scholarly journals Secondary Traumatic Stress in Iranian Midwives: Stimuli Factors, Outcomes and Risk Management

Author(s):  
Maryam Hajiesmaello ◽  
Sepideh Hajian ◽  
Hedyeh Riazi ◽  
Hamid Alavi Majd ◽  
Roya Yavarian⁵

Abstract Background: The present qualitative study was conducted to explain the experiences of secondary traumatic stress (STS) and its related factors in midwives working in maternity wards.Methods: Data were collected using semi-structured interviews with 11 midwives working in the maternity wards of hospitals in Urmia, Iran, through in-depth interviews with open-ended questions. Data were analyzed using the conventional content analysis approach.Results:The results of data analysis led to the extraction of three themes, seven main categories, and 18 subcategories. The first theme was “STS stimuli,” with the two categories of “Discriminatory approach to midwifery” and “The nature of the midwifery profession”. The second theme was “Traumatic outcomes”, which included the subcategories of “Psychological-emotional trauma”, “physical trauma” and “social trauma”. The third theme was “Risk management”, which had the two subcategories of “Reactive approach” and “Proactive approach”.Conclusions:The results showed that, in addition to the traumatic nature of events that midwives experience during work as the secondhand victims, factors such as governance-organizational structure, unbalanced distribution of power, and poor supportive laws undermine their professional role and provide conditions conducive to STS. Therefore, avoiding traumatic situations and scientific and skill self-empowerment were the most important strategies adopted by the midwives in this study to prevent risky situations and cope with the consequences of STS. The participation of midwifery stakeholders in policy-making and adopting supportive legislation in redefining the position and role of midwives can play a major role in reducing STS and sustaining their role and position in maternal care.

2020 ◽  
Vol 12 (3) ◽  
pp. 907-933
Author(s):  
Jennifer E. Moreno‐Jiménez ◽  
Luis Manuel Blanco‐Donoso ◽  
Raquel Rodríguez‐Carvajal ◽  
Mario Chico‐Fernández ◽  
Juan Carlos Montejo ◽  
...  

2018 ◽  
Vol 31 (2) ◽  
pp. 202-212 ◽  
Author(s):  
Adeyinka M. Akinsulure-Smith ◽  
Adriana Espinosa ◽  
Tracy Chu ◽  
Ryan Hallock

2018 ◽  
Vol 23 (5) ◽  
pp. 446-456 ◽  
Author(s):  
Seyyed Abolfazl Vagharseyyedin ◽  
Bahare Zarei ◽  
Mahdi Hosseini

Background Affective organisational commitment (AOC) refers to employees’ emotional attachment to the organisation and identification with it. It is vital that nurses explore contributors to their AOC because they stand as the largest group of employees in healthcare organisations. Aim This cross-sectional, analytical study explored the role of workplace social capital (WSC), compassion satisfaction (CS), and secondary traumatic stress (STS) in AOC in a sample of Iranian nurses. Method The study sample consisted of 250 nurses working in eight hospitals affiliated with Birjand University of Medical Sciences, eastern Iran. Participants’ WSC was measured using the Social Capital at Work Scale developed by Kouvonen et al. (2006). CS and STS were measured using CS and STS dimensions of the Professional Quality of Life measure (Version 5) developed by Stamm (2010). Results Significant positive associations were found between WSC and AOC ( p < 0.001), between the cognitive dimension of WSC and AOC ( p < 0.001), between the structural dimension of WSC and AOC ( p < 0.001), and between CS and AOC ( p < 0.001). The correlation between STS and AOC ( p < 0.001) was negatively significant. Conclusion Effort to promote WSC and CS on the one hand and prevention and early recognition of STS on the other hand can enhance nurses’ AOC.


2020 ◽  
pp. 088626052097621
Author(s):  
Nina Ogińska-Bulik ◽  
Zygfryd Juczyński ◽  
Paulina Michalska

One of the negative consequences of indirect trauma exposure is secondary traumatic stress (STS). Professionals helping victims of violence may be at the risk of STS symptoms development. Both empathy and cognitive processing of trauma seem to be important in this process. The aim of the study was to examine the relationship between empathy, cognitive processing of trauma and symptoms of STS in women working with people who have experienced violence trauma. The mediation role of cognitive coping strategies in the relationship between empathy and STS was also checked. A total of 154 female professionals representing three groups (therapists, social workers, and probation officers) were included in the study. The age of the respondents ranged from 26 to 67 years ( M = 43.98, SD = 10.83). Three standard measurement tools were included in the study: the modified PTSD Checklist for DSM-5 (PCL-5), the Empathic Sensitivity Scale, and the Cognitive Processing of Trauma Scale. Correlational analysis indicated STS to have positive associations (Pearson’s correlation coefficients) with all three aspects of empathy, and three of the five cognitive coping strategies (denial, regret, downward comparison). Mediation analysis performed by the bootstrapping method found strategies of regret and downward comparison to act as mediators in the relationship between STS and empathic concern. The same results were obtained for perspective taking. In addition, the regret and denial strategies mediated the relationship between personal distress and STS. Empathy and cognitive trauma processing may play an important role in STS symptoms development. Preventive programs for professionals helping trauma victims should focus on cognitive processing of trauma and empathy.


2021 ◽  
Author(s):  
◽  
Brock Starnes

<p>The concept of business incubators has attracted much attention in recent years, both as descriptive of an increasingly important phenomenon and as an effective public intervention in the economies of lagging cities, regions, and countries. However, little empirical research has explored this phenomenon.  To better understand what type of relationships contribute to the performance of newly hatched business ideas, the following study applies a social capital and proximity lenses to explore relationships in business incubation and how they contribute to start-up performance.  Through the use of open-ended questions this study carried out semi-structured interviews with 25 total participants of the New Zealand incubation system. These in-depth interviews allowed participants to express their perspectives on business incubation.  This study revealed that there are tensions that exist in the incubator environment which are as much about the relationship between the two central participants - incubator personnel and entrepreneur - and other stakeholders, as between the two central participants themselves. These tensions, if not aligned, restrict incubating entrepreneurs from gaining advantage from business incubators. Additionally, the study reveals that the role of geographical proximity in business incubation is surprisingly of less importance than other forms of proximity.</p>


2020 ◽  
Vol 71 (1) ◽  
pp. 1963
Author(s):  
G. KOUTOUZIDOU ◽  
A. RAGKOS ◽  
S. KOUTSOU ◽  
A. THEODORIDIS

This study provides a qualitatative assessment of the overall outcomes of the dairy supply chain in Greece. Based on the framework of the Taskforce for Agricultural Markets, a questionnaire survey with in-depth interviews was conducted to farmers, industries and supermarkets in Greece in order to gain knowledge about trading practices, market transparency, risk management, contracts, access to finance and the role of Producer Organizations. The analysis did not reveal significant unfair trading practices and showed positive prospects for the overall supply chain.


2019 ◽  
Vol 36 (6) ◽  
pp. 522-531 ◽  
Author(s):  
Ayna B Johansen ◽  
Eva Kristiansen ◽  
Ingerid Bjelland ◽  
Shedeh Tavakoli

This study examined the prevalence of secondary traumatic stress (STS) among substance-abuse therapists in relation to burnout, work-related stressors, as well as peer and leader support. Methods: A quantitative cross-sectional design examining 383 Norwegian substance-abuse therapists. Electronic surveys were distributed to practitioners in Norway via email and social media. Results: A total 22% of the respondents reported experience of secondary trauma, with the most frequently reported symptoms being flashbacks (13%) and intrusive thoughts (13%). More than 72% of therapists had also been exposed to patient direct threats. Female therapists estimated the level of trauma among their patients as higher than did male therapists. Male therapists (32%) were more likely to report secondary trauma than females (19%). Conclusions: The findings indicate a high prevalence of trauma symptoms in substance-abuse therapists, and suggest increased focus on the role of patient direct threats when treating patients with substance-abuse disorder. The study also highlights the need for research that examines variables that interact with gender in predicting STS in therapists treating substance abuse, as well as trauma.


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