Posttraumatic Stress Disorder in the Nursing Population: A Concept Analysis

Meredith L. Mealer

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Posttraumatic Stress Disorder Research Occupational Health and Burnout Healthcare professionals’ stress and burnout

Abstract

PURPOSE: This article is a report of an analysis of the concept of posttraumatic stress disorder (PTSD) and its application to the nursing population. BACKGROUND: Nurses are at an increased risk for work-related stress resulting in retention issues and impaired functioning in work and home environment. The nursing discipline has been inconsistent with the concepts used to describe the distress and resultant discussions related to the comprehensive nature of the distress experienced, heavily focusing on existing medical language that emphasizes disorders and psychopathology. REVIEW METHODS: Walker and Avant's strategy for concept analysis was used in this analysis. A literature review for 1994-2011 was conducted for the following keywords: secondary traumatic stress, compassion fatigue, vicarious traumatization, posttraumatic stress disorder, and nurse. RESULTS: The concept of posttraumatic stress disorder in the nursing population is best described within the context of the Nurse as Wounded Healer theory. Essential attributes include intrusions, avoidance, and hyperarousal. The consequences include worldview changes, retention issues, sleep disruption, and social network disturbances. CONCLUSION: This concept analysis viewed through The Nurse as Wounded Healer lens, offers clarity to the concept of PTSD within the nursing population and identifies limitations to prior conceptualizations.

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References

2022Diagnostic and Statistical Manual of Mental Disorders 1995Posttraumatic Stress Disorder in the National Comorbidity Survey 1997The validation of a self-report measure of posttraumatic stress disorder: The Posttraumatic Diagnostic Scale.2003Psychological theories of posttraumatic stress disorder 2002Post-Traumatic Stress Disorder 2001Post-traumatic stress disorder: findings from the Australian National Survey of Mental Health and Well-being 1998Assessing traumatic event exposure: General issues and preliminary findings for the Stressful Life Events Screening Questionnaire 2006Increased Prevalence of Post-traumatic Stress Disorder Symptoms in Critical Care Nurses

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