Abstract
There has been very little research into psychiatric nursing and the psychological
implications for individuals employed in the field. In the psychiatric milieu assaults, by
clients, against staff and other clients are not uncommon. Furthermore, psychiatric
nurses are often encounter frequent vicarious trauma through the course of daily
interactions with clients. The purpose of the current study was to examine variables
affecting the incidence of post-traumatic stress disorder (PTSD) and depression in
psychiatric nurses in Saskatchewan. The Beck Depression Inventory (BDI), Davidson
Trauma Scale (DTS), Eysenck Personality Questionnaire (EPI), two sub-scales of the
Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q), and an open ended
questionnaire and demographic sheet were mailed out to 600 psychiatric nurses in
Saskatchewan. A cut off of 212 responses were used in the data analysis. Results
indicate that many psychiatric nurses (48%) reported experiencing a traumatic event in
the workplace. The overall incidence of PTSD (24.53%) found in this sample was twice
the rate expected in normal community-based samples. Incidence of depression were
also increased (25%). Statistical analysis suggests that variables related to increased
PTSD are: lower quality of life both in and out of the workplace, lack of employer
support, and higher levels of neuroticism.
Most people will spend a large portion of their lives in the workplace. Unfortunately,
some work settings perpetuate an unhealthy environment and have a greater likelihood,
than others, of contributing to stress, depression and post-traumatic stress. The
American Psychiatric Association (1994) has defined post-traumatic stress disorders
(PTSD) as being caused by witnessing or experiencing an event that involves actual or
threatened death in relation to self or others, combined with personal fear or
helplessness. Afterwards, the victim may reexperience the event, exhibit avoidance
behaviors, and show signs of increased arousal (i.e., irritability, sleep problems,
hypervigilance). Depression is an affective disorder characterized by depressed mood
and loss of interest or pleasure and may include insomnia or hypersomnia, weight loss
or gain, diminished concentration, and fatigue (American Psychiatric Association, 1994).