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Mental Health Nurses' Experience of Trauma: A Qualitative Descriptive Study
Kim Foster1, Michael Roche2,3, Jane Shakespeare-Finch4
1School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Melbourne, Victoria, Australia.
Introduction:
Mental health nurses can experience trauma in their personal and work lives; however there is no prior qualitative research describing these experiences.
Aim:
Describe mental health nurses' experience of potentially traumatic events in their personal and professional lives.
Method:
Qualitative descriptive study of mental health nurses describing traumatic events in a survey. Content analysis conducted using Foli's trauma framework.
Results:
Eighty-two mental health nurses described potentially traumatic events. Most (65%) were personal events, including deaths and suicides of family members, domestic and family violence, and adverse childhood experiences. Workplace events included violence, consumer and colleague deaths, second-victim trauma, and trauma from insufficient workplace resources.
Discussion:
Due to their trauma experiences, nurses are at risk of poorer psychological health and re-traumatisation through their work.
Limitations:
Findings are limited to one group of mental health nurses in one setting.
Implications:
Organisations need to place nurses and other staff at the centre of approaches for addressing trauma, and support nurses' trauma-informed self-care.
Recommendations:
Organisations have a duty of care to staff. Organisation-wide trauma-informed approaches in mental health services are recommended, that are staff-centred as well as consumer-centred. Continued efforts to reduce avoidable sources of trauma at work, such as violence and lack of workplace resources, are needed.
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