Nurses during war: Profiles-based risk and protective factors
Liat Hamama1, Inbal Amit2, Michal Itzhaki3
1The Bob Shapell School of Social Work, Tel Aviv University, Tel Aviv, Israel.
Wartime nurses were categorized into "reactive" and "resilient" profiles. The "reactive" group faced higher risks, highlighting the need for tailored support to enhance nurse well-being during conflict.
Area of Science:
- Psychiatry and Mental Health
- Nursing Research
- Trauma Studies
Background:
- Nurses in southern Israel faced unprecedented trauma post-October 7, 2023, and during the Swords of Iron War.
- Understanding wartime nursing complexities requires examining risk and protective factors.
Purpose of the Study:
- To identify distinct nurse profiles based on psychological risk and protective factors.
- To analyze sociodemographic and occupational variables associated with these profiles.
Main Methods:
- Cross-sectional study involving 200 nurses in southern Israel.
- Latent profile analysis (LPA) using MPlus 8.8 SEM software.
- Self-report questionnaires assessed psychological distress, adjustment disorders, positive affect (PA), resilience, and perceived social support (PSS).
Main Results:
- Two profiles emerged: 'reactive' (higher risk factors) and 'resilient' (higher protective factors).
- The 'reactive' profile was associated with younger age, greater seniority, poorer self-rated health, and higher exposure to family kidnapping.
- The 'resilient' profile demonstrated higher levels of PA, resilience, and PSS.
Conclusions:
- The 'reactive' nurse profile indicates heightened vulnerability during wartime.
- Identifying these profiles is crucial for developing targeted interventions to support nurses' mental well-being.
- Healthcare organizations must implement tailored support strategies for nurses of all ages and experience levels during and after conflicts.
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