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Secondary traumatic stress and associated factors among Japanese nurses working in hospitals

Authors

  • Miyuki H Komachi MS RN,

    Corresponding author
    1. Doctoral Student, Department of Family Nursing, Division of Health Sciences & Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan; Department of Psychiatry and Clinical Institute, National Disaster Medical Center, Tachikawa-shi, Tokyo, Japan
      Miyuki H. Komachi, Department of Family Nursing, Division of Health Sciences & Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan. Email: mhasegawa-tky@umin.ac.jp
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  • Kiyoko Kamibeppu PhD RN,

    1. Associate Professor, Department of Family Nursing, Division of Health Sciences & Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
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  • Daisuke Nishi MD PhD,

    1. Department Chief, Department of Psychiatry and Clinical Institute, National Disaster Medical Center, Tachikawa-shi, Tokyo, Japan; Department of Adult Mental Health, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira-shi, Tokyo, Japan; CREST, Japan Science and Technology Agency, Tachikawa-shi, Tokyo, Japan
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  • Yutaka Matsuoka MD PhD

    1. Director, Department of Adult Mental Health, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira-shi, Tokyo, Japan; Department of Psychiatry and Clinical Institute, National Disaster Medical, Tachikawa-shi, Tokyo, Japan; CREST, Japan Science and Technology Agency, Tachikawa-shi, Tokyo, Japan; Clinical Research Training and Consultation Program, Translational Medical Center, National Center of Neurology and Psychiatry, Kodaira-shi, Tokyo, Japan
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Miyuki H. Komachi, Department of Family Nursing, Division of Health Sciences & Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan. Email: mhasegawa-tky@umin.ac.jp

Abstract

Komachi MH, Kamibeppu K, Nishi D, Matsuoka Y. International Journal of Nursing Practice 2012; 18: 155–163

Secondary traumatic stress and associated factors among Japanese nurses working in hospitals

Nurses can experience secondary traumatic events while caring for patients. However, the severity of this issue is underestimated in Japan. To evaluate the prevalence and factors associated with secondary traumatic stress among general hospital nurses, we carried out a cross-sectional study at a general hospital in August 2006. The rate of experiencing secondary trauma was 90.3% (159 of 176 nurses; 52.1% response rate). The median score of the Impact of Event Scale-Revised was 4.0 (range, 0–56). In multiple regression analyses, variables correlated with the Impact of Event Scale included neuroticism, trauma severity and feelings of self-reproach. It is necessary to develop support systems for nurses at risk for secondary traumatic stress.

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