Occupational StressTRSS-EDNCT07403656
Traumatic and Routine Stressors Experienced by Emergency Nurses
An observational study of Occupational Stress and Work-Related Psychological Stress, run by Agri Ibrahim Cecen University at 4 sites in Turkey (Türkiye).
Trial 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. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Occupational Stress, Work-Related Psychological Stress, Traumatic Stress
- How many people
- 200 participants
- Where
- 4 sitesTurkey (Türkiye)
- Study dates
- 1 Sep 2025to 30 Dec 2025
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
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.
Who may be able to join
- 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
Who cannot join
- Less than 6 months of experience working in an emergency department
- Refusal or inability to provide informed consent
- Incomplete questionnaire responses
Trial locations and contacts
4 sites in 1 country.
Turkey (Türkiye)4 sites
Dogubayazit State Hospital
Ağrı, Dogubeyazit, 04400
Ağrı Training and Research Hospital
Ağrı, Merkez
Dr. Murat Dilmener Training and Research Hospital
Istanbul, Bostancı, 34149
Taksim Training and Research Hospital
Istanbul, Taksim, 34437
About this study
Official title: Acil Servis Hemşirelerin Deneyimledikleri Travma ve Rutin Stresörlerin İncelenmesi
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.
Read more
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.
Read the detailed description
Emergency departments are high-intensity clinical environments where nurses are regularly exposed to traumatic events such as sudden death, severe injuries, violence, and resuscitation efforts, as well as routine stressors including high workload, time pressure, communication challenges with patients' relatives, and limitations in providing optimal care. While traumatic events are often sudden and emotionally intense, routine stressors may appear less severe but can accumulate over time and lead to significant psychological burden.
This study was designed as an observational, descriptive, and cross-sectional investigation to systematically examine both traumatic and routine stressors experienced by emergency department nurses and to evaluate the emotional impact of these experiences. The study was conducted in multiple public hospitals located in different regions of Turkey, reflecting the multi-center nature of emergency nursing practice.
The study population consisted of registered nurses working in emergency departments. Eligibility criteria included having at least six months of experience in an emergency department and voluntary agreement to participate in the study. Nurses who met these criteria were invited to complete an anonymous, self-administered online questionnaire.
Data collection took place between September 1, 2025, and December 1, 2025. The questionnaire included two main components: a demographic information form and the Traumatic and Routine Stressors Scale - Turkish Version (TRSS-TR). The TRSS-TR is a validated and reliable instrument adapted for use among Turkish emergency nurses. The scale assesses both the frequency of exposure to specific traumatic and routine stressors during the past six months and the perceived emotional impact of each stressor. Responses are rated on Likert-type scales, allowing for quantitative analysis of stressor exposure and emotional burden.
All data were collected anonymously using a secure online survey platform. Participation was entirely voluntary, and informed consent was obtained electronically from all participants prior to data collection. No identifying personal information was collected.
Data analysis was performed using statistical software. Descriptive statistics were used to summarize demographic characteristics and scale scores. Depending on data distribution, appropriate parametric or non-parametric tests were applied to examine relationships between stressor frequency, emotional impact, and selected demographic or occupational variables. Statistical significance was set at p < 0.05.
This study does not involve any intervention, experimental treatment, drug, or medical device. There are no anticipated physical or clinical risks to participants. The study protocol was reviewed and approved by the Ethics Committee of Agri Ibrahim Cecen University. The results are expected to provide evidence-based insights into occupational stress among emergency nurses and to inform future initiatives aimed at improving mental health support, workplace resilience, and organizational policies in emergency care settings.
- Conditions
- Occupational Stress, Work-Related Psychological Stress, Traumatic Stress, Burnout, Psychological
- Being tested
- No Intervention (Observational Study)
- Keywords
- Emergency Nurses, Traumatic and Routine Stressors, Occupational Stress, Emotional Impact, Emergency Department, Mental Health, Cross-Sectional Study
- Medical subject headings
- Occupational Stress, Burnout, Psychological, Emergencies, Psychological Well-Being
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
No Intervention (Observational Study)Other
This study is observational and does not involve any intervention. Participants completed self-administered questionnaires only.
| Study group | Role | What they receive |
|---|---|---|
| Emergency Nurses | Registered nurses working in emergency departments who participated in this observational, cross-sectional study. Receives: Other: No Intervention (Observational Study) |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: One-time assessment covering stressor exposure and emotional impact over the previous 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Feb 2026
- Study start1 Sep 2025
- Primary completion1 Dec 2025
- Study completion30 Dec 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Occupational StressStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Cross-sectional
- Enrolment
- 200 participants (actual)
Sponsor and investigators
- Lead sponsor
- Agri Ibrahim Cecen University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Volkan Gokmen, Agri Ibrahim Cecen University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07403656
- Sponsor's protocol ID
- AICU-TRSS-ED-2025
- Acronym
- TRSS-ED
- Status last verified
- Feb 2026
- First submitted
- 5 Feb 2026
- Last updated
- 11 Feb 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data (IPD) will not be shared. The study involves anonymous self-reported questionnaire data collected from healthcare professionals and includes sensitive occupational and psychological information. Data sharing was not included in the original ethics committee approval, and therefore individual-level data will be used only for the purposes of this study and related scientific publications.
Publications
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.
PubMed 38581856PMID: 38374938
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.
PubMed 36283708Mirzaei 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.
PubMed 35487041Gomez-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.
PubMed 28966203
Study at a glance
From the registry record, last updated by the sponsor on 11 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Acil Servis Hemşirelerin Deneyimledikleri Travma ve Rutin Stresörlerin İncelenmesi
- ClinicalTrials.gov ID
- NCT07403656
- Acronym / sponsor ID
- TRSS-ED / AICU-TRSS-ED-2025
- 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
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 200 participants (actual)
- Lead sponsor
- Agri Ibrahim Cecen UniversityUniversity, hospital or other
- Study start
- 1 Sep 2025 (actual)
- Primary completion
- 1 Dec 2025 (actual)
- Study completion
- 30 Dec 2025 (actual)
- First posted
- 11 Feb 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
Emergency departments are high-intensity clinical environments where nurses are regularly exposed to traumatic events such as sudden death, severe injuries, violence, and resuscitation efforts, as well as routine stressors including high workload, time pressure, communication challenges with patients' relatives, and limitations in providing optimal care. While traumatic events are often sudden and emotionally intense, routine stressors may appear less severe but can accumulate over time and lead to significant psychological burden.
This study was designed as an observational, descriptive, and cross-sectional investigation to systematically examine both traumatic and routine stressors experienced by emergency department nurses and to evaluate the emotional impact of these experiences. The study was conducted in multiple public hospitals located in different regions of Turkey, reflecting the multi-center nature of emergency nursing practice.
The study population consisted of registered nurses working in emergency departments. Eligibility criteria included having at least six months of experience in an emergency department and voluntary agreement to participate in the study. Nurses who met these criteria were invited to complete an anonymous, self-administered online questionnaire.
Data collection took place between September 1, 2025, and December 1, 2025. The questionnaire included two main components: a demographic information form and the Traumatic and Routine Stressors Scale - Turkish Version (TRSS-TR). The TRSS-TR is a validated and reliable instrument adapted for use among Turkish emergency nurses. The scale assesses both the frequency of exposure to specific traumatic and routine stressors during the past six months and the perceived emotional impact of each stressor. Responses are rated on Likert-type scales, allowing for quantitative analysis of stressor exposure and emotional burden.
All data were collected anonymously using a secure online survey platform. Participation was entirely voluntary, and informed consent was obtained electronically from all participants prior to data collection. No identifying personal information was collected.
Data analysis was performed using statistical software. Descriptive statistics were used to summarize demographic characteristics and scale scores. Depending on data distribution, appropriate parametric or non-parametric tests were applied to examine relationships between stressor frequency, emotional impact, and selected demographic or occupational variables. Statistical significance was set at p < 0.05.
This study does not involve any intervention, experimental treatment, drug, or medical device. There are no anticipated physical or clinical risks to participants. The study protocol was reviewed and approved by the Ethics Committee of Agri Ibrahim Cecen University. The results are expected to provide evidence-based insights into occupational stress among emergency nurses and to inform future initiatives aimed at improving mental health support, workplace resilience, and organizational policies in emergency care settings.
Study design
- Observational model
- Other
- Time perspective
- Cross-sectional
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Emergency Nurses | – | Other: No Intervention (Observational Study)Registered nurses working in emergency departments who participated in this observational, cross-sectional study. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- 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.
Key inclusion criteria (5 listed)
- 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
Key exclusion criteria (3 listed)
- Less than 6 months of experience working in an emergency department
- Refusal or inability to provide informed consent
- Incomplete questionnaire responses
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| No Intervention (Observational Study)This study is observational and does not involve any intervention. Participants completed self-administered questionnaires only. | Other | Emergency Nurses |
Primary outcome
Frequency and Emotional Impact Scores of Traumatic and Routine Stressors
Time frame: One-time assessment covering stressor exposure and emotional impact over the previous 6 months
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.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Feb 2026.
- Background: PubMed 38581856Hetherington 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.
- BackgroundPMID: 38374938
- Background: PubMed 36283708McCormick 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.
- Background: PubMed 35487041Mirzaei 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.
- Background: PubMed 28966203Gomez-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.
- Individual participant dataSharing planned: No. Individual participant data (IPD) will not be shared. The study involves anonymous self-reported questionnaire data collected from healthcare professionals and includes sensitive occupational and psychological information. Data sharing was not included in the original ethics committee approval, and therefore individual-level data will be used only for the purposes of this study and related scientific publications.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Occupational Stress and Work-Related Psychological Stress, run by Agri Ibrahim Cecen University at 4 sites in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Frequency and Emotional Impact Scores of Traumatic and Routine Stressors (time frame: One-time assessment covering stressor exposure and emotional impact over the previous 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07403656, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Feb 2026.