PTSD in Neurology Nurses Coping With Verbal and Physical Abuse From Patients and Families

Friday, 28 July 2017

Roy Trahan, PhD
School of Nursing, University of Texas Medical Branch, Galveston, TX, USA

Purpose:

The purpose of the study was to assess the incidence, intensity, and impact of verbal and physical abuse experienced by neurology nurses from patients and families, identify current coping strategies of neurology nurses, and explore the relationships between selected demographic characteristics, high and low abuse from patients and families and coping strategies.

Methods:

A descriptive, exploratory research design utilizing an anonymous online survey was used for this study. The sample consisted of registered nurses living in the United States currently employed full or part-time in direct care roles with neurology patients.

A total of 112 participants were recruited from three sources: 1) a contact population of 5000 neurology nurses via email using purposive sampling design techniques through an online database service specializing in healthcare marketing and research, 2) three metropolitan hospitals with full IRB reviews and 2) invitations submitted to nursing directors at local and regional hospitals.

Data was analyzed using descriptive statistics, tests of differences (analyses of covariance), and correlation (Pearson’s and Spearman’s rho and partial correlations). A statistical significance of ∂ < .05 was the standard used for this research.

Results:

Results of the study enriches the current literature by confirming the occurrence of verbal and physical abuse against neurology nurses, as well as contributing new data on intensity, impact and coping strategies of neurology nursing as it relates to verbal and physical abuse by patients and families. In addition, predictors of PTSD symptomatology and differences in genders on types of violence and the effects of verbal and physical abuse on coping strategy utilization were identified.

Conclusion:

The findings of the study enrich the current literature by confirming the occurrence of verbal and physical abuse against neurology nurses, provided a forum for this nursing population to join in the discussion as legitimate victims of healthcare abuse, as well as contributing new data on intensity, impact and coping strategies of neurology nursing as it relates to verbal and physical abuse by patients and families.