War-related continuous traumatic stress as a potential mediator of associations between moral distress and professional quality of life in nurses: a cross-sectional study in Ukraine
Larysa Zasiekina,
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Anastasiia Martyniuk
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BMC Nursing,
Journal Year:
2025,
Volume and Issue:
24(1)
Published: Jan. 6, 2025
Abstract
Background
At
the
beginning
of
2022,
Central
Europe
entered
a
state
emergency
due
to
Russian
invasion
Ukraine.
Nurses
were
particularly
vulnerable
decline
in
their
professional
quality
life,
facing
repeated
exposure
military
trauma,
ethical
dilemmas,
prolonged
working
hours,
and
increased
stress
fatigue.
This
study
aimed
contribute
our
understanding
potential
mediating
effect
war-related
continuous
traumatic
on
association
between
moral
distress
including
compassion
satisfaction
fatigue,
represented
by
burnout
secondary
stress.
Methods
used
Professional
Quality
Life
(ProQOL)
Scale
assess
burnout,
stress,
satisfaction;
Moral
Distress
Questionnaire
for
examine
everyday
healthcare
facilities
dilemmas
nurses;
Continuous
Traumatic
Stress
Response
(CTSR)
ongoing
threats,
resulting
exhaustion/rage,
fear/betrayal.
The
sample
consisted
130
female
nurses
(mean
age
40.20
±
12.15
years)
from
general
surgery,
neurosurgery,
trauma
orthopaedic
urgent
care
who
had
been
undergoing
advanced
training
work
with
injured
personnel
at
Volyn
Medical
Institute
(Ukraine)
March
May
2023.
All
experienced
direct
indirect
105
participants
personnel.
Results
results
mediation
analysis
indicated
that
fully
mediated
relationship
different
components
namely,
satisfaction.
Conclusion
Research
has
shown
significant
various
aspects
underscoring
need
targeted
interventions
trauma.
Language: Английский
Psychometric properties of the revised Ukrainian version of the Continuous Traumatic Stress Response scale (CTSR) in the context of the Russo-Ukrainian war
European journal of psychotraumatology,
Journal Year:
2025,
Volume and Issue:
16(1)
Published: Feb. 24, 2025
Background:
The
Continuous
Traumatic
Stress
Response
scale
(CTSR)
was
designed
to
measure
symptoms
associated
with
multiple
ongoing
security
threats
in
the
context
of
Israeli-Palestinian
conflict.
Since
2014,
Ukraine
has
faced
armed
invasion
and
war,
nationwide
insecurity
since
February
2022.
Language: Английский
Living under threat: adolescents’ continuous traumatic stress reactions in relation to violence exposure
European journal of psychotraumatology,
Journal Year:
2025,
Volume and Issue:
16(1)
Published: March 27, 2025
Background:
Adolescents
exposed
to
violence
are
at
a
higher
risk
for
mental
health
problems
than
their
peers.
Exposure
ongoing
can
potentially
lead
Continuous
Traumatic
Stress
(CTS).
CTS
reactions
have
never
been
studied
in
relation
exposure
adolescent
samples.
Language: Английский