Secondary traumatization and personal growth of healthcare teams in maternity and neonatal wards: The role of differentiation of self and social support

Nurs Health Sci. 2020 Jun;22(2):283-291. doi: 10.1111/nhs.12710. Epub 2020 Apr 7.

Abstract

It is of utmost importance to examine the consequences of healthcare teams' daily exposure to stress. This quantitative cross-sectional study examined the connection between exposure, secondary traumatization (stress deriving from helping suffering others), and personal growth. It compared the teams in maternity and neonatal wards with colleagues exposed to different levels of illness and death and examined the contribution of social support and self-differentiation to personal growth. One hundred forty-nine Israeli physicians and nurses participated, comprising three groups (maternity and neonatal wards, exposed to suffering as well as to new life; high; and moderate-to-low exposure to illness and death). Data were collected through an online program (64.78% response rate). Whereas no group differences in secondary traumatization were found, personal growth was higher among individuals from maternity and neonatal wards. The higher the social support and self-differentiation, the higher was the personal growth. The findings highlight the necessity to design interventions to empower social support and investing in its development on both the organizational and personal level, especially for the maternity and neonatal wards' healthcare teams.

Keywords: differentiation of self; maternity and neonatal hospital wards; personal growth; secondary traumatization; social support.

MeSH terms

  • Adult
  • Aged
  • Analysis of Variance
  • Compassion Fatigue / etiology*
  • Compassion Fatigue / psychology
  • Cross-Sectional Studies
  • Female
  • Health Personnel / psychology*
  • Humans
  • Intensive Care Units, Neonatal / organization & administration
  • Intensive Care Units, Neonatal / statistics & numerical data
  • Male
  • Middle Aged
  • Obstetrics and Gynecology Department, Hospital / organization & administration
  • Obstetrics and Gynecology Department, Hospital / statistics & numerical data
  • Patient Care Team / standards*
  • Patient Care Team / trends
  • Psychometrics / instrumentation
  • Psychometrics / methods
  • Social Support

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