Acil sağlık hizmetleri sunan birimler, stres yükünün oldukça fazla olduğu servislerdir. Bu birimlerde görev alan sağlık personeli öngörülebilen ve öngörülemeyen çeşitli stres faktörlerine maruz kalmakta ve sonucunda psikososyal olarak etkilenmektedir. Bu tanımlayıcı, kesitsel ve korelasyonel çalışmanın amacı, acil sağlık hizmetlerinde çalışan sağlık personelinde ikincil travmatik stres, psikolojik sağlamlık ve ilişkili faktörleri belirlemektir. Çalışma Şubat-Mayıs 2024 tarihleri arasında acil sağlık hizmetlerinde çalışan 307 sağlık personeli ile gerçekleştirilmiştir. Veriler “Kişisel Bilgi Formu”, “İkincil Travmatik Stres Ölçeği (İTSÖ)” ve “Connor-Davidson Psikolojik Sağlamlık Ölçeği” kullanılarak toplanmıştır. Çalışmaya katılan sağlık çalışanlarının “İTSÖ” toplam ve alt boyut puanlarının orta düzeyde ve “Connor-Davidson Psikolojik Sağlamlık Ölçeği” toplam ve alt boyut puanlarının ise orta düzeyin altında olduğu saptanmıştır. “İTSÖ” ile “Connor-Davidson Psikolojik Sağlamlık Ölçeği” arasında ise, negatif yönlü ve anlamlı bir ilişki olduğu belirlenmiştir. Bu sonuçlar bağlamında acil sağlık hizmeti sunan birimlerde çalışan sağlık personeli için ikincil travmatik stresin önemli bir konu olduğu ve psikolojik sağlamlıklarının artırılması ile ikincil travmatik stresin etkilerinin azaltılabileceği düşünülmektedir.
Destekleyen herhangi bir kurum ya da kuruluş bulunmamaktadır
Proje Numarası
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Teşekkür
Çalışmaya katılan tüm katılımcılara teşekkür ederiz
Kaynakça
1. Greinacher, A, Nikendei, A, Kottke, R, Wiesbeck, J, Herzog, W. and Nikendei, C. (2019). “Secondary Traumatization, Psychological Stress, and Resilience in Psychosocial Emergency Care Personnel.” International Journal of Environmental Research and Public Health, 16 (17), 3213. https://doi.org/10.3390/ijerph16173213
2. Austin, C. L, Pathak, M. and Thompson, S. (2018). “Secondary Traumatic Stress and Resilience Among EMS.” Journal of Paramedic Practice, 10 (6), 240-247. https://doi.org/10.12968/jpar.2018.10.6.240
3. Cocker, F. and Joss, N. (2016). “Compassion Fatigue Among Healthcare, Emergency and Community Service Workers: A Systematic Review.” International Journal of Environmental Research and Public Health, 13 (6), 618. https://doi.org/10.3390/ijerph13060618
4. Korkmaz, S, Şahin, S. ve Gündüz, A. (2018). “Prevalence of Secondary Traumatic Stress in Emergency Nurses: A Turkish Sample.” Journal of Traumatic Stress, 31 (2), 254-259.
5. Ogińska-Bulik, N, Gurowiec, P.J, Michalska, P. and Kędra, E. (2021). “Prevalence and Predictors of Secondary Traumatic Stress Symptoms in Health Care Professionals Working with Trauma Victims: A Cross-Sectional Study.” PloS one, 16 (2), e0247596. https://doi.org/10.1371/journal.pone.0247596
6. Pak, M.D, Özcan, E. ve Çoban, A.İ. (2017). “Acil Servis Çalışanlarının İkincil Travmatik Stres Düzeyi ve Psikolojik Dayanıklılığı.” Uluslararası Sosyal Araştırmalar Dergisi, 10 (52), 628-644. https://doi.org/10.17719/jisr.2017.1923
7. Yasal, D. (2018). İzmir İli Acil Servislerinde Çalışan Hemşirelerin Travmatik Stres Belirtilerini Etkileyen Faktörler ve Başetme Yollarının İncelenmesi. Yüksek Lisans Tezi. Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü, İzmir.
8. Renkiewicz, G.K. and Hubble, M.W. (2021). “Secondary Traumatic Stress in Emergency Services Systems (STRESS) Project: Quantifying and Predicting Compassion Fatigue in Emergency Medical Services Personnel.” Prehospital Emergency Care, 26 (5), 652-663. https://doi.org/10.1080/10903127.2021.1943578
9. Yaakubov, L, Hoffman, Y. and Rosenbloom, T. (2020). “Secondary Traumatic Stress, Vicarious Posttraumatic Growth and Their Association in Emergency Room Physicians and Nurses.” European Journal of Psychotraumatology, 11 (1). https://doi.org/10.1080/20008198.2020.1830462
10. Roden-Foreman, J.W, Bennett, M.M, Rainey, E.E, Garrett, J.S, Powers, M.B. and Warren, A.M. (2017). “Secondary Traumatic Stress in Emergency Medicine Clinicians.” Cognitive Behaviour Therapy, 46 (6), 522–532. https://doi.org/10.1080/16506073.2017.1315612
11. Maiorano, T, Vagni, M, Giostra, V. and Pajardi, D. (2020). “COVID-19: Risk Factors and Protective Role of Resilience and Coping Strategies for Emergency Stress and Secondary Trauma in Medical Staff and Emergency Workers an Online-Based Inquiry.” Sustainability, 12 (21), 9004. https://doi.org/10.3390/su12219004
12. Gürkan, A. ve Yalçıner, N. (2017). “Sağlık Çalışanlarında İkincil Travmatik Stres.” Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 6 (2), 90-95.
13. Benfante, A, Di Tella, M, Romeo, A. And Castelli, L. (2020). Traumatic Stress in Healthcare Workers During COVID-19 Pandemic: A Review of the Immediate Impact.” Frontiers in Psychology, 11, 569935. https://doi.org/10.3389/fpsyg.2020.569935
14. Morrison, L.E. and Joy, J.P. (2016). “Secondary Traumatic Stress in The Emergency Department.” Journal of Advanced Nursing, 72 (11), 2894-2906. https://doi.org/10.1111/jan.13030
15. Ratrout, H.F. and Hamdan‐Mansour, A.M. (2020). “Secondary Traumatic Stress Among Emergency Nurses: Prevalence, Predictors, and Consequences.” International Journal of Nursing Practice, 26 (1), e12767. https://doi.org/10.1111/ijn.12767
16. Bock, C, Heitland, I, Zimmermann, T, Winter, L. and Kahl, K.G. (2020). “Secondary Traumatic Stress, Mental State, and Work Ability in Nurses-Results of A Psychological Risk Assessment at A University Hospital.” Frontiers in Psychiatry, 11, 298. https://doi.org/10.3389/fpsyt.2020.00298
17. Yörük, S, Acikgoz, A. ve Güler, D. (2022). “The Predictors of Secondary Traumatic-Stress and Psychological-Resilience in Healthcare Workers During The COVID‐19 Pandemic: A Cross‐Sectional Study in Turkey.” Stress and Health, 38 (4), 746-754. https://doi.org/10.1002/smi.3129
18. Kahil, A. and Palabıyıkoğlu, N.R. (2018). “İkincil Travmatik Stres.” Psikiyatride Güncel Yaklaşımlar, 10 (1), 59-70. https://doi.org/10.18863/pgy.336495
19. Yalçın, D. ve Bingöl, F.B. (2023). “The Effect of Secondary Traumatic Stress Level on Psychological Resilience of Midwives.” Acibadem Saglık Bilimleri Dergisi, 14 (2). https://doi.org/10.31067/acusaglik.1191705
20. Shastri, P.C. (2013). “Resilience: Building Immunity in Psychiatry.” Indian Journal of Psychiatry, 55 (3), 224-234. https://doi.org/10.4103/0019-5545.117134
21. Sánchez-Zaballos, M. and Mosteiro-Díaz, M.P. (2021). “Resilience Among Professional Health Workers in Emergency Services.” Journal of Emergency Nursing, 47 (6), 925-932. https://doi.org/10.1016/j.jen.2020.07.007
22. Akman, E.E. (2023). Bir Üniversite Hastanesinde Depremzede Hastalara Hizmet Veren Sağlık Çalışanlarının İkincil Travmatik Stres, Depresyon ve Anksiyete Düzeylerinin Değerlendirilmesi. Uzmanlık Tezi. Cumhuriyet Üniversitesi Tip Fakültesi, Sivas.
23. Öztürk, G. ve Barutcu, C.D. (2022). “Determination of Secondary Traumatic Stress Levels of Healthcare Workers.” İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, 16, 136-149. https://doi.org/10.38079/igusabder.989618
24. Bride, B.R, Margaret, M, Yegidis, B. and Figley, C.R. (2004). “Development and Validation of the Secondary Traumatic Stress Scale.” Research on Social Work Practice, 14, 27-35. https://doi.org/10.1177/1049731503254106
25. Yıldırım, G, Kidak, L.B. ve Yurdabakan, İ. (2018). “İkincil Travmatik Stres Ölçeği: Bir Uyarlama Çalışması.” Psychiatry, 19 (1), 45-51. https://doi.org/10.5455/apd.247563
26. Connor, K.M. and Davidson, J.R.T, (2003). “Development of a New Resilience Scale the Connor–Davidson Resilience Scale-(CD-RISC)”. Depression and Anxiety, 18, 76–82. https://doi.org/10.1002/da.10113
27. Karaırmak, Ö. (2010). “Establishing the psychometric qualities of the Connor–Davidson Resilience Scale-(CD-RISC) using exploratory and confirmatory factor analysis in a trauma survivor sample.” Psychiatry Research, 179 (3), 350-356. https://doi.org/10.1016/j.psychres.2009.09.012
28. Kılıç, C. ve İnci, F. (2015). “Acil Tıp Çalışanlarında Travmatik Stres: Yaş ve Eğitimin Koruyucu Etkisi.” Türk Psikiyatri Dergisi, 26 (4), 236-241.
29. Berger, W, Coutinho, E.S.F. and Figueira, I. (2012) “Rescuers at Risk: A Systematic Review and Meta-Regression Analysis of the World Wide Current Prevalence and Correlates of PTSD in Rescue Workers. Soc Psychiatry Psychiatr Epidemiol, 47, 1001-1011. https://doi.org/10.1007/s00127-011-0408-2
30. Jeong, Y.J. and Shin, S. (2023). “The Relationship Between Secondary Traumatic Stress and Burnout in Critical Care Nurses: The Mediating Effect of Resilience.” Intensive and Critical Care Nursing, 74, 103327. https://doi.org/10.1016/j.iccn.2022.103327
31. Ewer, P.L, Teesson, M, Sannibale, C, Roche, A, Mills, K.L. (2015) “The Prevalence and Correlates of Secondary Traumatic Stress Among Alcohol and Other Drug Workers in Australia.” Drug Alcohol Rev, 34, 252-258. https://doi.org/10.1111/dar.12204
32. Schwartz R (2008) “Working Conditions and Secondary Traumatic Stress.” Doctoral thesis. New York, Yeshiva University.
33. Varan, D., ve Demirel, Ç. (2024). “Travmanin Dolaylı Etkisi: İkincil Travmatik Stres Üzerine Bir Derleme.” İstanbul Kent Üniversitesi İnsan ve Toplum Bilimleri Dergisi, 4 (2), 71-86. https://dergipark.org.tr/en/download/article-file/4175359
34. Orrù, G., Marzetti, F., Conversano, C., Vagheggini, G., Miccoli, M., Ciacchini, R., ... and Gemignani, A. (2021). “Secondary Traumatic Stress and Burnout in Healthcare Workers During COVID-19 Outbreak.” International Journal Of Environmental Research and Public Health, 18 (1), 337. https://doi.org/10.1037/ser0000421
Secondary Traumatic Stress Levels, Psychological Resilience and Related Factors in Emergency Health Workers
Emergency health services are units where stress levels are quite high. Healthcare workers working in these units are exposed to a variety of predictable and unpredictable stressors and are psychosocially affected as a result. The aim of this descriptive, cross-sectional, and correlational study was to determine the levels of secondary traumatic stress and psychological resilience of healthcare workers working in emergency health services and the factors associated with them. The study was conducted among 307 healthcare workers working in emergency health services between February and May 2024. Data were collected using the "Personal Information Form", "Secondary Traumatic Stress Scale (STSS)", and "Connor-Davidson Resilience Scale". It was found that the total and sub-dimension scores of "STSS" of the health professionals participating in the study were at the moderate level and the total and sub-dimension scores of "Connor-Davidson Resilience Scale" were below the moderate level. It was found that there was a negative and significant relationship between the "STSS" and the "Connor-Davidson Resilience Scale." In the context of these findings, it is suggested that secondary traumatic stress is an important issue for healthcare workers in emergency departments and that the effects of secondary traumatic stress can be reduced by increasing their resilience.
1. Greinacher, A, Nikendei, A, Kottke, R, Wiesbeck, J, Herzog, W. and Nikendei, C. (2019). “Secondary Traumatization, Psychological Stress, and Resilience in Psychosocial Emergency Care Personnel.” International Journal of Environmental Research and Public Health, 16 (17), 3213. https://doi.org/10.3390/ijerph16173213
2. Austin, C. L, Pathak, M. and Thompson, S. (2018). “Secondary Traumatic Stress and Resilience Among EMS.” Journal of Paramedic Practice, 10 (6), 240-247. https://doi.org/10.12968/jpar.2018.10.6.240
3. Cocker, F. and Joss, N. (2016). “Compassion Fatigue Among Healthcare, Emergency and Community Service Workers: A Systematic Review.” International Journal of Environmental Research and Public Health, 13 (6), 618. https://doi.org/10.3390/ijerph13060618
4. Korkmaz, S, Şahin, S. ve Gündüz, A. (2018). “Prevalence of Secondary Traumatic Stress in Emergency Nurses: A Turkish Sample.” Journal of Traumatic Stress, 31 (2), 254-259.
5. Ogińska-Bulik, N, Gurowiec, P.J, Michalska, P. and Kędra, E. (2021). “Prevalence and Predictors of Secondary Traumatic Stress Symptoms in Health Care Professionals Working with Trauma Victims: A Cross-Sectional Study.” PloS one, 16 (2), e0247596. https://doi.org/10.1371/journal.pone.0247596
6. Pak, M.D, Özcan, E. ve Çoban, A.İ. (2017). “Acil Servis Çalışanlarının İkincil Travmatik Stres Düzeyi ve Psikolojik Dayanıklılığı.” Uluslararası Sosyal Araştırmalar Dergisi, 10 (52), 628-644. https://doi.org/10.17719/jisr.2017.1923
7. Yasal, D. (2018). İzmir İli Acil Servislerinde Çalışan Hemşirelerin Travmatik Stres Belirtilerini Etkileyen Faktörler ve Başetme Yollarının İncelenmesi. Yüksek Lisans Tezi. Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü, İzmir.
8. Renkiewicz, G.K. and Hubble, M.W. (2021). “Secondary Traumatic Stress in Emergency Services Systems (STRESS) Project: Quantifying and Predicting Compassion Fatigue in Emergency Medical Services Personnel.” Prehospital Emergency Care, 26 (5), 652-663. https://doi.org/10.1080/10903127.2021.1943578
9. Yaakubov, L, Hoffman, Y. and Rosenbloom, T. (2020). “Secondary Traumatic Stress, Vicarious Posttraumatic Growth and Their Association in Emergency Room Physicians and Nurses.” European Journal of Psychotraumatology, 11 (1). https://doi.org/10.1080/20008198.2020.1830462
10. Roden-Foreman, J.W, Bennett, M.M, Rainey, E.E, Garrett, J.S, Powers, M.B. and Warren, A.M. (2017). “Secondary Traumatic Stress in Emergency Medicine Clinicians.” Cognitive Behaviour Therapy, 46 (6), 522–532. https://doi.org/10.1080/16506073.2017.1315612
11. Maiorano, T, Vagni, M, Giostra, V. and Pajardi, D. (2020). “COVID-19: Risk Factors and Protective Role of Resilience and Coping Strategies for Emergency Stress and Secondary Trauma in Medical Staff and Emergency Workers an Online-Based Inquiry.” Sustainability, 12 (21), 9004. https://doi.org/10.3390/su12219004
12. Gürkan, A. ve Yalçıner, N. (2017). “Sağlık Çalışanlarında İkincil Travmatik Stres.” Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 6 (2), 90-95.
13. Benfante, A, Di Tella, M, Romeo, A. And Castelli, L. (2020). Traumatic Stress in Healthcare Workers During COVID-19 Pandemic: A Review of the Immediate Impact.” Frontiers in Psychology, 11, 569935. https://doi.org/10.3389/fpsyg.2020.569935
14. Morrison, L.E. and Joy, J.P. (2016). “Secondary Traumatic Stress in The Emergency Department.” Journal of Advanced Nursing, 72 (11), 2894-2906. https://doi.org/10.1111/jan.13030
15. Ratrout, H.F. and Hamdan‐Mansour, A.M. (2020). “Secondary Traumatic Stress Among Emergency Nurses: Prevalence, Predictors, and Consequences.” International Journal of Nursing Practice, 26 (1), e12767. https://doi.org/10.1111/ijn.12767
16. Bock, C, Heitland, I, Zimmermann, T, Winter, L. and Kahl, K.G. (2020). “Secondary Traumatic Stress, Mental State, and Work Ability in Nurses-Results of A Psychological Risk Assessment at A University Hospital.” Frontiers in Psychiatry, 11, 298. https://doi.org/10.3389/fpsyt.2020.00298
17. Yörük, S, Acikgoz, A. ve Güler, D. (2022). “The Predictors of Secondary Traumatic-Stress and Psychological-Resilience in Healthcare Workers During The COVID‐19 Pandemic: A Cross‐Sectional Study in Turkey.” Stress and Health, 38 (4), 746-754. https://doi.org/10.1002/smi.3129
18. Kahil, A. and Palabıyıkoğlu, N.R. (2018). “İkincil Travmatik Stres.” Psikiyatride Güncel Yaklaşımlar, 10 (1), 59-70. https://doi.org/10.18863/pgy.336495
19. Yalçın, D. ve Bingöl, F.B. (2023). “The Effect of Secondary Traumatic Stress Level on Psychological Resilience of Midwives.” Acibadem Saglık Bilimleri Dergisi, 14 (2). https://doi.org/10.31067/acusaglik.1191705
20. Shastri, P.C. (2013). “Resilience: Building Immunity in Psychiatry.” Indian Journal of Psychiatry, 55 (3), 224-234. https://doi.org/10.4103/0019-5545.117134
21. Sánchez-Zaballos, M. and Mosteiro-Díaz, M.P. (2021). “Resilience Among Professional Health Workers in Emergency Services.” Journal of Emergency Nursing, 47 (6), 925-932. https://doi.org/10.1016/j.jen.2020.07.007
22. Akman, E.E. (2023). Bir Üniversite Hastanesinde Depremzede Hastalara Hizmet Veren Sağlık Çalışanlarının İkincil Travmatik Stres, Depresyon ve Anksiyete Düzeylerinin Değerlendirilmesi. Uzmanlık Tezi. Cumhuriyet Üniversitesi Tip Fakültesi, Sivas.
23. Öztürk, G. ve Barutcu, C.D. (2022). “Determination of Secondary Traumatic Stress Levels of Healthcare Workers.” İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, 16, 136-149. https://doi.org/10.38079/igusabder.989618
24. Bride, B.R, Margaret, M, Yegidis, B. and Figley, C.R. (2004). “Development and Validation of the Secondary Traumatic Stress Scale.” Research on Social Work Practice, 14, 27-35. https://doi.org/10.1177/1049731503254106
25. Yıldırım, G, Kidak, L.B. ve Yurdabakan, İ. (2018). “İkincil Travmatik Stres Ölçeği: Bir Uyarlama Çalışması.” Psychiatry, 19 (1), 45-51. https://doi.org/10.5455/apd.247563
26. Connor, K.M. and Davidson, J.R.T, (2003). “Development of a New Resilience Scale the Connor–Davidson Resilience Scale-(CD-RISC)”. Depression and Anxiety, 18, 76–82. https://doi.org/10.1002/da.10113
27. Karaırmak, Ö. (2010). “Establishing the psychometric qualities of the Connor–Davidson Resilience Scale-(CD-RISC) using exploratory and confirmatory factor analysis in a trauma survivor sample.” Psychiatry Research, 179 (3), 350-356. https://doi.org/10.1016/j.psychres.2009.09.012
28. Kılıç, C. ve İnci, F. (2015). “Acil Tıp Çalışanlarında Travmatik Stres: Yaş ve Eğitimin Koruyucu Etkisi.” Türk Psikiyatri Dergisi, 26 (4), 236-241.
29. Berger, W, Coutinho, E.S.F. and Figueira, I. (2012) “Rescuers at Risk: A Systematic Review and Meta-Regression Analysis of the World Wide Current Prevalence and Correlates of PTSD in Rescue Workers. Soc Psychiatry Psychiatr Epidemiol, 47, 1001-1011. https://doi.org/10.1007/s00127-011-0408-2
30. Jeong, Y.J. and Shin, S. (2023). “The Relationship Between Secondary Traumatic Stress and Burnout in Critical Care Nurses: The Mediating Effect of Resilience.” Intensive and Critical Care Nursing, 74, 103327. https://doi.org/10.1016/j.iccn.2022.103327
31. Ewer, P.L, Teesson, M, Sannibale, C, Roche, A, Mills, K.L. (2015) “The Prevalence and Correlates of Secondary Traumatic Stress Among Alcohol and Other Drug Workers in Australia.” Drug Alcohol Rev, 34, 252-258. https://doi.org/10.1111/dar.12204
32. Schwartz R (2008) “Working Conditions and Secondary Traumatic Stress.” Doctoral thesis. New York, Yeshiva University.
33. Varan, D., ve Demirel, Ç. (2024). “Travmanin Dolaylı Etkisi: İkincil Travmatik Stres Üzerine Bir Derleme.” İstanbul Kent Üniversitesi İnsan ve Toplum Bilimleri Dergisi, 4 (2), 71-86. https://dergipark.org.tr/en/download/article-file/4175359
34. Orrù, G., Marzetti, F., Conversano, C., Vagheggini, G., Miccoli, M., Ciacchini, R., ... and Gemignani, A. (2021). “Secondary Traumatic Stress and Burnout in Healthcare Workers During COVID-19 Outbreak.” International Journal Of Environmental Research and Public Health, 18 (1), 337. https://doi.org/10.1037/ser0000421
Toplam 34 adet kaynakça vardır.
Ayrıntılar
Birincil Dil
Türkçe
Konular
Acil Servis Hemşireliği, Sağlık Hizmetleri ve Sistemleri (Diğer)
Çömez İkican, T., & Şahin Bayındır, G. (2025). Acil Sağlık Hizmetlerinde Çalışan Sağlık Personellerinin İkincil Travmatik Stres Düzeyleri, Psikolojik Sağlamlıkları ve İlişkili Faktörler. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 14(1), 165-174. https://doi.org/10.37989/gumussagbil.1506342
AMA
Çömez İkican T, Şahin Bayındır G. Acil Sağlık Hizmetlerinde Çalışan Sağlık Personellerinin İkincil Travmatik Stres Düzeyleri, Psikolojik Sağlamlıkları ve İlişkili Faktörler. Gümüşhane Sağlık Bilimleri Dergisi. Mart 2025;14(1):165-174. doi:10.37989/gumussagbil.1506342
Chicago
Çömez İkican, Tuba, ve Gizem Şahin Bayındır. “Acil Sağlık Hizmetlerinde Çalışan Sağlık Personellerinin İkincil Travmatik Stres Düzeyleri, Psikolojik Sağlamlıkları Ve İlişkili Faktörler”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 14, sy. 1 (Mart 2025): 165-74. https://doi.org/10.37989/gumussagbil.1506342.
EndNote
Çömez İkican T, Şahin Bayındır G (01 Mart 2025) Acil Sağlık Hizmetlerinde Çalışan Sağlık Personellerinin İkincil Travmatik Stres Düzeyleri, Psikolojik Sağlamlıkları ve İlişkili Faktörler. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 14 1 165–174.
IEEE
T. Çömez İkican ve G. Şahin Bayındır, “Acil Sağlık Hizmetlerinde Çalışan Sağlık Personellerinin İkincil Travmatik Stres Düzeyleri, Psikolojik Sağlamlıkları ve İlişkili Faktörler”, Gümüşhane Sağlık Bilimleri Dergisi, c. 14, sy. 1, ss. 165–174, 2025, doi: 10.37989/gumussagbil.1506342.
ISNAD
Çömez İkican, Tuba - Şahin Bayındır, Gizem. “Acil Sağlık Hizmetlerinde Çalışan Sağlık Personellerinin İkincil Travmatik Stres Düzeyleri, Psikolojik Sağlamlıkları Ve İlişkili Faktörler”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 14/1 (Mart 2025), 165-174. https://doi.org/10.37989/gumussagbil.1506342.
JAMA
Çömez İkican T, Şahin Bayındır G. Acil Sağlık Hizmetlerinde Çalışan Sağlık Personellerinin İkincil Travmatik Stres Düzeyleri, Psikolojik Sağlamlıkları ve İlişkili Faktörler. Gümüşhane Sağlık Bilimleri Dergisi. 2025;14:165–174.
MLA
Çömez İkican, Tuba ve Gizem Şahin Bayındır. “Acil Sağlık Hizmetlerinde Çalışan Sağlık Personellerinin İkincil Travmatik Stres Düzeyleri, Psikolojik Sağlamlıkları Ve İlişkili Faktörler”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, c. 14, sy. 1, 2025, ss. 165-74, doi:10.37989/gumussagbil.1506342.
Vancouver
Çömez İkican T, Şahin Bayındır G. Acil Sağlık Hizmetlerinde Çalışan Sağlık Personellerinin İkincil Travmatik Stres Düzeyleri, Psikolojik Sağlamlıkları ve İlişkili Faktörler. Gümüşhane Sağlık Bilimleri Dergisi. 2025;14(1):165-74.