Prevalence and correlates of subjective traumatic distress among Emergency Department Nurses in Lagos, Nigeria

  • Ayodele Olurotimi Coker Department of Behavioural Medicine,Lagos State University College of Medicine, Ikeja, Lagos, Nigeria.
  • Olayinka Olufunmilayo Coker Medical Department, University of Lagos Medical Centre, University of Lagos, Akoka, Lagos, Nigeria
  • Tariela Oladipupo Department of Nursing, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria
  • Foluke Adesope Department of Nursing, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria
  • Omotayo Adedotun Alonge Department of Psychiatry, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria
Keywords: Lagos, Subjective distress, Emergency department, Hyperarousal


Background: The manifestations of subjective traumatic distress among emergency nurses in Nigeria have not been extensively studied.

Objective: To determine the prevalence and correlates of subjective traumatic distress among emergency department nurses in Lagos, Nigeria.

Methods: One hundred nurses working at the Emergency Department of the Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria, were surveyed for the impact of subjective traumatic distress using the Revised Impact of Event Scale. The sociodemographic characteristics and some work-related factors were also determined.

Results: Of the 100 participants, 60 (60%) met the criteria for the impact of subjective traumatic distress. The overall mean score of the participants for the IESR was 27.9 ± 6.7 with a range of 0 to 66. The most frequent symptoms of subjective trauma distress sub-scale included avoidance symptoms, (mean: 12.2± 9.1; range 0-28) intrusion symptoms (mean: 7.3 ± 3.8; range 0-20) and hyperarousal symptoms (mean: 5.3 ± 1.6; range 0-17). Female participants had higher exposures in the sub-scales of the IESR scores. The associations between sociodemographic parameters such as age, gender and marital status and the subscales of the IESR were not significant.

Conclusion: The study showed that more than half of the participants experienced subjective psychological traumatic distress. There is a need for hospital managers to provide psychological interventions regularly for emergency department nurses to prevent occurrence of psychopathologies such as burnout and posttraumatic stress disorders.

Author Biography

Ayodele Olurotimi Coker, Department of Behavioural Medicine,Lagos State University College of Medicine, Ikeja, Lagos, Nigeria.

Senior Lecturer/Consultant Psychiatrist


Iranmanesh S, Tirgari B, Bardsir SH. Post-traumatic stress disorder among paramedic and hospital emergency personnel in south-east Iran. World J Emerg Med 2013; 4(1): 26-31.

Lavoie S, Talbot LR, Mathieu L, et al. An exploration of factors associated with post-traumatic stress in ER nurses. J Nursing Manag 2015; 24(2): 174–183. DOI: 10.1111/jonm.12294

Adriaenssensa J. de Guchtb V, Mae S. The impact of traumatic events on emergency room nurses: findings from a questionnaire survey. Intern J Nursing Studies 2012; 49:1411-1422.

Gates DM, Gillespie GL, Succop P. Violence against nurses and its impact on stress and productivity. Nursing Economics 2011; 29(2): 57-65.

Emergency Nurses Association. More than half of emergency department nurses have been physically assaulted at work, new study finds. Retrieved July 27, 2017 from media/press/releases/Pages/ WorkPlaceViolence.aspx

Gacki-Smith, J., Juarez, A.M., & Boyett, L. Violence against nurses working in US emergency departments. Journal of Nursing Administration 2009; 39(7-8), 340-349.

Mealer M, Burnham EL, Goode CJ, Rothbaum B, Moss M. The prevalence and impact of posttraumatic stress disorder and burnout syndrome in nurses. Depress Anxiety 2009; 26: 1118– 1126.

Horowitz, et al. impact of Event Scale: a measure of subjective stress. Psychosomatic Medicine. 1979;41:209–218. doi: 10.1097/00006842-197905000-00004.

Alhajjar B. Gaza nurses after war: are they traumatised? Procedia Soc Beh Sci 2014; 114: 802-809.

Han KA, Yoo EK. Experience of the Nurses in Emergency Room to the Traumatic Event and Posttraumatic Stress Disorder. Adv Sci Tech Letters 2016; 128: 247-250

Ben-Ezra M, Palgiy Y, Essar N. The impact of exposure to war stress on hospital staff: A preliminary report. J Psych Res 2008;42:422-423.

Somville FJ, De Gucht V, Maes S. The impact of occupational hazards and traumatic events among Belgian emergency physicians. Intern J Beh Nutri Phy Activity 2016; 24:59-69. DOI 10.1186/s13049-016-0249-9

Moustaka e, Constantinodis T. Sources and effects of work-related stress in nursing, Health Sci J 2010;4:2010-2016.

Lambert VA, Lambert CE, Petrini M, et al. Predictors of physical and mental health in hospital nurses within the People's Republic of China. Intern Nurses Rev 2007;54:85-91.

Lavoie S, Talbot L, Mathieu L. Posttraumatic stress disorder symptoms among emergency nurses: their perspectives and a "tailor-made" solution. J Adv Nursing 2011; 67: 1514-1522.

Coker AO, Omoluabi PF. Job stress and burnout among psychiatric nurses working in Lagos, Nigeria. Nigerian J Nurs 2011; 1(5): 7-10.

Laposa JM, Alden MA, Fullerton LM. Workplace and posttraumatic stress disorder in emergency department nurses/personnel. J Emergency Nursing 2003;29:23-28.

Coker OO, Coker AO. A study on job satisfaction among clinical and non-clinical staff in a teaching hospital in Lagos, Nigeria. East Africa J Public Health 2011; 8(4): 299-302.

Coker AO, Coker OO, Sode MO, Adesope F, Tonade OR, Kanmodi K, Oladipupo T (2014). Psychache and Psychological Distress among Nurses Working in Lagos, Nigeria. Intern J Psychiatry, 1(1):15-19. DO:10.12966/ijpp.2014.

Pindar SK, Wakil MA, Jidda MS, Morakinyo AO, Coker AO. Burnout syndrome and depression among healthcare professionals in Maiduguri Tertiary hospitals. Kanem J Med Sci 2012 6:23-28.

Coker OO, Coker AO, Apampa RA. An assessment of emotional pain and psychological distress among health workers in a university medical centre in Lagos, Nigeria. Medicine Review 2012; 18(7): 5-8.

Original Research