Traumatic and Routine Stressors Experienced by Emergency Nurses

NCT07403656 | Completed

• 1 other identifier: AICU-TRSS-ED-2025
• Study Type: observational
• Target: 200
• Locations: 1 country
• Sites: 4

Brief Summary

Emergency nurses are frequently exposed to both traumatic events and routine work-related stressors due to the nature of emergency care settings. These experiences may have important emotional and psychological effects, which can influence nurses' well-being, job satisfaction, and quality of patient care. The aim of this study is to examine the frequency and emotional impact of traumatic and routine stressors experienced by emergency department nurses during the past six months. The study focuses on identifying common stressors and understanding how often these events occur and how strongly they affect nurses emotionally. This observational, cross-sectional study was conducted among emergency nurses working in public hospitals in Turkey. Data were collected using a structured questionnaire that includes demographic questions and the Traumatic and Routine Stressors Scale (TRSS-TR), a validated instrument designed specifically for emergency nurses. The findings of this study are expected to contribute to a better understanding of occupational stress among emergency nurses and to support the development of strategies aimed at protecting nurses' mental health and improving working conditions in emergency care environments.

Conditions

Occupational Stress; Work-Related Psychological Stress; Traumatic Stress; Burnout, Psychological

Keywords

Emergency Nurses; Traumatic and Routine Stressors; Occupational Stress; Emotional Impact; Emergency Department; Mental Health; Cross-Sectional Study

Outcome Measures

Primary Outcomes (1)

• Frequency and Emotional Impact Scores of Traumatic and Routine Stressors

  The primary outcome is the frequency and emotional impact of traumatic and routine stressors experienced by emergency department nurses, measured using the Traumatic and Routine Stressors Scale - Turkish Version (TRSS-TR). The frequency subscale assesses how often each stressor was experienced during the past six months using a 7-point Likert scale ranging from 1 ("less than three times in six months") to 7 ("daily"). The emotional impact subscale evaluates the perceived emotional impact of each stressor using a 7-point Likert scale ranging from 1 ("no emotional impact") to 7 ("maximum emotional impact"). Outcome measures are reported as continuous scale scores for frequency and emotional impact, with higher scores indicating greater exposure frequency and higher perceived emotional impact.

  One-time assessment covering stressor exposure and emotional impact over the previous 6 months

Study Arms (1)

Emergency Nurses

Registered nurses working in emergency departments who participated in this observational, cross-sectional study.

Other: No Intervention (Observational Study)

Interventions

No Intervention (Observational Study) OTHER

This study is observational and does not involve any intervention. Participants completed self-administered questionnaires only.

Emergency Nurses

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population consists of registered nurses working in emergency departments of public hospitals in Turkey. Participants are adult nurses with at least six months of emergency department experience who voluntarily agreed to participate in this observational, cross-sectional study.

You may qualify if:

• Registered nurses working in emergency departments
• At least 6 months of experience working in an emergency department
• Aged 18 years or older
• Willingness to participate voluntarily in the study
• Ability to complete an online self-administered questionnaire

You may not qualify if:

• Less than 6 months of experience working in an emergency department
• Refusal or inability to provide informed consent
• Incomplete questionnaire responses

Sponsors & Collaborators

• Agri Ibrahim Cecen University: lead

Study Sites (4)

Dr. Murat Dilmener Training and Research Hospital

Istanbul, Bostancı, 34149, Turkey (Türkiye)

Location

Dogubayazit State Hospital

Ağrı, Dogubeyazit, 04400, Turkey (Türkiye)

Location

Ağrı Training and Research Hospital

Ağrı, Merkez, Turkey (Türkiye)

Location

Taksim Training and Research Hospital

Istanbul, Taksim, 34437, Turkey (Türkiye)

Location

Related Publications (5)

• Hetherington D, Wilson NJ, Dixon K, Murphy G. Emergency department Nurses' narratives of burnout: Changing roles and boundaries. Int Emerg Nurs. 2024 Jun;74:101439. doi: 10.1016/j.ienj.2024.101439. Epub 2024 Apr 5.

  PMID: 38581856 BACKGROUND

• PMID: 38374938

  BACKGROUND

• McCormick E, Devine S, Crilly J, Brough P, Greenslade J. Measuring occupational stress in emergency departments. Emerg Med Australas. 2023 Apr;35(2):234-241. doi: 10.1111/1742-6723.14101. Epub 2022 Oct 25.

  PMID: 36283708 BACKGROUND

• Mirzaei A, Mozaffari N, Habibi Soola A. Occupational stress and its relationship with spiritual coping among emergency department nurses and emergency medical services staff. Int Emerg Nurs. 2022 May;62:101170. doi: 10.1016/j.ienj.2022.101170. Epub 2022 Apr 26.

  PMID: 35487041 BACKGROUND

• Gomez-Urquiza JL, De la Fuente-Solana EI, Albendin-Garcia L, Vargas-Pecino C, Ortega-Campos EM, Canadas-De la Fuente GA. Prevalence of Burnout Syndrome in Emergency Nurses: A Meta-Analysis. Crit Care Nurse. 2017 Oct;37(5):e1-e9. doi: 10.4037/ccn2017508.

  PMID: 28966203 BACKGROUND

MeSH Terms

Conditions

Occupational Stress; Burnout, Psychological; Emergencies; Psychological Well-Being

Interventions

Observation

Condition Hierarchy (Ancestors)

Occupational Diseases; Stress, Psychological; Behavioral Symptoms; Behavior; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Personal Satisfaction

Intervention Hierarchy (Ancestors)

Methods; Investigative Techniques

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor, Department of Nursing

Study Record Dates

• First Submitted: February 5, 2026
• First Posted: February 11, 2026
• Study Start: September 1, 2025
• Primary Completion: December 1, 2025
• Study Completion: December 30, 2025
• Last Updated: February 11, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (4)