Post-traumatic stress disorder, professional resilience,and perceived organizational support in emergency department nurses:a cross-sectional study

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This study aimed to explore the correlation between PTSD career resilience and perceived organizational support among emergency department nurses in tertiary hospitals. Methods A total of 213 emergency department nurses from tertiary comprehensive hospitals in Wuxi and Suzhou were selected using convenience sampling. This cross-sectional study was conducted using a general information questionnaire, a PTSD self-rating scale, a career resilience scale, and a perceived organizational support scale. Results A total of 224 questionnaires were distributed, and 213 were returned, resulting in a response rate of 95.1%. The average PTSD score of the 213 emergency department nurses was 46.67 ± 7.27, with 29.11% of the nurses having PTSD. PTSD among emergency department nurses was negatively correlated with career resilience and perceived organizational support ( P < 0.05). Multiple regression analysis revealed that confidence, self-dependence, emotional support, and instrumental support may predict PTSD in nurses in the emergency department. Conclusions The levels of PTSD, career resilience, and perceived organizational support among emergency department nurses require improvement. Measures should be taken to enhance nursing staff’s career resilience, strengthen organizational support, and help them positively cope with traumatic stress disorder to reduce the incidence of PTSD. Biological sciences/Psychology Health sciences/Health care Health sciences/Health occupations Post-traumatic stress disorder career resilience perceived organizational support nurses emergency department Background Post-traumatic stress disorder (PTSD) is a mental disorder that occurs after exposure to a traumatic event or scenario that exceeds what a typical person can tolerate or after experiencing a traumatic event that is substantially overwhelming that it would be significantly distressing to almost any individual. It may arise from a delayed or prolonged stress response. Characteristic symptoms of PTSD include recurrent reliving of the traumatic event, efforts to avoid trauma-related stimuli, emotional numbing, and symptoms of hypervigilance [ 1 ]. Additionally, symptoms of disturbances in emotion, thinking, behavior, and physiological reactions are present throughout. After experiencing the trauma, patients continue to re-experience the event, engage in avoidance behaviors to prevent exposure to related stimuli, and remain in a state of hypervigilance. The condition persists to the point of causing subjective distress and social dysfunction [ 2 ]. Emergency medicine remains an important window of hospital services. Most patients arrive in critical conditions, requiring urgent care, and presenting with other complex needs; hence, the workload of the nursing staff is heavy and intense [ 3 ]. Emergency nurses are often subjected to verbal and physical aggression [ 4 ] and they are regularly exposed to severe trauma, death, suicide, and other events. Compared to other departments, emergency nurses are more likely to develop PTSD [ 5 – 7 ]. The prevalence of PTSD among emergency medical personnel is high, both domestically and internationally. Factors such as age, years of service, job title, health status, and social support can influence the occurrence of PTSD among emergency medical personnel [ 8 – 10 ]. Occupational resilience is a key factor that helps individuals cope with occupational stress and barriers or adversity and influences their attitudes, decisions, and behaviors toward their occupations [ 11 ]. A sense of organizational support is the support felt by employees from their organization [ 12 ]. Research [ 13 ] has shown that perceived organizational support can contribute to a positive work mood by satisfying the emotional needs of employees. Therefore, we conducted a questionnaire survey between 2020 April and August 2020 to assess the impact of PTSD on nurses in the emergency departments of six tertiary general hospitals in Wuxi and Suzhou. Additionally, this study aimed to explore the relationship between PTSD, occupational resilience, and organizational support. We also aimed to clarify the status of PTSD among nurses in the emergency department and explore the effects of occupational resilience and perceived organizational support on PTSD. Our findings are expected to help reduce PTSD among nurses by enhancing occupational resilience, strengthening the sense of organizational support, and improving the ability to positively coping with traumatic events. Methods Participants The whole-group sampling method was used to select 213 emergency department nurses from six tertiary general hospitals as the study participants. The average age was 28.42 ± 3.57 years, and the average monthly income was 8,252.50 ± 59.61 yuan. The inclusion criteria are as follows: 1) More than 2 years of emergency nursing practice in the selected hospital; 2) Informed consent and voluntary participation in the survey. Exclusion criteria: 1) Emergency nurses who were pregnant or breastfeeding; 2) Nurses on rotation or undergoing further training; 3) Those unwilling to participate in this study for personal reasons; 4) Recent personal experience of serious life events. Research tools General information questionnaire A self-designed questionnaire was used to collect data on the hospital, sex, age, marital status, education, years of work experience, professional and technical title, provincial specialized nurse, position, form of employment, number of middle and night shifts, and monthly income. Self-assessment scale for traumatic stress disorder The post-traumatic stress disorder self-rating scale (PTSD-SS) developed by Liu Xianchen et al [ 14 ] was used with slight modifications, replacing the term “disaster” with “traumatic event”. The scale comprised 24 entries and five dimensions: subjective evaluation of the traumatic event, recurrent re-experience, avoidance symptoms, increased alertness, and impaired social functioning. Each entry is rated on a 5-point scale according to the degree of impact of the traumatic event on physiology, psychology, and life. The total score of the PTSD-SS ranges from 24 to 120. Scores ≥ 50 indicate a positive result for PTSD and higher scores represent more severe stress disorder symptoms. The reference delineation values for mild and moderately severe PTSD were 50 and 60 points, respectively. The scale had good reliability and validity, with an internal consistency coefficient (Cronbach's ɑ) of 0.9207, a split-half reliability coefficient of 0.9539, and a retest reliability coefficient of 0.8677. Occupational resilience scale The career resilience scale, compiled by Grzeda and Prince and handwritten by Zeng Hua [ 15 ], was used to assess nurses’ career resilience. The scale comprised 11 entries in three dimensions: self-confidence, work initiative, and self-reliance. Each item was rated on a 5-point Likert scale as follows: 1 (Strongly Disagree), 2 (Disagree), 3 (Fairly), 4 (Agree), and 5 (strongly agree). The total scores range up to 55, with higher scores indicating higher levels of occupational resilience. The scale had good reliability and validity, with a Cronbach's ɑ value of 0.79. Sense of organizational support scale This scale, adopted by Zhixia [ 16 ], includes two subscales: emotional and instrumental support. Hongmei et al [ 17 ] modified certain contents and expressions of the original scale to better reflect the nursing context, based on interviews and expert opinions. The revised version comprised 10 entries for emotional support and three entries for instrumental support, totaling 13 entries. Each item was rated on a 5-point Likert scale (1 = “strongly disagree” to 5 = “strongly agree”), with higher scores indicating stronger perceived and required organizational support. The Cronbach's ɑ coefficient of reliability for the modified scale was 0.92 for homogeneity, 0.83 for affective support, and 0.75 for instrumental support. Each item on the scale was measured simultaneously from the perspectives of “actual situation” and “personal expectation”. The “actual situation” represents the actual organizational support provided to nurses by the hospital, i.e., the nurses' perceived organizational support, whereas the “personal expectation” represents the individual's demand for organizational support, i.e., the nurses' need for organizational support [ 17 ]. Survey method Approval was obtained from the nursing department of each selected hospital. One trained investigator was assigned to each of the six hospitals to conduct the survey using standardized instructions. Questionnaires were completed anonymously by the participants and retrieved by the investigator. In total, 224 questionnaires were distributed, and 213 valid questionnaires were returned, with a valid recovery rate of 95.1%. Statistical analysis After data verification and proofreading, SPSS version 17.0 software was used for data entry and statistical analysis. Count data were described statistically using rates and percentages A t-test or ANOVA was used to compare the PTSD of participants with different data. Pearson correlation analysis was used to analyze occupational resilience, sense of organizational support, and PTSD. Stratified regression analysis was performed with PTSD as the dependent variable. General information was used as the first-level independent variable, whereas occupational resilience and sense of organizational support were the second-level independent variables. Statistical significance was set as P < 0.05 or P < 0.01. Results General information of survey respondents A total of 213 emergency nurses participated in the survey ( 36 males [16.90%] and 177 females: [83.10%]). Of these, 65 (30.52%) were from county-level hospitals and 148 (69.48%) were from prefecture- and city-level hospitals. Regarding marital status, 56 (26.29%) were unmarried and 157 (73.71%) were married. In terms of education, 71 nurses (30.52%) held college degrees, while 142 (30.52%) had undergraduate degrees. The age distribution was as follows: 18 (30.52%) nurses were 20–25 years of age, 74 (33.33%) were 26–30 years, 89 (41.78%) were 31–35 years, and 32 (24.89%) were ≥ 36 years. Regarding work experience, 1–5 years 64 (30.05%), 6–10 years 91 (42.72%), 11–15 years 48 (22.54%), ≥ 16 years 10 (4.69%). Additionally, 28 nurses (13.15%) were provincial specialized nurses. Concerning employment type, 158 (74.18%) nurses were formally employed, while 55 (15.82%) held contractual positions. Regarding professional and technical titles, 17 nurses (7.98%), 123 (57.75%) were nurse practitioners, 62 (29.11%) were charge nurse practitioners, and 11 (5.16%) were associate chief nurses. In terms of positions: 171 nurses (80.28%), 30 (14.08%) were nursing team leaders, and 12 (5.64%) were nurse leaders. Regarding the number of middle and night shifts, 177 (83.10%) nurses had three per week, 18 (8.45%) had two per week, and 18 (8.45%) worked long day shifts. Status of PTSD, occupational resilience, and percieved organizational support among emergency nurses Emergency nurses had a total traumatic stress disorder score of 46.67 ± 7.27 and an overall mean score of 1.98 ± 0.62. Table 1 presents the scores for each dimension. Table 1 PTSD scores of emergency nurses (points, ± ) PTSD, post-traumatic stress disorder; PTSD-SS, post-traumatic stress disorder self-rating scale The total professional toughness score of emergency nurses was 39.20 ± 5.87, and the total mean score was 3.49 ± 0.38. Table 2 presents the scores for each dimension. Table 2 Career resilience scores of emergency nurses (points, ± ) The total score for perceived organizational support of emergency nurses was 43.12 ± 6.43 and the total mean score was 3.32 ± 0.63. The scores for each dimension are shown in Table 3 . Table 3 Scores for emergency nurses regarding perceived organizational support (score, ± ) Correlation analysis of emergency nurses' traumatic stress disorder, occupational resilience, and perceived organizational support As shown in Table 4 , traumatic stress disorder in emergency nurses and the scores of each dimension were significantly negatively correlated with the overall scores and the dimension scores of occupational resilience, as well as the scores of each dimension of perceived organizational support (P < 0.05). Table 4 Correlation analysis of PTSD, occupational toughness, and perceived organizational support among emergency nurses (r-value) Item Occupational Resilience Self-confidence Work initiative Self-reliance Perceived Organizational Support Emotional support Instrumental support PTSD -0.655 ** -0.636 ** -0.583 ** -0.559 ** -0.485 ** -0.429 ** -0.371 ** Subjective ratings of traumatic events -0.435 ** -0.345 ** -0.431 ** -0.420 ** -0.231 ** -0.173 * -0.279 ** Recurrent reoccurring experiences -0.558 ** -0.584 ** -0.476 ** -0.445 ** -0.426 ** -0.400 ** -0.254 ** Avoidance symptoms -0.559 ** -0.540 ** -0.490 ** -0.490 ** -0.404 ** -0.368 ** -0.275 ** Increased alertness -0.378 ** -0.344 ** -0.357 ** -0.326 ** -0.335 ** -0.284 ** -0.298 ** Impaired social functioning -0.277 ** -0.246 ** -0.256 ** -0.256 ** -0.148 * -0.08 -0.276 ** PTSD, post-traumatic stress disorder. ** P < 0.05, * P < 0.01 Multifactorial analysis of traumatic stress disorder among emergency nurses Using the total PTSD score as the dependent variable, stratified regression analyses were conducted. General information was included as the first level of independent variables, while occupational resilience and perceived organizational support were included as the second level of independent variables. The actual scores for each factor of occupational resilience and perceived organizational support were used in the analysis. The significance levels for inclusion and exclusion from regression equations were set at 0.05 and 0.10, respectively. The results yielded the following regression equation: PTSD of emergency nurses = 82.7 + 3.01 × title-1.24 × self-confidence-0.81 × self-reliance-1.01 × emotional support-0.15 × instrumental support. Title nurses were assigned a score of 1, nurse practitioners a score of 2, charge nurses a score of 3, and associate nurse practitioners and above a score of 4. The results of the multifactorial analysis of PTSD among emergency nurses are presented in Table 5 . Table 5 Stratified regression analysis of general information, occupational resilience, and perceived organizational support among emergency nurses Variant Biased regression coefficient Standardized regression coefficient T value P -value R 2 value Constant 82.76 5.61 14.76 0.000 0.51 Professional position 3.01 1.06 2.83 0.005 - Self-confidence -1.24 0.26 -4.76 0.000 - Self-reliance -0.81 0.36 -2.28 0.02 - Emotional support -1.01 0.23 -4.49 0.000 - Instrumental support -0.15 0.09 -1.74 0.06 Discussion PTSD status of emergency nurses The detection rate of PTSD among emergency nurses was 23.0%, based on the reference thresholds of 50 and 60 points for identifying mild and moderately severe PTSD abnormalities, respectively. The total score of PTSD-SS among the survey respondents was > 50 points for 20 nurses (15.9%), and > 60 points for 9 nurses (7.1%). These findings indicate that the PTSD status of emergency nurses needs to be improved. The total mean score of PTSD among emergency nurses was 1.98 ± 0.62. Among the five dimensions of the PTSD-SS, the scores ranked from highest to lowest as follows: subjective evaluation, increased alertness, repeated reoccurrence of experience, impaired social functioning, and avoidance symptoms. The dimension with the highest score was “subjective evaluation of traumatic events,” indicating that emergency nurses have been commonly affected by PTSD. Additionally, this result shows that emergency department nurses are generally aware of the mental and psychological impact of traumatic events at work, consistent with the findings of Lin et al. [ 6 ]. Emergency clinical work is inherently high risk owing to the unique nature of the occupational environment, social prejudice, lack of understanding, and poor cooperation between patients and their families. Consequently, the work and daily lives of emergency department nurses are generally characterized by long-term overload, irregular schedules, and a heavier burden of nursing risks, tasks, and responsibilities than nurses in other departments [ 18 ]. Yonghui et al. [ 19 ] believed that the high risk, high stress, and high pressure of clinical work exposes nurses to prolonged psychological pressure, which, if unrelieved for a long time, can lead to a decline in work enthusiasm. Therefore, emergency nurses are more likely to experience PTSD than nurses in other departments because of the current status of emergency work [ 5 – 7 ]. Chen and Cui [ 20 ] reported that cognitive-behavioral therapy, exposure therapy, muscle relaxation, respiratory regulation, and self-talk training can help alleviate PTSD symptoms such as the recurrent re-enactment of experiences, and reduce anxiety and fear. These interventions also alleviate persistent hypervigilance, insomnia, and nightmares with the help of drugs such as sedatives and tranquilizers. Currently, few studies have investigated PTSD interventions for nurses. Additionally, focusing on establishing PTSD prevention mechanisms is crucial. Therefore, nursing managers should pay attention to the PTSD of emergency nurses, acknowledge the current situation of emergency work, strengthen the supplementation of human resources, and create a good nursing work environment. Additionally, nursing managers should focus on the career planning of nurses, conduct various forms of continuing education, and provide development opportunities to enhance their sense of belonging to the profession. Furthermore, psychological guidance and interventions should be enhanced to enable nurses to better understand themselves, maintain motivation, improve their quality of life, and stabilize the nursing team. Influence of occupational toughness on PTSD This study shows that the total mean score of occupational toughness of emergency nurses was 3.49 ± 0.38, indicating a medium level, similar to the results of Ting et al. [ 21 ]. This suggests that there is room for further improvement in the occupational toughness of emergency nurses in comprehensive tertiary care hospitals. The mean scores of the three factors, in descending order, were highest for “work initiative,” followed by “self-reliance,” and “self-confidence.” The highest score for “work initiative” indicates that emergency nurses have high work initiative and are willing to help others, reflecting the teamwork consciousness of emergency nurses. Correlation analyses showed that occupational resilience and its dimensions were significantly negatively correlated with overall PTSD. These results suggest that enhancing the occupational resilience of nurses by changing their attitudes, decisions, and behaviors towards their occupation, can enable them to face difficulties in life and work with a positive attitude and reduce PTSD, consistent with the results of Shouzhi et al. [ 10 ]. In the stratified multiple regression analysis, “self-confidence” and “self-reliance” were entered into regression equations, with “self-confidence” having the highest regression coefficient and the greatest negative effect on the PTSD of emergency nurses. “Self-confidence” refers to an individual's willingness to try challenging work, a positive attitude toward achieving work goals, and a sense of self-achievement. Lihua [ 11 ] confirmed that optimism, internal control, and positive coping styles positively influence occupational resilience. Occupational resilience is essentially an individual's ability to recover from changing occupational environments or occupational adversity. It is an important force that helps employees overcome work stress and maintain their physical and mental health [ 11 ], whereas PTSD is an individual's inability to cope with a traumatic event, resulting in a mental disorder. This study recognizes the importance of occupational resilience and confirms that the level of occupational resilience among emergency nurses significantly influences the level of PTSD, a situation that should be taken seriously by nursing managers. Nursing managers can learn from successful foreign experiences and actively communicate with nurses to better understand their work conditions, helping them experience a sense of accomplishment in their work. They should also encourage nurses to make career plans and clarify the direction of their development, regularly review their work conditions, conduct self-evaluations, and evaluate work challenges. Moreover, cultivating nurses' self-confidence and self-reliance can further enhance occupational resilience, thereby reducing PTSD, improving quality of life, enhancing work performance, and consolidating the quality of care. Effect of perceived organizational support on PTSD Our study results revealed that the total mean score for the perceived organizational support of emergency nurses was 3.32 ± 0.63. The mean scores for emotional support and instrumental support were 3.29 ± 0.57 and 3.39 ± 0.60, respectively, which is in the middle level, which aligns with the findings of Jingjing et al [ 22 ]. Among them, the mean score for emotional support was the lowest. This may be attributed to the fact that emotional support reflects employees' comprehensive views of the organization's attention to their contributions and concern for their well-being [ 12 ]. Therefore, the overall level of organizational support among emergency nurses requires improvement. Perceived organizational support of emergency nurses and its dimensions were negatively correlated with PTSD and its dimensions, indicating that a higher sense of organizational support was associated with lower levels of PTSD. Further stratified multiple regression analysis revealed that “instrumental support” and “emotional support” were significant predictors of PTSD, with “emotional support” having the highest regression coefficient and the greatest negative effect on PTSD among emergency nurses. This finding may be explained by the fact that emotional support is mainly demonstrated through respect and attention to employees, such as caring for the treatment of employees, recognizing their contributions, and helping them address work and life concerns [ 22 ]. Therefore, hospitals should strengthen nursing organizational culture, improve the nursing work environment, and establish incentives based on individual performance and abilities. Additionally, they should respect the value of nurses, promote empowerment by allowing nurses to participate in management, and improve the income needs of nurses. Moreover, developing reasonable work plans, ensuring organizational fairness, and establishing an effective hospital organizational support system to enhance perceived organizational support. These efforts can effectively enhance the subjective motivation of nurses, and improve their sense of personal value and job satisfaction, thereby producing a positive psychological effect, which in turn affects PTSD. Conclusions This study revealed that the PTSD status of emergency nurses needs improvement and that their occupational resilience and sense of organizational support are moderate. Occupational resilience and perceived organizational support were significantly negatively correlated with PTSD. Specifically, the “self-confidence” and “self-reliance” dimensions of occupational resilience and the “emotional support” and “instrumental support” dimensions of organizational support were significantly negatively correlated with PTSD. Nursing administrators should focus on the development of occupational resilience among emergency nurses, provide hospital support systems to alleviate occupational PTSD, improve job satisfaction, and stabilize the emergency nursing workforce. Convenience sampling was employed in this study to conduct a cross-sectional survey of emergency nurses in six comprehensive tertiary hospitals in Suzhou and Wuxi. Future research should utilize a cross-regional multicenter joint approach to expand the sample scope. Further studies are warranted to explore the intrinsic mechanism of the role of occupational resilience of emergency nurses in PTSD and to conduct interventional and longitudinal studies. Abbreviations PTSD post-traumatic stress disorder PTSD-SS post-traumatic stress disorder self-rating scale Declarations Ethics approval and consent to participate This study was approved by the Ethics Review Board of the National Center for Health Statistics and conducted in accordance with local legislation and institutional requirements. The ethics committee/institutional review board waived the requirement for written informed consent for participation from the participants or their legal guardians/next of kin because the protocols for the National Health and Nutrition Examination Survey (NHANES) were approved by the ethics review board of the National Center for Health Statistics, and all participants provided written informed consent. Consent for publication Not applicable Data Availability The data that support the findings of this study are available from corresponding author(Hongqing Yin)， but restrictions apply to the availability of these data. Data are however available from the authors upon reasonable request and with permission of the first people's hospital of kunshan. Competing interests The authors declare that they have no competing interests. Funding This study was supported by the Suzhou Science and Technology Direction Program (SYSD2016034). Author contributions Y. Hongqing conceived and coordinated the study. Zhoushou Z drafted the manuscript. All authors have read, approved, and contributed to the final manuscript. Acknowledgments We would like to express our heartfelt gratitude to the data collectors and study participants. However, this study would not have been possible without their contribution. Authors' information Hongqing Y. holds a Master of Hospital Administration (MHA) degree and is currently the director of the First People's Hospital in Kunshan. He is engaged in the management of science and education, medical administration, and management and has presided over and participated in many hospital management projects. He is currently a member of the Professional Committee of Hospital Quality Management of the Jiangsu Hospital Association and a member of the Professional Committee of Outpatient Management. Publisher’s note All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations or those of publishers, editors, and reviewers. Any product evaluated in this article or claims made by the manufacturer are not guaranteed or endorsed by the publisher. References Wei D,Yong Z. Trauma and post-traumatic stress disorder. China Clin Rehabil. 2006;18:145-8. Yonghui Z. Post-traumatic stress disorder. Foreign Medicine Psychiatry Branch. 2001;28:159-62. Ying A,Xiaoxiong C,Ning D,Fei L,Wei L,Yong W,Yanhua M. Progress of process reengineering in emergency nursing. Chin J Mod Nurs. 2015;23:2841-3. Mcfarlane AC, Bryant RA. Post-traumatic stress disorder in occupational settings: anticipating and managing the risk. Occup Med (Lond). 2007;57:404-10. Dunmore E, Clark DM, Ehlers A. Cognitive factors involved in the onset and maintenance of posttraumatic stress disorder (PTSD) after physical or sexual assault. Behav Res Ther. 1999;37:809-29. Lin L, Yixi W, Guoping H. A study of post-traumatic stress disorder and coping styles in nursing ten occupations in the emergency department. J Nurs. 2009;24:3-5. Alexander DA, Klein S. Ambulance personnel and critical incidents: impact of accident and emergency work on mental health and emotional well-being. Br J Psychiatry. 2001;178:76-81. Adriaenssens J, de Gucht V, Maes S. The impact of traumatic events on emergency room nurses: findings from a questionnaire survey. Int J Nurs Stud. 2012;49:1411-22. Ozer EJ, Best SR, Lipsey TL, Weiss DS. Predictors of posttraumatic stress disorder and symptoms in adults: a meta-analysis. Psychol Bull. 2003;129:52-73. Shouzhi Z,Zheng L,Xueqin J, Juan T,Yuelan Z ,Shifang L. Correlation of posttraumatic stress disorder with occupational resilience and social support among emergency department nurses. J Nurs. 2016;31:48-51. Lihua J. Occupational resilience:A new perspective on college students' employment stress coping. J Taiyuan Norm Coll (Soc Sci Ed). 2010;02:129-30. Eisenberger R, Huntington R, Hutchison S, Sowa D. Perceived organizational support. J Appl Psychol. 1986;71:500-7. Yang J, Han J. Collegiate Mei. Sense of organizational support and its new progress in research. J Zhejiang Inst Ind Trade. 2009;9:64-8. Xianchen L, Dengdai M, Lianqi L. A study on the development and reliability validity of a self-assessment scale for post-traumatic stress disorder. Chin Sci Behav Med. 1998;11:1-5. Hua Z. An Empirical Study on the Influencing Factors and Role of Career Flexibility. Guangzhou: Guangdong University of Business; 2011. Zhixia C. Knowledge employees' sense of organizational support and its impact. Beijing: China Economic Press; 2006. p. 81-4. Hongmei Z,Hui Y. The relationship between nurses' sense of organizational support and organizational commitment. Nurs Res. 2009;23:1341-3. Xiaoman Z,Zhijiang W. A study on the correlation between emergency department nurses' professional values and work environment. Chin J Nurs. 2014;49:312-6. Yonghui C,Wei Z,Cai W. A study on the correlation between work stress and burnout among emergency department nurses in a tertiary hospital. Nurs Res. 2015;27:3402-4. Bo C, Lixia C. Research progress of post-traumatic stress disorder in cancer patients. J Fourth Mil Med Univ. 2008;19:84-6. Ting Z,Huiping L,Wanjun D,Yaqi M,Debin W. Analysis of occupational resilience and influencing factors of specialized nurses. Chin J Behav Med Brain Sci. 2015;24:158-61. Jingjing D,Hong C. The relationship between sense of organizational support and nurses' level of work engagement. PLA Nurs J. 2012;29:5-8. Additional Declarations No competing interests reported. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-6631709","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Article","associatedPublications":[],"authors":[{"id":468861399,"identity":"9320f4aa-4d7e-4767-bb18-b65b0195ec0e","order_by":0,"name":"Shouzhi Zhou","email":"","orcid":"","institution":"The First People's Hospital of Kunshan","correspondingAuthor":false,"prefix":"","firstName":"Shouzhi","middleName":"","lastName":"Zhou","suffix":""},{"id":468861400,"identity":"def4413d-d2b5-42a5-ad7a-c625eeb6ac3a","order_by":1,"name":"Hongqing Yin","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA3klEQVRIiWNgGAWjYDACZjDJxsPA3n7wQUJFDSlaeM4kGzw4c4wU6yQSzCQftjATVsh3nPnZY942Phn+GQlpFYkNbAz87d0JeLVIHmYzN+ZtY+OROPPw2I3EHTIMEmfObsCrxeAwg5k0SAvD8YS0G4ln2BgMJHIJaWH/BtYifyDBrCCxjZkYLTwQWwxOJJgxEKVF8jBPmeScc2w8hmfOJEsknDnGQ9AvfOePb5N4U3bMXu54+8GPPypq5Pjbe/FrYTjAwMDEw4CIQR78yqFaGH8wEJNORsEoGAWjYMQCAO/zRyoZ58jUAAAAAElFTkSuQmCC","orcid":"","institution":"The First People's Hospital of Kunshan","correspondingAuthor":true,"prefix":"","firstName":"Hongqing","middleName":"","lastName":"Yin","suffix":""}],"badges":[],"createdAt":"2025-05-10 00:23:12","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-6631709/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-6631709/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1038/s41598-025-22378-4","type":"published","date":"2025-11-04T15:57:29+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":95564005,"identity":"deeb164e-fca9-49b9-9511-df6bc9a74d54","added_by":"auto","created_at":"2025-11-10 16:06:22","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":1045272,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-6631709/v1/f8face96-e2a5-4c82-8146-4fc8692ebe6e.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Post-traumatic stress disorder, professional resilience,and perceived organizational support in emergency department nurses:a cross-sectional study","fulltext":[{"header":"Background","content":"\u003cp\u003ePost-traumatic stress disorder (PTSD) is a mental disorder that occurs after exposure to a traumatic event or scenario that exceeds what a typical person can tolerate or after experiencing a traumatic event that is substantially overwhelming that it would be significantly distressing to almost any individual. It may arise from a delayed or prolonged stress response. Characteristic symptoms of PTSD include recurrent reliving of the traumatic event, efforts to avoid trauma-related stimuli, emotional numbing, and symptoms of hypervigilance [\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e]. Additionally, symptoms of disturbances in emotion, thinking, behavior, and physiological reactions are present throughout. After experiencing the trauma, patients continue to re-experience the event, engage in avoidance behaviors to prevent exposure to related stimuli, and remain in a state of hypervigilance. The condition persists to the point of causing subjective distress and social dysfunction [\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eEmergency medicine remains an important window of hospital services. Most patients arrive in critical conditions, requiring urgent care, and presenting with other complex needs; hence, the workload of the nursing staff is heavy and intense [\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e]. Emergency nurses are often subjected to verbal and physical aggression [\u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e] and they are regularly exposed to severe trauma, death, suicide, and other events. Compared to other departments, emergency nurses are more likely to develop PTSD [\u003cspan additionalcitationids=\"CR6\" citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e]. The prevalence of PTSD among emergency medical personnel is high, both domestically and internationally. Factors such as age, years of service, job title, health status, and social support can influence the occurrence of PTSD among emergency medical personnel [\u003cspan additionalcitationids=\"CR9\" citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eOccupational resilience is a key factor that helps individuals cope with occupational stress and barriers or adversity and influences their attitudes, decisions, and behaviors toward their occupations [\u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e]. A sense of organizational support is the support felt by employees from their organization [\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e]. Research [\u003cspan citationid=\"CR13\" class=\"CitationRef\"\u003e13\u003c/span\u003e] has shown that perceived organizational support can contribute to a positive work mood by satisfying the emotional needs of employees.\u003c/p\u003e \u003cp\u003eTherefore, we conducted a questionnaire survey between 2020 April and August 2020 to assess the impact of PTSD on nurses in the emergency departments of six tertiary general hospitals in Wuxi and Suzhou. Additionally, this study aimed to explore the relationship between PTSD, occupational resilience, and organizational support. We also aimed to clarify the status of PTSD among nurses in the emergency department and explore the effects of occupational resilience and perceived organizational support on PTSD. Our findings are expected to help reduce PTSD among nurses by enhancing occupational resilience, strengthening the sense of organizational support, and improving the ability to positively coping with traumatic events.\u003c/p\u003e"},{"header":"Methods","content":"\u003cdiv id=\"Sec3\" class=\"Section2\"\u003e \u003ch2\u003eParticipants\u003c/h2\u003e \u003cp\u003eThe whole-group sampling method was used to select 213 emergency department nurses from six tertiary general hospitals as the study participants. The average age was 28.42\u0026thinsp;\u0026plusmn;\u0026thinsp;3.57 years, and the average monthly income was 8,252.50\u0026thinsp;\u0026plusmn;\u0026thinsp;59.61 yuan. The inclusion criteria are as follows: 1) More than 2 years of emergency nursing practice in the selected hospital; 2) Informed consent and voluntary participation in the survey. Exclusion criteria: 1) Emergency nurses who were pregnant or breastfeeding; 2) Nurses on rotation or undergoing further training; 3) Those unwilling to participate in this study for personal reasons; 4) Recent personal experience of serious life events.\u003c/p\u003e \u003c/div\u003e\n\u003ch3\u003eResearch tools\u003c/h3\u003e\n\u003cdiv id=\"Sec5\" class=\"Section2\"\u003e \u003ch2\u003eGeneral information questionnaire\u003c/h2\u003e \u003cp\u003eA self-designed questionnaire was used to collect data on the hospital, sex, age, marital status, education, years of work experience, professional and technical title, provincial specialized nurse, position, form of employment, number of middle and night shifts, and monthly income.\u003c/p\u003e \u003c/div\u003e\n\u003ch3\u003eSelf-assessment scale for traumatic stress disorder\u003c/h3\u003e\n\u003cp\u003eThe post-traumatic stress disorder self-rating scale (PTSD-SS) developed by Liu Xianchen et al [\u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e] was used with slight modifications, replacing the term \u0026ldquo;disaster\u0026rdquo; with \u0026ldquo;traumatic event\u0026rdquo;. The scale comprised 24 entries and five dimensions: subjective evaluation of the traumatic event, recurrent re-experience, avoidance symptoms, increased alertness, and impaired social functioning. Each entry is rated on a 5-point scale according to the degree of impact of the traumatic event on physiology, psychology, and life. The total score of the PTSD-SS ranges from 24 to 120. Scores\u0026thinsp;\u0026ge;\u0026thinsp;50 indicate a positive result for PTSD and higher scores represent more severe stress disorder symptoms. The reference delineation values for mild and moderately severe PTSD were 50 and 60 points, respectively. The scale had good reliability and validity, with an internal consistency coefficient (Cronbach's ɑ) of 0.9207, a split-half reliability coefficient of 0.9539, and a retest reliability coefficient of 0.8677.\u003c/p\u003e\n\u003ch3\u003eOccupational resilience scale\u003c/h3\u003e\n\u003cp\u003eThe career resilience scale, compiled by Grzeda and Prince and handwritten by Zeng Hua [\u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e], was used to assess nurses\u0026rsquo; career resilience. The scale comprised 11 entries in three dimensions: self-confidence, work initiative, and self-reliance. Each item was rated on a 5-point Likert scale as follows: 1 (Strongly Disagree), 2 (Disagree), 3 (Fairly), 4 (Agree), and 5 (strongly agree). The total scores range up to 55, with higher scores indicating higher levels of occupational resilience. The scale had good reliability and validity, with a Cronbach's ɑ value of 0.79.\u003c/p\u003e \u003cdiv id=\"Sec8\" class=\"Section2\"\u003e \u003ch2\u003eSense of organizational support scale\u003c/h2\u003e \u003cp\u003eThis scale, adopted by Zhixia [\u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e], includes two subscales: emotional and instrumental support. Hongmei et al [\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e] modified certain contents and expressions of the original scale to better reflect the nursing context, based on interviews and expert opinions. The revised version comprised 10 entries for emotional support and three entries for instrumental support, totaling 13 entries. Each item was rated on a 5-point Likert scale (1 = \u0026ldquo;strongly disagree\u0026rdquo; to 5 = \u0026ldquo;strongly agree\u0026rdquo;), with higher scores indicating stronger perceived and required organizational support. The Cronbach's ɑ coefficient of reliability for the modified scale was 0.92 for homogeneity, 0.83 for affective support, and 0.75 for instrumental support. Each item on the scale was measured simultaneously from the perspectives of \u0026ldquo;actual situation\u0026rdquo; and \u0026ldquo;personal expectation\u0026rdquo;. The \u0026ldquo;actual situation\u0026rdquo; represents the actual organizational support provided to nurses by the hospital, i.e., the nurses' perceived organizational support, whereas the \u0026ldquo;personal expectation\u0026rdquo; represents the individual's demand for organizational support, i.e., the nurses' need for organizational support [\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e].\u003c/p\u003e \u003c/div\u003e\n\u003ch3\u003eSurvey method\u003c/h3\u003e\n\u003cp\u003e Approval was obtained from the nursing department of each selected hospital. One trained investigator was assigned to each of the six hospitals to conduct the survey using standardized instructions. Questionnaires were completed anonymously by the participants and retrieved by the investigator. In total, 224 questionnaires were distributed, and 213 valid questionnaires were returned, with a valid recovery rate of 95.1%.\u003c/p\u003e \u003cdiv id=\"Sec10\" class=\"Section2\"\u003e \u003ch2\u003eStatistical analysis\u003c/h2\u003e \u003cp\u003eAfter data verification and proofreading, SPSS version 17.0 software was used for data entry and statistical analysis. Count data were described statistically using rates and percentages A t-test or ANOVA was used to compare the PTSD of participants with different data. Pearson correlation analysis was used to analyze occupational resilience, sense of organizational support, and PTSD. Stratified regression analysis was performed with PTSD as the dependent variable. General information was used as the first-level independent variable, whereas occupational resilience and sense of organizational support were the second-level independent variables. Statistical significance was set as P\u0026thinsp;\u0026lt;\u0026thinsp;0.05 or P\u0026thinsp;\u0026lt;\u0026thinsp;0.01.\u003c/p\u003e \u003c/div\u003e"},{"header":"Results","content":"\u003cdiv id=\"Sec12\" class=\"Section2\"\u003e\n \u003ch2\u003eGeneral information of survey respondents\u003c/h2\u003e\n \u003cp\u003eA total of 213 emergency nurses participated in the survey ( 36 males [16.90%] and 177 females: [83.10%]). Of these, 65 (30.52%) were from county-level hospitals and 148 (69.48%) were from prefecture- and city-level hospitals. Regarding marital status, 56 (26.29%) were unmarried and 157 (73.71%) were married. In terms of education, 71 nurses (30.52%) held college degrees, while 142 (30.52%) had undergraduate degrees. The age distribution was as follows: 18 (30.52%) nurses were 20\u0026ndash;25 years of age, 74 (33.33%) were 26\u0026ndash;30 years, 89 (41.78%) were 31\u0026ndash;35 years, and 32 (24.89%) were \u0026ge;\u0026thinsp;36 years. Regarding work experience, 1\u0026ndash;5 years 64 (30.05%), 6\u0026ndash;10 years 91 (42.72%), 11\u0026ndash;15 years 48 (22.54%), \u0026ge;\u0026thinsp;16 years 10 (4.69%). Additionally, 28 nurses (13.15%) were provincial specialized nurses. Concerning employment type, 158 (74.18%) nurses were formally employed, while 55 (15.82%) held contractual positions. Regarding professional and technical titles, 17 nurses (7.98%), 123 (57.75%) were nurse practitioners, 62 (29.11%) were charge nurse practitioners, and 11 (5.16%) were associate chief nurses. In terms of positions: 171 nurses (80.28%), 30 (14.08%) were nursing team leaders, and 12 (5.64%) were nurse leaders. Regarding the number of middle and night shifts, 177 (83.10%) nurses had three per week, 18 (8.45%) had two per week, and 18 (8.45%) worked long day shifts.\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec13\" class=\"Section2\"\u003e\n \u003ch2\u003eStatus of PTSD, occupational resilience, and percieved organizational support among emergency nurses\u003c/h2\u003e\n \u003cp\u003eEmergency nurses had a total traumatic stress disorder score of 46.67\u0026thinsp;\u0026plusmn;\u0026thinsp;7.27 and an overall mean score of 1.98\u0026thinsp;\u0026plusmn;\u0026thinsp;0.62. Table \u003cspan class=\"InternalRef\"\u003e1\u003c/span\u003e presents the scores for each dimension.\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eTable 1 PTSD scores of emergency nurses (points,\u003c/strong\u003e\u0026plusmn;\u003cstrong\u003e)\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cimg 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\"\u003e\u003c/strong\u003e\u003cbr\u003e\u003c/p\u003e\n \u003cdiv class=\"gridtable\"\u003e\u003cbr\u003e\u003c/div\u003e\n \u003cp\u003ePTSD, post-traumatic stress disorder; PTSD-SS, post-traumatic stress disorder self-rating scale\u003c/p\u003e\n \u003cp\u003eThe total professional toughness score of emergency nurses was 39.20\u0026thinsp;\u0026plusmn;\u0026thinsp;5.87, and the total mean score was 3.49\u0026thinsp;\u0026plusmn;\u0026thinsp;0.38. Table\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e2\u003c/span\u003e presents the scores for each dimension.\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eTable 2 Career resilience scores of emergency nurses (points,\u003c/strong\u003e\u0026plusmn;\u003cstrong\u003e)\u003c/strong\u003e\u003c/p\u003e\n \u003cdiv class=\"gridtable\"\u003e\n \u003cdiv align=\"left\" class=\"colspec\"\u003e\u003cimg 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\"\u003e\u003cbr\u003e\u003c/div\u003e\n \u003cdiv align=\"char\" class=\"colspec\"\u003e\u003cbr\u003e\u003c/div\u003e\n \u003cdiv align=\"char\" class=\"colspec\"\u003e\u003cbr\u003eThe total score for perceived organizational support of emergency nurses was 43.12\u0026thinsp;\u0026plusmn;\u0026thinsp;6.43 and the total mean score was 3.32\u0026thinsp;\u0026plusmn;\u0026thinsp;0.63. The scores for each dimension are shown in Table \u003cspan class=\"InternalRef\"\u003e3\u003c/span\u003e.\u003c/div\u003e\n \u003c/div\u003e\n \u003cp\u003e\u003cstrong\u003eTable 3 Scores for emergency nurses regarding perceived organizational support (score,\u003c/strong\u003e\u0026plusmn;\u003cstrong\u003e)\u003c/strong\u003e\u003c/p\u003e\n \u003cdiv class=\"gridtable\"\u003e\n \u003cdiv align=\"left\" class=\"colspec\"\u003e\u003cimg 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\"\u003e\u003cbr\u003e\u003c/div\u003e\n \u003cdiv align=\"char\" class=\"colspec\"\u003e\u003cbr\u003e\u003c/div\u003e\n \u003cdiv align=\"char\" class=\"colspec\"\u003e\u003cbr\u003e\u003c/div\u003e\n \u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec14\" class=\"Section2\"\u003e\n \u003ch2\u003eCorrelation analysis of emergency nurses\u0026apos; traumatic stress disorder, occupational resilience, and perceived organizational support\u003c/h2\u003e\n \u003cp\u003eAs shown in Table \u003cspan class=\"InternalRef\"\u003e4\u003c/span\u003e, traumatic stress disorder in emergency nurses and the scores of each dimension were significantly negatively correlated with the overall scores and the dimension scores of occupational resilience, as well as the scores of each dimension of perceived organizational support (P\u0026thinsp;\u0026lt;\u0026thinsp;0.05).\u003c/p\u003e\n \u003cdiv class=\"gridtable\"\u003e\u0026nbsp;\u003ctable id=\"Tab4\" border=\"1\"\u003e\n \u003ccaption language=\"En\"\u003e\n \u003cdiv class=\"CaptionNumber\"\u003eTable 4\u003c/div\u003e\n \u003cdiv class=\"CaptionContent\"\u003e\n \u003cp\u003eCorrelation analysis of PTSD, occupational toughness, and perceived organizational support among emergency nurses (r-value)\u003c/p\u003e\n \u003c/div\u003e\n \u003c/caption\u003e\n \u003ccolgroup cols=\"8\"\u003e\u003c/colgroup\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eItem\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eOccupational Resilience\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eSelf-confidence\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eWork initiative\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eSelf-reliance\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003ePerceived Organizational Support\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eEmotional support\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eInstrumental support\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003ePTSD\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.655\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.636\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.583\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.559\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.485\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.429\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.371\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eSubjective ratings of traumatic events\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.435\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.345\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.431\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.420\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.231\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.173\u003csup\u003e*\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.279\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eRecurrent reoccurring experiences\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.558\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.584\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.476\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.445\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.426\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.400\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.254\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eAvoidance symptoms\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.559\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.540\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.490\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.490\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.404\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.368\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.275\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eIncreased alertness\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.378\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.344\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.357\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.326\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.335\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.284\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.298\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eImpaired social functioning\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.277\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.246\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.256\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.256\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.148\u003csup\u003e*\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.08\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.276\u003csup\u003e**\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003ctfoot\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"8\"\u003ePTSD, post-traumatic stress disorder. \u003csup\u003e**\u003c/sup\u003eP\u0026thinsp;\u0026lt;\u0026thinsp;0.05, \u003csup\u003e*\u003c/sup\u003eP\u0026thinsp;\u0026lt;\u0026thinsp;0.01\u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tfoot\u003e\n \u003c/table\u003e\n \u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec15\" class=\"Section2\"\u003e\n \u003ch2\u003eMultifactorial analysis of traumatic stress disorder among emergency nurses\u003c/h2\u003e\n \u003cp\u003eUsing the total PTSD score as the dependent variable, stratified regression analyses were conducted. General information was included as the first level of independent variables, while occupational resilience and perceived organizational support were included as the second level of independent variables. The actual scores for each factor of occupational resilience and perceived organizational support were used in the analysis. The significance levels for inclusion and exclusion from regression equations were set at 0.05 and 0.10, respectively. The results yielded the following regression equation: PTSD of emergency nurses\u0026thinsp;=\u0026thinsp;82.7\u0026thinsp;+\u0026thinsp;3.01 \u0026times; title-1.24 \u0026times; self-confidence-0.81 \u0026times; self-reliance-1.01 \u0026times; emotional support-0.15 \u0026times; instrumental support. Title nurses were assigned a score of 1, nurse practitioners a score of 2, charge nurses a score of 3, and associate nurse practitioners and above a score of 4. The results of the multifactorial analysis of PTSD among emergency nurses are presented in Table \u003cspan class=\"InternalRef\"\u003e5\u003c/span\u003e.\u003c/p\u003e\n \u003cdiv class=\"gridtable\"\u003e\u0026nbsp;\u003ctable id=\"Tab5\" border=\"1\" class=\"fr-table-selection-hover\"\u003e\n \u003ccaption language=\"En\"\u003e\n \u003cdiv class=\"CaptionNumber\"\u003eTable 5\u003c/div\u003e\n \u003cdiv class=\"CaptionContent\"\u003e\n \u003cp\u003eStratified regression analysis of general information, occupational resilience, and perceived organizational support among emergency nurses\u003c/p\u003e\n \u003c/div\u003e\n \u003c/caption\u003e\n \u003ccolgroup cols=\"6\"\u003e\u003c/colgroup\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eVariant\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eBiased regression coefficient\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eStandardized regression coefficient\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eT value\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003e\u003cem\u003eP\u003c/em\u003e-value\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eR\u003csup\u003e2\u003c/sup\u003e value\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eConstant\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e82.76\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e5.61\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e14.76\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.000\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.51\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eProfessional position\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e3.01\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e1.06\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e2.83\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.005\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e-\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eSelf-confidence\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-1.24\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.26\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-4.76\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.000\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e-\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eSelf-reliance\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.81\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.36\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-2.28\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.02\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e-\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eEmotional support\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-1.01\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.23\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-4.49\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.000\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e-\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eInstrumental support\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.15\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.09\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-1.74\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.06\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n \u003c/div\u003e\n\u003c/div\u003e"},{"header":"Discussion","content":"\u003cdiv id=\"Sec17\" class=\"Section2\"\u003e \u003ch2\u003ePTSD status of emergency nurses\u003c/h2\u003e \u003cp\u003eThe detection rate of PTSD among emergency nurses was 23.0%, based on the reference thresholds of 50 and 60 points for identifying mild and moderately severe PTSD abnormalities, respectively. The total score of PTSD-SS among the survey respondents was \u0026gt;\u0026thinsp;50 points for 20 nurses (15.9%), and \u0026gt;\u0026thinsp;60 points for 9 nurses (7.1%). These findings indicate that the PTSD status of emergency nurses needs to be improved. The total mean score of PTSD among emergency nurses was 1.98\u0026thinsp;\u0026plusmn;\u0026thinsp;0.62. Among the five dimensions of the PTSD-SS, the scores ranked from highest to lowest as follows: subjective evaluation, increased alertness, repeated reoccurrence of experience, impaired social functioning, and avoidance symptoms. The dimension with the highest score was \u0026ldquo;subjective evaluation of traumatic events,\u0026rdquo; indicating that emergency nurses have been commonly affected by PTSD. Additionally, this result shows that emergency department nurses are generally aware of the mental and psychological impact of traumatic events at work, consistent with the findings of Lin et al. [\u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eEmergency clinical work is inherently high risk owing to the unique nature of the occupational environment, social prejudice, lack of understanding, and poor cooperation between patients and their families. Consequently, the work and daily lives of emergency department nurses are generally characterized by long-term overload, irregular schedules, and a heavier burden of nursing risks, tasks, and responsibilities than nurses in other departments [\u003cspan citationid=\"CR18\" class=\"CitationRef\"\u003e18\u003c/span\u003e]. Yonghui et al. [\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e] believed that the high risk, high stress, and high pressure of clinical work exposes nurses to prolonged psychological pressure, which, if unrelieved for a long time, can lead to a decline in work enthusiasm. Therefore, emergency nurses are more likely to experience PTSD than nurses in other departments because of the current status of emergency work [\u003cspan additionalcitationids=\"CR6\" citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e]. Chen and Cui [\u003cspan citationid=\"CR20\" class=\"CitationRef\"\u003e20\u003c/span\u003e] reported that cognitive-behavioral therapy, exposure therapy, muscle relaxation, respiratory regulation, and self-talk training can help alleviate PTSD symptoms such as the recurrent re-enactment of experiences, and reduce anxiety and fear. These interventions also alleviate persistent hypervigilance, insomnia, and nightmares with the help of drugs such as sedatives and tranquilizers.\u003c/p\u003e \u003cp\u003eCurrently, few studies have investigated PTSD interventions for nurses. Additionally, focusing on establishing PTSD prevention mechanisms is crucial. Therefore, nursing managers should pay attention to the PTSD of emergency nurses, acknowledge the current situation of emergency work, strengthen the supplementation of human resources, and create a good nursing work environment. Additionally, nursing managers should focus on the career planning of nurses, conduct various forms of continuing education, and provide development opportunities to enhance their sense of belonging to the profession. Furthermore, psychological guidance and interventions should be enhanced to enable nurses to better understand themselves, maintain motivation, improve their quality of life, and stabilize the nursing team.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec18\" class=\"Section2\"\u003e \u003ch2\u003eInfluence of occupational toughness on PTSD\u003c/h2\u003e \u003cp\u003eThis study shows that the total mean score of occupational toughness of emergency nurses was 3.49\u0026thinsp;\u0026plusmn;\u0026thinsp;0.38, indicating a medium level, similar to the results of Ting et al. [\u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e]. This suggests that there is room for further improvement in the occupational toughness of emergency nurses in comprehensive tertiary care hospitals. The mean scores of the three factors, in descending order, were highest for \u0026ldquo;work initiative,\u0026rdquo; followed by \u0026ldquo;self-reliance,\u0026rdquo; and \u0026ldquo;self-confidence.\u0026rdquo; The highest score for \u0026ldquo;work initiative\u0026rdquo; indicates that emergency nurses have high work initiative and are willing to help others, reflecting the teamwork consciousness of emergency nurses. Correlation analyses showed that occupational resilience and its dimensions were significantly negatively correlated with overall PTSD. These results suggest that enhancing the occupational resilience of nurses by changing their attitudes, decisions, and behaviors towards their occupation, can enable them to face difficulties in life and work with a positive attitude and reduce PTSD, consistent with the results of Shouzhi et al. [\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e]. In the stratified multiple regression analysis, \u0026ldquo;self-confidence\u0026rdquo; and \u0026ldquo;self-reliance\u0026rdquo; were entered into regression equations, with \u0026ldquo;self-confidence\u0026rdquo; having the highest regression coefficient and the greatest negative effect on the PTSD of emergency nurses. \u0026ldquo;Self-confidence\u0026rdquo; refers to an individual's willingness to try challenging work, a positive attitude toward achieving work goals, and a sense of self-achievement. Lihua [\u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e] confirmed that optimism, internal control, and positive coping styles positively influence occupational resilience.\u003c/p\u003e \u003cp\u003eOccupational resilience is essentially an individual's ability to recover from changing occupational environments or occupational adversity. It is an important force that helps employees overcome work stress and maintain their physical and mental health [\u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e], whereas PTSD is an individual's inability to cope with a traumatic event, resulting in a mental disorder. This study recognizes the importance of occupational resilience and confirms that the level of occupational resilience among emergency nurses significantly influences the level of PTSD, a situation that should be taken seriously by nursing managers. Nursing managers can learn from successful foreign experiences and actively communicate with nurses to better understand their work conditions, helping them experience a sense of accomplishment in their work. They should also encourage nurses to make career plans and clarify the direction of their development, regularly review their work conditions, conduct self-evaluations, and evaluate work challenges. Moreover, cultivating nurses' self-confidence and self-reliance can further enhance occupational resilience, thereby reducing PTSD, improving quality of life, enhancing work performance, and consolidating the quality of care.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec19\" class=\"Section2\"\u003e \u003ch2\u003eEffect of perceived organizational support on PTSD\u003c/h2\u003e \u003cp\u003eOur study results revealed that the total mean score for the perceived organizational support of emergency nurses was 3.32\u0026thinsp;\u0026plusmn;\u0026thinsp;0.63. The mean scores for emotional support and instrumental support were 3.29\u0026thinsp;\u0026plusmn;\u0026thinsp;0.57 and 3.39\u0026thinsp;\u0026plusmn;\u0026thinsp;0.60, respectively, which is in the middle level, which aligns with the findings of Jingjing et al [\u003cspan citationid=\"CR22\" class=\"CitationRef\"\u003e22\u003c/span\u003e]. Among them, the mean score for emotional support was the lowest. This may be attributed to the fact that emotional support reflects employees' comprehensive views of the organization's attention to their contributions and concern for their well-being [\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e]. Therefore, the overall level of organizational support among emergency nurses requires improvement. Perceived organizational support of emergency nurses and its dimensions were negatively correlated with PTSD and its dimensions, indicating that a higher sense of organizational support was associated with lower levels of PTSD.\u003c/p\u003e \u003cp\u003eFurther stratified multiple regression analysis revealed that \u0026ldquo;instrumental support\u0026rdquo; and \u0026ldquo;emotional support\u0026rdquo; were significant predictors of PTSD, with \u0026ldquo;emotional support\u0026rdquo; having the highest regression coefficient and the greatest negative effect on PTSD among emergency nurses. This finding may be explained by the fact that emotional support is mainly demonstrated through respect and attention to employees, such as caring for the treatment of employees, recognizing their contributions, and helping them address work and life concerns [\u003cspan citationid=\"CR22\" class=\"CitationRef\"\u003e22\u003c/span\u003e]. Therefore, hospitals should strengthen nursing organizational culture, improve the nursing work environment, and establish incentives based on individual performance and abilities. Additionally, they should respect the value of nurses, promote empowerment by allowing nurses to participate in management, and improve the income needs of nurses. Moreover, developing reasonable work plans, ensuring organizational fairness, and establishing an effective hospital organizational support system to enhance perceived organizational support. These efforts can effectively enhance the subjective motivation of nurses, and improve their sense of personal value and job satisfaction, thereby producing a positive psychological effect, which in turn affects PTSD.\u003c/p\u003e \u003c/div\u003e"},{"header":"Conclusions","content":"\u003cp\u003eThis study revealed that the PTSD status of emergency nurses needs improvement and that their occupational resilience and sense of organizational support are moderate. Occupational resilience and perceived organizational support were significantly negatively correlated with PTSD. Specifically, the \u0026ldquo;self-confidence\u0026rdquo; and \u0026ldquo;self-reliance\u0026rdquo; dimensions of occupational resilience and the \u0026ldquo;emotional support\u0026rdquo; and \u0026ldquo;instrumental support\u0026rdquo; dimensions of organizational support were significantly negatively correlated with PTSD. Nursing administrators should focus on the development of occupational resilience among emergency nurses, provide hospital support systems to alleviate occupational PTSD, improve job satisfaction, and stabilize the emergency nursing workforce. Convenience sampling was employed in this study to conduct a cross-sectional survey of emergency nurses in six comprehensive tertiary hospitals in Suzhou and Wuxi. Future research should utilize a cross-regional multicenter joint approach to expand the sample scope. Further studies are warranted to explore the intrinsic mechanism of the role of occupational resilience of emergency nurses in PTSD and to conduct interventional and longitudinal studies.\u003c/p\u003e"},{"header":"Abbreviations","content":"\u003cdiv class=\"DefinitionList\"\u003e \u003cdiv class=\"DefinitionListEntry\"\u003e \u003cdiv class=\"Term\"\u003ePTSD\u003c/div\u003e \u003cdiv class=\"Description\"\u003e \u003cp\u003epost-traumatic stress disorder\u003c/p\u003e \u003c/div\u003e \u003c/div\u003e \u003cdiv class=\"DefinitionListEntry\"\u003e \u003cdiv class=\"Term\"\u003ePTSD-SS\u003c/div\u003e \u003cdiv class=\"Description\"\u003e \u003cp\u003epost-traumatic stress disorder self-rating scale\u003c/p\u003e \u003c/div\u003e \u003c/div\u003e \u003c/div\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eEthics approval and consent to participate\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis study was approved by the Ethics Review Board of the National Center for Health Statistics and conducted in accordance with local legislation and institutional requirements. The ethics committee/institutional review board waived the requirement for written informed consent for participation from the participants or their legal guardians/next of kin because the protocols for the National Health and Nutrition Examination Survey (NHANES) were approved by the ethics review board of the National Center for Health Statistics, and all participants provided written informed consent.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent for publication\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNot applicable\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eData Availability\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe data that support the findings of this study are available from corresponding author(Hongqing Yin)，\u0026nbsp;but restrictions apply to the availability of these data. Data are however available from the authors upon reasonable request and with permission of \u0026nbsp;the first people's hospital of kunshan.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCompeting interests\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors declare that they have no competing interests.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis study was supported by the Suzhou Science and Technology Direction Program (SYSD2016034).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthor contributions\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eY. Hongqing conceived and coordinated the study. Zhoushou Z drafted the manuscript. All authors have read, approved, and contributed to the final manuscript.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAcknowledgments\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eWe would like to express our heartfelt gratitude to the data collectors and study participants. However, this study would not have been possible without their contribution.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthors' information\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eHongqing Y. holds a Master of Hospital Administration (MHA) degree and is currently the director of the First People's Hospital in Kunshan. He is engaged in the management of science and education, medical administration, and management and has presided over and participated in many hospital management projects. He is currently a member of the Professional Committee of Hospital Quality Management of the Jiangsu Hospital Association and a member of the Professional Committee of Outpatient Management.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003ePublisher’s note\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAll claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations or those of publishers, editors, and reviewers. Any product evaluated in this article or claims made by the manufacturer are not guaranteed or endorsed by the publisher.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eWei D,Yong Z. Trauma and post-traumatic stress disorder. China Clin Rehabil. 2006;18:145-8.\u003c/li\u003e\n\u003cli\u003eYonghui Z. Post-traumatic stress disorder. Foreign Medicine Psychiatry Branch. 2001;28:159-62.\u003c/li\u003e\n\u003cli\u003eYing A,Xiaoxiong C,Ning D,Fei L,Wei L,Yong W,Yanhua M. Progress of process reengineering in emergency nursing. Chin J Mod Nurs. 2015;23:2841-3.\u003c/li\u003e\n\u003cli\u003eMcfarlane AC, Bryant RA. Post-traumatic stress disorder in occupational settings: anticipating and managing the risk. Occup Med (Lond). 2007;57:404-10.\u003c/li\u003e\n\u003cli\u003eDunmore E, Clark DM, Ehlers A. Cognitive factors involved in the onset and maintenance of posttraumatic stress disorder (PTSD) after physical or sexual assault. Behav Res Ther. 1999;37:809-29.\u003c/li\u003e\n\u003cli\u003eLin L, Yixi W, Guoping H. A study of post-traumatic stress disorder and coping styles in nursing ten occupations in the emergency department. J Nurs. 2009;24:3-5.\u003c/li\u003e\n\u003cli\u003eAlexander DA, Klein S. Ambulance personnel and critical incidents: impact of accident and emergency work on mental health and emotional well-being. Br J Psychiatry. 2001;178:76-81.\u003c/li\u003e\n\u003cli\u003eAdriaenssens J, de Gucht V, Maes S. The impact of traumatic events on emergency room nurses: findings from a questionnaire survey. Int J Nurs Stud. 2012;49:1411-22.\u003c/li\u003e\n\u003cli\u003eOzer EJ, Best SR, Lipsey TL, Weiss DS. Predictors of posttraumatic stress disorder and symptoms in adults: a meta-analysis. Psychol Bull. 2003;129:52-73.\u003c/li\u003e\n\u003cli\u003eShouzhi Z,Zheng L,Xueqin J, Juan T,Yuelan Z ,Shifang L. Correlation of posttraumatic stress disorder with occupational resilience and social support among emergency department nurses. J Nurs. 2016;31:48-51.\u003c/li\u003e\n\u003cli\u003eLihua J. Occupational resilience:A new perspective on college students\u0026apos; employment stress coping. J Taiyuan Norm Coll (Soc Sci Ed). 2010;02:129-30.\u003c/li\u003e\n\u003cli\u003eEisenberger R, Huntington R, Hutchison S, Sowa D. Perceived organizational support. J Appl Psychol. 1986;71:500-7.\u003c/li\u003e\n\u003cli\u003eYang J, Han J. Collegiate Mei. Sense of organizational support and its new progress in research. J Zhejiang Inst Ind Trade. 2009;9:64-8.\u003c/li\u003e\n\u003cli\u003eXianchen L, Dengdai M, Lianqi L. A study on the development and reliability validity of a self-assessment scale for post-traumatic stress disorder. Chin Sci Behav Med. 1998;11:1-5.\u003c/li\u003e\n\u003cli\u003eHua Z. An Empirical Study on the Influencing Factors and Role of Career Flexibility. Guangzhou: Guangdong University of Business; 2011.\u003c/li\u003e\n\u003cli\u003eZhixia C. Knowledge employees\u0026apos; sense of organizational support and its impact. Beijing: China Economic Press; 2006. p. 81-4.\u003c/li\u003e\n\u003cli\u003eHongmei Z,Hui Y. The relationship between nurses\u0026apos; sense of organizational support and organizational commitment. Nurs Res. 2009;23:1341-3.\u003c/li\u003e\n\u003cli\u003eXiaoman Z,Zhijiang W. A study on the correlation between emergency department nurses\u0026apos; professional values and work environment. Chin J Nurs. 2014;49:312-6.\u003c/li\u003e\n\u003cli\u003eYonghui C,Wei Z,Cai W. A study on the correlation between work stress and burnout among emergency department nurses in a tertiary hospital. Nurs Res. 2015;27:3402-4.\u003c/li\u003e\n\u003cli\u003eBo C, Lixia C. Research progress of post-traumatic stress disorder in cancer patients. J Fourth Mil Med Univ. 2008;19:84-6.\u003c/li\u003e\n\u003cli\u003eTing Z,Huiping L,Wanjun D,Yaqi M,Debin W. Analysis of occupational resilience and influencing factors of specialized nurses. Chin J Behav Med Brain Sci. 2015;24:158-61.\u003c/li\u003e\n\u003cli\u003eJingjing D,Hong C. The relationship between sense of organizational support and nurses\u0026apos; level of work engagement. PLA Nurs J. 2012;29:5-8.\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"scientific-reports","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"scirep","sideBox":"Learn more about [Scientific Reports](http://www.nature.com/srep/)","snPcode":"","submissionUrl":"","title":"Scientific Reports","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Scientific Reports","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"Post-traumatic stress disorder, career resilience, perceived organizational support, nurses, emergency department","lastPublishedDoi":"10.21203/rs.3.rs-6631709/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-6631709/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cb\u003eBackground\u003c/b\u003e\u003c/p\u003e \u003cp\u003eEmergency department nurses are frequently exposed to high-intensity, traumatic events, placing them at increased risk for developing post-traumatic stress disorder (PTSD). This study aimed to explore the correlation between PTSD career resilience and perceived organizational support among emergency department nurses in tertiary hospitals.\u003c/p\u003e\u003cp\u003e\u003cb\u003eMethods\u003c/b\u003e\u003c/p\u003e \u003cp\u003eA total of 213 emergency department nurses from tertiary comprehensive hospitals in Wuxi and Suzhou were selected using convenience sampling. This cross-sectional study was conducted using a general information questionnaire, a PTSD self-rating scale, a career resilience scale, and a perceived organizational support scale.\u003c/p\u003e\u003cp\u003e\u003cb\u003eResults\u003c/b\u003e\u003c/p\u003e \u003cp\u003eA total of 224 questionnaires were distributed, and 213 were returned, resulting in a response rate of 95.1%. The average PTSD score of the 213 emergency department nurses was 46.67\u0026thinsp;\u0026plusmn;\u0026thinsp;7.27, with 29.11% of the nurses having PTSD. PTSD among emergency department nurses was negatively correlated with career resilience and perceived organizational support (\u003cem\u003eP\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.05). Multiple regression analysis revealed that confidence, self-dependence, emotional support, and instrumental support may predict PTSD in nurses in the emergency department.\u003c/p\u003e\u003cp\u003e\u003cb\u003eConclusions\u003c/b\u003e\u003c/p\u003e \u003cp\u003eThe levels of PTSD, career resilience, and perceived organizational support among emergency department nurses require improvement. Measures should be taken to enhance nursing staff\u0026rsquo;s career resilience, strengthen organizational support, and help them positively cope with traumatic stress disorder to reduce the incidence of PTSD.\u003c/p\u003e","manuscriptTitle":"Post-traumatic stress disorder, professional resilience,and perceived organizational support in emergency department nurses:a cross-sectional study","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-06-10 11:11:16","doi":"10.21203/rs.3.rs-6631709/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2025-06-16T05:40:34+00:00","index":"","fulltext":""},{"type":"reviewerAgreed","content":"264779694394875928737357796864018308792","date":"2025-06-14T12:17:16+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"239342689604917652720676851107573911472","date":"2025-06-14T11:44:48+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"166609290213469905428655846212229477035","date":"2025-06-13T10:24:25+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-06-12T13:57:30+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"158903231943836274725636603662349805376","date":"2025-06-12T12:32:20+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-06-09T19:36:24+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"221348551486799316536959001708474496248","date":"2025-06-09T19:27:08+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2025-06-09T05:56:45+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2025-06-01T08:11:45+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2025-05-29T05:55:59+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2025-05-27T10:46:47+00:00","index":"","fulltext":""},{"type":"submitted","content":"Scientific Reports","date":"2025-05-10T00:15:55+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"scientific-reports","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"scirep","sideBox":"Learn more about [Scientific Reports](http://www.nature.com/srep/)","snPcode":"","submissionUrl":"","title":"Scientific Reports","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Scientific Reports","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"217cef48-9ae9-4708-b166-fb8055f8172a","owner":[],"postedDate":"June 10th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[{"id":49778626,"name":"Biological sciences/Psychology"},{"id":49778627,"name":"Health sciences/Health care"},{"id":49778628,"name":"Health sciences/Health occupations"}],"tags":[],"updatedAt":"2025-11-10T16:00:59+00:00","versionOfRecord":{"articleIdentity":"rs-6631709","link":"https://doi.org/10.1038/s41598-025-22378-4","journal":{"identity":"scientific-reports","isVorOnly":false,"title":"Scientific Reports"},"publishedOn":"2025-11-04 15:57:29","publishedOnDateReadable":"November 4th, 2025"},"versionCreatedAt":"2025-06-10 11:11:16","video":"","vorDoi":"10.1038/s41598-025-22378-4","vorDoiUrl":"https://doi.org/10.1038/s41598-025-22378-4","workflowStages":[]},"version":"v1","identity":"rs-6631709","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-6631709","identity":"rs-6631709","version":["v1"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}