Latent profiles analysis and factors influencing vicarious trauma among pediatric critical care nurses

BO Enhui; JIANG Min; WU Yanming; HE Xingyue; YANG Erming; YANG Hui

doi:10.12102/j.issn.1009-6493.2025.19.001

Abstract：Objective:To explore the latent classification characteristics and their influencing factors of vicarious trauma among pediatric critical care nurses.Methods:Using a convenience sampling method,a total of 319 pediatric critical care nurses from 12 hospitals in Shanxi province were selected from July to August 2024.General Information Questionnaire,Vicarious Trauma Scale for Medical Staff,Regulatory Emotional Self-Efficacy Scale,and Simplified Chinese Version of Event Related Rumination Inventory were used for the survey.The categories of pediatric critical care nurses'vicarious trauma were initially explored based on the latent profiles,and the influencing factors of the latent profiles were analyzed using unordered multinomial logistic regression.Results:The score of Vicarious Trauma Scale for Medical Staff was 81.60±22.55.Vicarious trauma was divided into four latent profiles:mild trauma response group,emotionally dominant response group,significant negative trauma group,and balanced trauma response group.The regression analysis results showed that age,education level,years of working experience,reproductive status,death of a relative,rescuing a patient,death of a patient under care,regulatory emotional self-efficacy,and rumination were influencing factors of vicarious trauma among pediatric critical care nurses.Conclusions:There is population heterogeneity among pediatric critical care nurses in vicarious trauma.Nursing managers can provide individualized interventions to nurses based on the influencing factors of different latent profiles to reduce the level of vicarious trauma among pediatric nurses.