTSD development in pediatric healthcare workers.
- To inform the implementation of targeted workplace interventions.
Main Methods:
- A survey was conducted with 445 pediatric healthcare workers across seven Greek public hospitals.
- Data collected included socio-demographic information and Post-Traumatic Checklist (5th edition) for PTSD diagnosis.
Main Results:
- A provisional PTSD diagnosis was found in 25.2% of participants.
- Key risk factors identified: medical/nursing errors (72.8%), child's death/life threat (56%), and workplace bullying (55.5%).
- Higher education, shift work, assigned departments, and salary dissatisfaction were associated with PTSD.
Conclusions:
- High PTSD symptom rates underscore the need for prevention and support measures in pediatric departments.
- Recommendations include regular mental health evaluations, rest, professional development incentives, and mental health support.
- Facilitating department changes for symptomatic staff is also proposed.
Abstract:
Post-traumatic stress disorder symptoms related to work in pediatric departments aremajor public health problems, as they directly affect health organizations, healthcare workers, and, due to the poor quality of care, the patients as well. The post-traumatic symptoms that a healthcare worker may experience are related to intrusion, avoidance, negative changes in cognition and mood, and changes in arousal and reactivity. The aim of the present investigation was to identify risk factors that contribute to the development of PTSD in pediatric healthcare workers, in order to implement necessary workplace measures. A sample of four hundred and forty-five pediatric workers at seven Greek public hospitals consented to participate in the survey. Socio-demographic data and a post-traumatic checklist (5th edition) were used to diagnose post-traumatic stress disorder. According to the results, risk factors for the development of post-traumatic symptoms include medical or nursing errors, threats to a child's life, and incidents of workplace bullying. More specifically, 25.2% of the participants had a provisional PTSD diagnosis, 72.8%of the sample experienced an incident involving a medical or nursing error in their workplace related to the treatment or care of a child, 56% experienced an incident involving a child's death or a threat to a child's life due to a serious illness or injury, and 55.5% experienced an incident of workplace bullying. In addition, it was found that having a university-level education, master's, or PhD, working in a circular shift, being assigned to a department by management rather than the worker, and dissatisfaction with salary were associated with post-traumatic stress disorder. The high rates of PTSD symptoms among participants highlight the need for prevention and management measures to protect and support the mental health of workers in pediatric departments. We propose frequent evaluations of the mental health of employees, more time for rest, incentives for professional development, utilization of their specializations and specialties, support from mental health specialists when symptoms are diagnosed, and the option for employees to change departments if they wish or if they show symptoms of mental trauma.
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