{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T06:18:42Z","timestamp":1783491522916,"version":"3.55.0"},"reference-count":36,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"\n Background<\/jats:title>\n Although secondary traumatic stress (STS) is common in nurses and is associated with various psychological disorders such as anxiety and depression, the prevalence and its associated factors of STS specifically among oncology nurses remain unclear. This study aimed to determine the prevalence of STS and its associated factors among oncology nurses.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A cross-sectional correlational study was conducted using convenience sampling to recruit nurses from five tertiary hospitals in Sichuan Province, China, between July and December 2025. Data collection tools included a demographic information questionnaire, the Secondary Traumatic Stress Scale, and the Pittsburgh Sleep Quality Index. Univariate analysis and binary logistic regression were employed to explore the factors associated with STS among oncology nurses.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Among the 536 enrolled oncology nurses, 342 (63.8%) were screened positive for STS symptoms based on the STSS threshold. Age (31\u201345\u202fyears: OR\u202f=\u202f0.412, 95% CI: 0.181\u20130.929,\n p<\/jats:italic>\n \u202f=\u202f0.033; 46\u201360\u202fyears: OR\u202f=\u202f0.315, 95% CI: 0.113\u20130.874,\n p<\/jats:italic>\n \u202f=\u202f0.026), educational background (undergraduate: OR\u202f=\u202f0.637, 95% CI: 0.416\u20130.976,\n p<\/jats:italic>\n \u202f=\u202f0.038; postgraduate: OR\u202f=\u202f0.505, 95% CI:0.467\u20130.851,\n p<\/jats:italic>\n \u202f=\u202f0.015), work experience (11\u201320\u202fyears: OR\u202f=\u202f0.466, 95% CI: 0.351\u20130.658,\n p<\/jats:italic>\n \u202f=\u202f0.034; &gt; 20\u202fyears: OR\u202f=\u202f0.319, 95% CI:0.268\u20130.545,\n p<\/jats:italic>\n \u202f=\u202f0.017), night shift (OR\u202f=\u202f1.752, 95% CI: 1.289\u20132.563,\n p<\/jats:italic>\n \u202f=\u202f0.035), sleep quality (OR\u202f=\u202f2.354, 95% CI: 2.014\u20133.513,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001), and self-regulatory fatigue (OR\u202f=\u202f1.647, 95% CI: 1.157\u20132.256,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001) were identified as significantly associated factors of STS among oncology nurses.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Our findings revealed that STS was highly prevalent among oncology nurses and was significantly correlated with age, educational background, work experience, night shift, sleep quality, and self-regulatory fatigue. These findings suggest that nursing managers should prioritize STS prevention by providing individualized psychosocial interventions, such as mindfulness training, resilience cultivation, peer support, and sleep hygiene education.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1889359","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:56:56Z","timestamp":1783490216000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence of secondary traumatic stress and its associated factors among oncology nurses: a multicenter cross-sectional study"],"prefix":"10.3389","volume":"14","author":[{"given":"Li","family":"Wang","sequence":"first","affiliation":[{"name":"Division of Biliary Tract Surgery, Department of General Surgery, West China Hospital, Sichuan University","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaorong","family":"Xu","sequence":"additional","affiliation":[{"name":"Division of Biliary Tract Surgery, Department of General Surgery, West China Hospital, Sichuan University","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Cancer Center, West China Hospital, Sichuan University","place":["Chengdu, Sichuan, China"]},{"name":"Lung Cancer Center\/Lung Cancer Institute, West China Hospital, Sichuan University","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Cancer Center, West China Hospital, Sichuan University","place":["Chengdu, Sichuan, China"]},{"name":"Lung Cancer Center\/Lung Cancer Institute, West China Hospital, Sichuan University","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1097\/ANS.0000000000000338","article-title":"Secondary traumatic stress in nursing: a Walker and Avant concept analysis","volume":"44","author":"Kellogg","year":"2021","journal-title":"ANS Adv Nurs Sci"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e70377","DOI":"10.1111\/nicc.70377","article-title":"Burnout and compassion fatigue among ICU nurses: a systematic review of predictors, protective factors and workforce retention interventions","volume":"31","author":"Badawy","year":"2026","journal-title":"Nurs Crit Care"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1016\/j.apnu.2021.05.005","article-title":"Depression, anxiety, and suicidal ideation in nurses with and without symptoms of secondary traumatic stress during the COVID-19 outbreak","volume":"37","author":"Ariapooran","year":"2022","journal-title":"Arch Psychiatr Nurs"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jpsychires.2025.07.017","article-title":"Associations between compassion fatigue and suicidality among healthcare workers in the United States","volume":"190","author":"Okon","year":"2025","journal-title":"J Psychiatr Res"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1080\/10376178.2021.1927772","article-title":"The effect of the clinical nurses' compassion levels on tendency to make medical error: a cross-sectional study","volume":"57","author":"Sabanciogullari","year":"2021","journal-title":"Contemp Nurse"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1002\/nop2.1070","article-title":"Prevalence of oncology nurses' compassion satisfaction and compassion fatigue: systematic review and meta-analysis","volume":"9","author":"Algamdi","year":"2022","journal-title":"Nurs Open"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1016\/j.ijnurstu.2016.01.012","article-title":"Prevalence and predictors of compassion fatigue, burnout and compassion satisfaction among oncology nurses: a cross-sectional survey","volume":"57","author":"Yu","year":"2016","journal-title":"Int J Nurs Stud"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1454998","DOI":"10.3389\/fpubh.2024.1454998","article-title":"Secondary traumatic stress and vicarious posttraumatic growth in oncology nurses: the mediating role of empathy","volume":"12","author":"Cai","year":"2024","journal-title":"Front Public Health"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1186\/s12991-020-00272-9","article-title":"Oncology nurses' compassion fatigue, burn out and compassion satisfaction","volume":"19","author":"Jarrad","year":"2020","journal-title":"Ann General 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Nurs"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"104514","DOI":"10.1016\/j.actpsy.2024.104514","article-title":"Integrating work and sleep to understand work-life balance among healthcare professionals: a conservation of resources perspective","volume":"250","author":"Asadullah","year":"2024","journal-title":"Acta Psychol"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"679","DOI":"10.1111\/j.1365-2648.2006.04055.x","article-title":"Disentangling the effects of psychological and physical work demands on sleep, recovery and maladaptive chronic stress outcomes within a large sample of Australian nurses","volume":"56","author":"Winwood","year":"2006","journal-title":"J Adv Nurs"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"529","DOI":"10.1186\/s12912-026-04667-z","article-title":"Latent profile analysis of self-regulatory fatigue among oncology nurses: a multicenter cross-sectional study","volume":"25","author":"Bai","year":"2026","journal-title":"BMC Nurs"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1177\/1049731503254106","article-title":"Development and validation of the secondary traumatic stress scale","volume":"14","author":"Bride","year":"2004","journal-title":"Res Soc Work Pract"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1016\/0165-1781(89)90047-4","article-title":"The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research","volume":"28","author":"Buysse","year":"1989","journal-title":"Psychiatry Res"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"181","DOI":"10.2147\/JPR.S40014","article-title":"Self-regulatory fatigue in chronic multisymptom illnesses: scale development, fatigue, and self-control","volume":"6","author":"Nes","year":"2013","journal-title":"J Pain Res"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"15347354251370982","DOI":"10.1177\/15347354251370982","article-title":"\u201cFacing death\u2026Now, that's a serious thing to confront\u201d a qualitative analysis of patient perspectives on psychedelic-assisted therapy for cancer-related psychosocial symptoms","volume":"24","author":"Schuman","year":"2025","journal-title":"Integr Cancer Ther"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"e44","DOI":"10.1017\/S1478951525101387","article-title":"\"Finding meaning in life after a cancer diagnosis\": a mixed methods study with Latinos with advanced cancer","volume":"24","author":"Costas-Muniz","year":"2026","journal-title":"Palliat Support Care"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"E25","DOI":"10.1188\/20.ONF.E25-E34","article-title":"The THRIVE\u00a9 program: building oncology nurse resilience through self-care 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nurses in Palestine","volume":"27","author":"Lubbad","year":"2026","journal-title":"Asian Pac J Cancer Prev"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"597","DOI":"10.4040\/jkan.23058","article-title":"Association between resilience, professional quality of life, and caring behavior in oncology nurses: a cross-sectional study","volume":"53","author":"Jeon","year":"2023","journal-title":"J Korean Acad Nurs"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"116","DOI":"10.5388\/aon.2017.17.2.116","article-title":"A study of the relationships between compassion fatigue, compassion satisfaction, depression, anxiety, and sleep disorders among oncology nurses","volume":"17","author":"Kim","year":"2017","journal-title":"Asian Oncol Nurs"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1136\/spcare-2024-005315","article-title":"Sleep quality and coping styles among nurses working in tertiary cancer institutions: a mixed-method 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others to depression reduction","volume":"35","author":"Hsiao","year":"2026","journal-title":"Psychosoc Interv"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1889359\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:56:57Z","timestamp":1783490217000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1889359\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,8]]},"references-count":36,"alternative-id":["10.3389\/fpubh.2026.1889359"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1889359","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,8]]},"article-number":"1889359"}}