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. http://orcid.org/0000-0002-4234-9775
  • 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

Abstract

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

References

1. 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.
2. Lavoie S, Talbot LR, Mathieu L, Dallaire C, Dubois MF, Courcy F. An exploration of factors associated with post-traumatic stress in ER nurses. J Nurs Manag 2015; 24(2): 174–183. DOI: 10.1111/jonm.12294
3. Ukpong DI, Abasiubong F, Ekpo AU, Abasiubong F, Ukpong S. Violence against mental health staff in Nigeria: Some Lessons from Two Mental Hospitals. Niger J Psych 2011; 35: 46-49.
4. Udogwu F. A case study on Violence against Nurses in Nigeria and recommendations in reducing the violence. South Am J Nurs 2017; 1(1): 1-17 DOI: 10.21522/TIJNR.2015.02.01.Art016
5. Abodunrin OL, Adeoye OA, Adeomi AA, Akande TM. Prevalence and forms of violence against health care professionals in a South-Western city, Nigeria. Sky J Med Med Sci 2014; 2(8): 67-72.
6. Adriaenssensa J, de Guchtb V, Mae S. The impact of traumatic events on emergency room nurses: findings from a questionnaire survey. Int J Nursing Studies 2012; 49: 1411-1422.
7. Gates DM, Gillespie GL, Succop P. Violence against nurses and its impact on stress and productivity. Nurs Econ 2011; 29(2): 57-65.
8. Ogbonnaya GU, Ukegbu AU, Aguwa EN. A study on workplace violence against health workers in a Nigerian tertiary hospital. Niger J Med 2012; 21(2): 174-179.
9. Gacki-Smith J, Juarez AM, Boyett L. Violence against nurses working in US emergency departments. J Nurs Admin 2009; 39(7-8): 340-349.
10. Spector PE, Zhou ZE, Che XX. Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: a quantitative review. Intern J Nurs Stud 2014; 51(1): 72-84. doi: 10.1016/j.ijnurstu.2013.01.010.
11. 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.
12. Horowitz M, Wilner N, Alvarez W. Impact of Event Scale: a measure of subjective stress. Psychosom Med 1979; 41: 209–218. Doi: 10.1097/00006842-197905000-00004.
13. Ugokwe–Ossai RN, Udoh FU, Ucheagwu VA. Divergent validation and reliability of Impact of Event Scale (IES) in Nigeria. Ife Psychologia 2011; 18(1): 13-19.
14. Nwoaga CN, Audu MD, Obembe A. Prevalence and correlates of posttraumatic stress disorder among medical students in the University of Jos, Nigeria. Niger J Clin Pract 2016; 19(5): 595-599.
15. Ratrout, HF, Hamdan-Mansour AM. Factors associated with secondary Traumatic Stress among Emergency Nurses: An Integrative Review. Open J Nurs 2017; 7: 1209-1226. Doi.org/10.4236/ojn.2017.711088.
16. 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. Doi.org/10.14257/astl.2016.128.49
17. 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.
18. Somville FJ, De Gucht V, Maes S. The impact of occupational hazards and traumatic events among Belgian emergency physicians. Int J Beh Nutri Phy Activity 2016; 24:59-69. DOI 10.1186/s13049-016-0249-9
19. Moustaka E, Constantinodis T. Sources and effects of work-related stress in nursing, Health Sci J 2010; 4: 2010-2016.
20. Lambert VA, Lambert CE, Petrini M, Li XM, Zhng YJ. Predictors of physical and mental health in hospital nurses within the People's Republic of China. Int Nurs Rev 2007; 54: 85-91.
21. Lavoie S, Talbot L, Mathieu L. Posttraumatic stress disorder symptoms among emergency nurses: their perspectives and a "tailor-made" solution. J Adv Nurs 2011; 67: 1514-1522.
22. Coker AO, Omoluabi PF. Job stress and burnout among psychiatric nurses working in Lagos, Nigeria. Niger J Nurs 2011; 1(5): 7-10.
23. Coker OO, Coker AO. A study on job satisfaction among clinical and non-clinical staff in a teaching hospital in Lagos, Nigeria. East Afr J Public Health 2011; 8(4): 299-302.
24. Coker AO, Coker OO, Sode MO, Adesope F, Tonade OR, Kanmodi K, Oladipupo T. Psychache and Psychological Distress among Nurses Working in Lagos, Nigeria. Int J Psych 2014; 1(1): 15-19. DO:10.12966/ijpp.2014.
25. 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.
26. 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. Med Rev 2012; 18(7): 5-8.
Published
2018-06-17
Section
Original Research