SECONDARY TRAUMATIC STRESS AND ASSOCIATED FACTORS AMONG NURSES IN HOSPITALS IN CAN THO CITY

Huynh Tuan Kiet1, Nguyen Ngoc Bich1, Nguyen Thi Xuan2
1 Can Tho Central General Hospital
2 Can Tho Orthopedic and Rehabilitation Hospital

Nội dung chính của bài viết

Tóm tắt

Background: Secondary traumatic stress (STS) among nurses can negatively affect mental health and the quality of patient care, yet studies on this issue in Vietnam remain limited.


Objective: To determine the prevalence of STS and its associated factors among nurses in several hospitals in Can Tho City.


Methods: A cross-sectional study was conducted among 267 nurses. Data were collected using the 10-item STS scale (ProQOL R-V) via an electronic questionnaire from July to August 2025. Demographic, occupational, and work environment factors were surveyed. Multivariate logistic regression was applied to identify associated factors.


Results: The prevalence of high, moderate, and low STS was 6.4%, 46.8%, and 46.8%, respectively. The mean STS score was 24.36 ± 11.6 (SE = 0.71). Significant associated factors included caring for young children, working department (nurses in Pediatrics were at higher risk than those in other departments), years of experience, and occupational stress level (p < 0.05).


Conclusion: STS among hospital nurses is a considerable concern with a notable prevalence. Identifying associated risk factors provides a foundation for developing appropriate interventions.

Chi tiết bài viết

Tài liệu tham khảo

[1] Kellogg MB. Secondary Traumatic Stress in Nursing: A Walker and Avant Concept Analysis. ANS Advances in nursing science. 2021;44(2):157-70.
[2] Gusler S, Sprang G, Hood C, Eslinger J, Whitt-Woosley A, Kinnish K, et al. Untangling secondary traumatic stress and vicarious traumatization: One construct or two? Psychological trauma: theory, research, practice and policy. 2025;17(3):621-30.
[3] Komachi MH, Kamibeppu K, Nishi D, Matsuoka Y. Secondary traumatic stress and associated factors among Japanese nurses working in hospitals. International journal of nursing practice. 2012;18(2):155-63.
[4] Xu Z, Zhao B, Zhang Z, Wang X, Jiang Y, Zhang M, et al. Prevalence and associated factors of secondary traumatic stress in emergency nurses: a systematic review and meta-analysis. European journal of psychotraumatology. 2024;15(1):2321761.
[5] Stamm BH. Professional Quality of Life: Compassion Satisfaction and Fatigue Version 5 (ProQOL). 2012.
[6] Steinhoff M. A pilot study: Stress in emergency department nurses and effect on quality of life: The School of Nursing, California State University, San Marcos; 2015.
[7] Tran ANP, To QG, Huynh VN, Le KM, To KG. Professional quality of life and its associated factors among Vietnamese doctors and nurses. BMC Health Services Research. 2023;23(1):924.
[8] Zakeri MA, Ghaedi-Heidari F, Khaloobagheri E, Hossini Rafsanjanipoor SM, Ganjeh H, Pakdaman H, et al. The Relationship Between Nurses' Professional Quality of Life, Mindfulness, and Hardiness: A Cross-Sectional Study During the COVID-19 Outbreak. Frontiers in psychology. 2022;13:866038.
[9] Wang Y, Li N, Huang X, Wang J, Huang J, Huang Y, et al. Burnout and anxiety among Chinese nurses: the mediating roles of positive coping strategies and interpersonal relationship problems: a cross-sectional study. Frontiers in psychiatry. 2025;16:1595392.
[10] Alneyadi A, Alnuaimi NY, Almansoori HM, Alhosani SH, Almemari S, Hashim MJ, et al. An Exploration of the Association Between Occupational Stress and Fibromyalgia Among Healthcare Professionals: A Cross-Sectional Study. Mediterranean journal of rheumatology. 2025;36(2):292-307.