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Psychosocial Consequences Among Nurses in the Affected Area of the Great East Japan Earthquake of 2011 and the Fukushima Complex Disaster: A Qualitative Study

Published online by Cambridge University Press:  28 December 2018

Hideko Sato Open the ORCID record for Hideko Sato [Opens in a new window] ,
Teeranee Techasrivichien ,
Atsuko Omori ,
Masako Ono-Kihara  and
Masahiro Kihara
Hideko Sato*
Affiliation:
Department of Nursing, Tokyo Kasei University, Saitama, Japan
Teeranee Techasrivichien
Affiliation:
Department of Global Health and Socio-epidemiology, Kyoto University School of Public Health, Kyoto, Japan
Atsuko Omori
Affiliation:
Medical English Learning Support Association, Tokyo, Japan
Masako Ono-Kihara
Affiliation:
Department of Global Health and Socio-epidemiology, Kyoto University School of Public Health, Kyoto, Japan
Masahiro Kihara
Affiliation:
Department of Global Health and Socio-epidemiology, Kyoto University School of Public Health, Kyoto, Japan
*
Correspondence and reprint requests to Hideko Sato, Department of Nursing, Tokyo Kasei University, 2-15-1 Inariyama, Sayama, Saitama, 350-1398, Japan (e-mail: sato-hi@tokyo-kasei.ac.jp).
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Abstract

Objective

The goal of this study was to assess the psychosocial consequences among nurses affected by the Great East Japan Earthquake in order to identify their coping strategies and explore possible countermeasures against complex disasters.

Methods

In 2012, we conducted a qualitative study and screened participants for posttraumatic stress disorder (PTSD).

Results

Thirty-eight nurses participated in this study. The result showed a relatively high proportion of probable PTSD (39%). Thirty-two conceptual codes emerged from the data and were grouped into 8 categories: “initial acute stress,” “acute stress turning chronic,” “chronic physical and mental fatigue,” “occupational stress,” “fear of the impact of radiation on children’s health,” “occupational satisfaction,” “positive influences of the disaster experiences,” and “impact of mutual care through interpersonal cognition.”

Conclusions

The study reveals that mutual care may have a positive impact in assisting recovery and enhancing the psychological well-being of nurses. We suggest that disaster management should take into consideration the conflict between professional and family responsibilities. In the light of the chronic impact of the nuclear crisis, enhanced support for interpersonal relationships and human resources, as well as appropriate safety precautions, is urgently needed to help affected nurses. (Disaster Med Public Health Preparedness. 2019;13:519-526)

Keywords

complexdisasterpsycosocalconsequencesself-condemnationrole conflictinterpersonal relationships
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 13 , Issue 3 , June 2019 , pp. 519 - 526
Copyright
Copyright © 2018 Society for Disaster Medicine and Public Health, Inc. 

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References

REFERENCES

1. IAEA report on international experts meeting protection against extreme earthquakes and tsunamis in the light of the accident at the Fukushima Daiichi Nuclear Power Plant. International Atomic Energy Agency website. https://www.iaea.org/sites/default/files/protection040912.pdf. Accessed November 4, 2017.Google Scholar
2. Press information. Ministry of International Affairs and Communications website. http://www.fdma.go.jp/neuter/topics/houdou/h29/03/290308_houdou_1.pdf. Accessed July 4, 2017.Google Scholar
3. The Medical Governance Association, Volume 462, Issued April 12, 2012. http://medg.jp. Accessed May 4, 2012.Google Scholar
4. Yamazaki, T, Tanno, H. Stress Responses of Nurses in the 2004 Niigata-Ken Chuetsu Earthquake [Japanese]. J Disast Med. 2009;14:157-163.Google Scholar
5. Asukai, N, Kato, H, Kawamura, N, et al. Reliability and validity of the Japanese-language version of the Impact of Event Scale-Revised (IES-R-J): four studies on different traumatic events. J Nerv Ment Dis. 2002;190:175-182.Google Scholar
6. Weiss, D, Marmar, C. The impact of Event Scale-Revised. In: Wilson J, Keane T, eds. Assessing Psychological Trauma and PTSD, 2nd ed. New York: The Guilford Press; 2004:168-189.Google Scholar
7. PTSD: National Center for PTSD. US Department of Veterans Affairs website. http://www.ptsd.va.gov/professional/assessment/adult-sr/ies-r.asp. Accessed November 4, 2017.Google Scholar
8. Ohtsuka, E, Matsumoto, J. Secondary Traumatization of Rescue Workers and the Mental Health Care System. Bull Nagano Coll Nurs. 2007;9:19-27.Google Scholar
9. Kinoshita, Y. Modified Grounded Theory Approach: Invitation to the Qualitative study. Tokyo: KOUBUNDOU Publishers Inc; 2003.Google Scholar
10. Kim, Y. The Understanding and Treatment of Psychological Trauma., 2nd ed. Tokyo: Jiho; 2006:308-311.Google Scholar
11. Yonemoto, K, Mano, T. Impact on work and family among the nurse that was affected by the Fukushima nuclear accident. J Jpn Soc Health Care Manag. 2015;16(3):122-126.Google Scholar
12. Tanno, H, Yamazaki, T, Matsui, Y. Stress responses of caregiving staffs in the 2007 Niigata-Ken Chuetsu-oki Earthquake, II: results of the questionnaire survey conducted in one year after disaster. Jpn J Disast Med. 2012;17(3):431-437.Google Scholar
13. Shiga, M, Kida, T, Yokoyama, T, et al. Affected nurses by the Fukushima Daiichi Nuclear accident in relation to psychological and working condition. Jpn Nurs Assoc. 2014:125-128.Google Scholar
14. Kawamura, T, Goto, T, Matsuda, N, et al. Psychological influence of the Kobe earthquake on nurses after 10 years. Jpn Munic Hosp Assoc. 2006;45:19-27.Google Scholar
15. Kobayashi, K. Stress responses and stress-related issues suffered by nurses who worked on disaster support. Jpn J Disast Med. 2011;12(3):47-57.Google Scholar
16. Matui, Y, Yamazaki, T, Kohama, S, et al. 33% of the Nurses Who Work at Affected Area Have PTSD Concerned by Expert Survey. Tokyo: Sankei Shimbun; 2011 Dec 28.Google Scholar
17. Matsui, Y, Yamazaki, T, Kiyoshi, A, et al. Comprehensive research on the critical incident stress in East Asia. http://hdl.handle.net/2241/00124928. Accessed October 4, 2016.Google Scholar
18. Kuwabara, H, Shioiri, T, Toyabe, S-I, et al. Factors impacting on psychological distress and recovery after the 2004 Niigata-Chuetsu earthquake, Japan: community-based study. Psychiatry Clin Neurosci. 2008;62:503-507.Google Scholar
19. Abramson, D, Stehling-Ariza, T, Garfield, R, et al. Prevalence and predictors of mental health distress post-Katrina: findings from the Gulf Coast Child and Family Health Study. Disast Med Public Health Preparedness. 2008;2:77-86.Google Scholar
20. Herberman Mash, Holly B., Fullerton, Carol S., Kowalski-Trakofler, Kathleen, et al. Florida Department of Health Workers’ Response to 2004 Hurricanes: A qualitative Analysis. Disaster Medicine and Public Health Prep. 2013;7:153-159.Google Scholar
21. Shia, F-J, Liao, Y-C, Chan, S-M, et al. The impact of 9-21 earthquake experiences of Taiwanese nurses as rescuers. Soc Sci Med. 2002;59:659-672.Google Scholar
22. Gloria, G, Orlando, S, Savage, J, et al. Perinatal nursing in uncertain times: the Katrina effect. Am J Matern Child Nurs. 2008;33(4):249-257.Google Scholar
23. Geisz-Everson, MA, Dodd-McCue, D, Bennett, M. Shared experiences of CRNAs who were on duty in New Orleans during Hurricane Katrina. AANA J. 2012;80(3):205-212.Google Scholar
24. Fukazawa, K, Yamada, M, Ishioka, Y. The Research About the Mental Health of the Nurses Who Were Engaged in Critical Care in the Hospital for the Patient in Niigata Chuetsu Earthquake: Focusing to the Recovery Process of Their Mental Health for 10 Months After the Disaster. Niigaka, Japan: Niigata Research Institute of Nursing Annual Report 17; 2016:21-30.Google Scholar
25. Tsujiuchi, T. Mental health impact of the Fukushima nuclear disaster: post-traumatic stress and psycho-socio-economic factors. Fukushima Global Communication Programme Working Paper Series Number 8, December 2015. http://www.google.co.jp/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0ahUKEwjhvuG7oJTRAhUMfLwKHYxhAngQFggcMAA&url=http%3A%2F%2Fi.unu.edu%2Fmedia%2Ffgc.unu.edu-en%2Fpage%2F922%2FFGC-WP-8-FINAL.pdf&usg=AFQjCNEp_xYoDl88q-z-ocBcdVIt0G1LNQ. Accessed October 4, 2016.Google Scholar
26. Nishi, D, Kawashima, Y, Noguchi, H, et al. Resilience, post-traumatic growth, and work engagement among health care professionals after the Great East Japan Earthquake: a 4-year prospective follow-up study. J Occup Health. 2016;58:347-353.Google Scholar
27. Nihei, Y. Disaster resilience: the viewpoint of victims. Gakujyutsu no doukou. 2015;20(7):44-54. doi: 10.5363/tits.20.7_44Google Scholar
28. Collins, S, Long, A. Working with the psychological effects of trauma: consequences for mental health-care workers-a literature review. J Psychiatry Ment Health Nurs. 2003;10:417-424.Google Scholar