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Traumatic and Routine Stressors in Emergency Nurses: A Turkish Validity and Reliability Study

      Abstract

      Introduction

      Emergency nurses face traumatic and stressful events of many different forms and severity. The aim of this study is to test the validity and reliability of the Traumatic and Routine Stressors Scale on Emergency Nurses in Turkey.

      Methods

      This methodological study was conducted with 195 nurses who had been working in the emergency service for at least six months and could be reached via an online questionnaire. Opinions of 9 experts were obtained with the translation-back translation method for linguistic validity, and the Davis technique was used for testing content validity. Test-retest analysis was used to test the time-invariance of the scale. Construct validity was evaluated with exploratory and confirmatory factor analyses. The reliability of the scale was evaluated based on item-total correlation and Cronbach's alpha coefficients.

      Results

      The expert opinions were found to be in agreement with each other. Factor analysis results were acceptable, the Cronbach's alpha coefficients of the scale were 0.890 for the frequency factor, 0.928 for the impact factor, and 0.866 for the total scale. It was determined that the correlation values for the time-invariance of the scale were 0.637 for the frequency factor and 0.766 for the effect factor, and the scale had good test-retest reliability.

      Discussion

      The Turkish version of the Traumatic and Routine Stressors Scale on Emergency Nurses, has high levels of validity and reliability. We recommend that the scale be used to evaluate the state of being affected by traumatic and routine stressors among emergency service nurses.

      Key words

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      References

        • WHO flash appeal
        earthquake response in Türkiye and whole of Syria. World Health Organization.
        • Yasal D.
        • Günüşen N.P.
        Factors affecting post traumatic stress symptoms of nurses working emergency and ınvestigation of their coping methods.
        E-J dokuz Eylul Univ. nurs. Fac. 2019; 12: 74-81
        • Mirzaei A.
        • Mozaffari N.
        • Habibi Soola A.
        Occupational stress and its relationship with spiritual coping among emergency department nurses and emergency medical services staff.
        Int Emerg Nurs. 2022; 62: 101170https://doi.org/10.1016/j.ienj.2022.101170
        • Özdaş İ.
        • Kızılkaya M.
        Stress sources perceived by emergency service nurses: a qualitative study. J Health.
        ACA. 2021; 8: 64-70
        • Bilik Ö
        Invisible face of emergency nursing: what am I Experience as a Human?.
        Anatol J Nurs Health Sci. 2015; 18: 155-161https://doi.org/10.17049/ahsbd.78986
        • Campillo-Cruz M.
        • González-Gutiérrez J.
        • Ardoy-Cuadros J.
        Relevance of traumatic events and routine stressors at work and PTSD symptoms on emergency nurses.
        Sustainability. 2021; 13: 6050https://doi.org/10.3390/su13116050
        • Campillo-Cruz M.
        • González-Gutiérrez J.L.
        • Ardoy-Cuadros J.
        • Fernández-Muñoz J.J.
        The development and exploratory psychometric properties of the traumatic and routine stressors scale on emergency nurses (TRSS-EN).
        Int J Environ Res Public Health. 2020; 17: 1963https://doi.org/10.3390/ijerph17061963
        • American Psychiatric Association
        Diagnostic and Statistical Manual of Mental Disorders. 5th ed. American Psychiatric Publishing, 2013
        • Ratrout H.F.
        • Hamdan-Mansour A.M.
        Secondary traumatic stress among emergency nurses: prevalence, predictors, and consequences.
        Int J Nurs Pract. 2020; 26: e12767https://doi.org/10.1111/ijn.12767
        • Çapık C.
        • Gözüm S.
        Intercultural scale adaptation stages, language and culture adaptation: updated guideline.
        Florence Nightingale J Nurs. 2018; 26: 199-210https://doi.org/10.26650/FNJN397481
        • Karaçam Z.
        Adaptatıon of scales to Turkısh.
        J Midwifery Health Sci. 2019; 2: 28--37
      1. Erdoğan S. Nahcivan N. Esin M.N. Hemşirelikte Araştırma Süreç Uygulama ve Kritik. Nobel Tıp Kitabevleri, İstanbul2015: 169-192
        • Floyd F.J.
        • Widaman K.F.
        Factor analysis in the development and refinement of clinical assessment instruments.
        Psychol Assess. 1995; 7: 286-299https://doi.org/10.1037/1040-3590.7.3.286
        • Hu L.T.
        • Bentler P.M.
        Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives.
        Struct Equ Model. 1999; 6: 1-55https://doi.org/10.1080/10705519909540118
        • MacCallum R.C.
        • Browne M.W.
        • Sugawara H.M.
        Power analysis and determination of sample size for covariance structure modelling.
        Psychol Methods. 1996; 1: 130-149https://doi.org/10.1037/1082-989X.1.2.130
        • Forrest S.
        • Lewis C.A.
        • Shevlin M.
        Examining the factor structure and differential functioning of the Eysenck Personality Questionnaire revised-Abbreviated.
        Pers Individ Dif. 2000; 29: 579-588https://doi.org/10.1016/S0191-8869(99)00220-2
        • Hooper D.
        • Coughlan J.
        • Mullen M.R.
        Structural equation modelling: guidelines for determining model fit.
        Electron J Bus Res Methods. 2008; 6: 53-60https://doi.org/10.21427/D79B73
        • Phillips K.
        • Knowlton M.
        • Riseden J.
        Emergency department nursing burnout and resilience.
        Adv Emerg Nurs J. 2022; 44: 54-62https://doi.org/10.1097/TME.0000000000000391
        • Gray-Toft P.
        • Anderson J.G.
        The nursing stress scale: development of an instrument.
        Behav Assess. 1981; 3: 11-23https://doi.org/10.1007/BF01321348
        • Li T.C.
        • Lee Y.D.
        • Lee Y.U.
        • Chen C.C.
        • Chi C.H.
        Validation of the Chinese-version MPSS-R for occupational stress among emergency nurses.
        J Psychosom Res. 2001; 51: 379-385https://doi.org/10.1016/s0022-3999(01)00210-0
        • Admi H.
        • Eilon Y.
        • Renker P.
        • Unhasuta K.
        Stress measurement among charge nurses: developing a cross-cultural tool.
        J Adv Nurs. 2016; 72: 926-935https://doi.org/10.1111/jan.12845
        • Streiner D.L.
        • Norman G.R.
        Health Measurement Scales: A Practical Guide to Their Development and Use.
        4th ed. Oxford University Press, 2008
        • Yuwanich N.
        • Akhavan S.
        • Nantsupawat W.
        • Martin L.
        • Elfström M.L.
        • Sandborgh M.
        Development and psychometric properties of the stressor scale for emergency nurses.
        Int Emerg Nurs. 2018; 39: 77-88https://doi.org/10.1016/j.ienj.2018.01.005
        • Hancerlioglu S.
        • Konakci G.
        • Aykar F.S.
        Assessing psychometric properties of Turkish version of the stressor scale for emergency nurses.
        Turk J Emerg Med. 2020; 20: 69-74https://doi.org/10.4103/2452-2473.285012
        • Afshari A.
        • Khalili A.
        • Dehghani M.
        • et al.
        Comparing the frequency of occupational injuries among medical emergency staff and nurses of intensive care units in Hamadan.
        Ann Trop Med Public Health. 2017; 10: 646-650https://doi.org/10.4103/ATMPH.ATMPH_182_17
        • Hooper C.
        • Craig J.
        • Janvrin D.R.
        • Wetsel M.A.
        • Reimels E.
        Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties.
        J Emerg Nurs. 2010; 36: 420-427https://doi.org/10.1016/j.jen.2009.11.027
        • Caulfield R.
        • Wiseman T.
        • Gullick J.
        • Ogilvie R.
        Factors preceding occupational distress in emergency nurses: an integrative review.
        J Clin Nurs. 2022; : 001-020https://doi.org/10.1111/jocn.16461
        • Kahil A.
        An Assessment of Secondary Traumatic Stress in Those Who Engage in a Helping Behavior With People Who Have Traumatic Life Events. Thesis. Ufuk University, 2016
        • Morrison L.E.
        • Joy J.P.
        Secondary traumatic stress in the emergency department.
        J Adv Nurs. 2016; 72: 2894-2906https://doi.org/10.1111/jan.13030
        • Kaya Z.
        • Şahin M.
        Araştırma Yöntemleri ve Teknikleri. Eğitim Yayınevi. 3rd ed. 2021 (Konya)
        • Davis L.L.
        Instrument review: getting the most from a panel of experts.
        Appl Nurs Res. 1992; 5: 194-197https://doi.org/10.1016/S0897-1897(05)80008-4
        • Büyüköztürk Y.D.D.
        Factor analysıs: basıc concepts and using to development scale. Educational management in theory and practice. 32. Kuram ve Uygulamada Eğitim Yönetimi, 2002: 470-483 (Accessed May 12, 2023)
        • Sümer N.
        Yapisal Eşitlik Modelleri: Temel Kavramlar ve Örnek Uygulamalar.
        [Structural Equation Modeling: Basic Concepts and Applications]. 3. Türk Psikoloji Yazilari, 2000: 49-74 (Accessed May 12, 2023)
        • Tavşancıl E.
        Measuring Attitudes and Data Analysis With SPSS. 5th ed. Nobel Akademy Press, 2014
        • Erkuş A.
        Davranış Bilimleri İçin Bilimsel Araştırma Süreci.
        7th ed. Seçkin Yayıncılık, Ankara2021
        • Best J.W.
        • Kahn J.W.
        Eğitimde Araştırma Yöntemleri.
        in: Durmuşçelebi M. Köksal O. 10th ed. Dizgi Ofset, Konya2017

      Biography

      Semra ErdağıOral is Assistant Professor, Faculty of Health Sciences, Surgical Nursing Department, Kafkas University, Kars, Turkey. Twitter: @semr00 ORCID identifier: https://orcid.org/0000-0001-9127-6448.

      Biography

      Elif Karahan is Associate Professor, Faculty of Nursing, Surgical Nursing Department, Bartın University, Bartın, Turkey. ORCID identifier: https://orcid.org/0000-0002-6371-871X.