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“The Wild West:” Nurse Experiences of Responding to the 2017 Las Vegas Mass Shooting

Published online by Cambridge University Press:  18 September 2023

Kristen R. Choi Open the ORCID record for Kristen R. Choi [Opens in a new window] ,
MarySue V. Heilemann ,
Stephanie Anne Romero ,
Kelly Peng ,
Joyce Wu ,
Dorita Sondereker ,
Christopher Fisher  and
Melissa Brymer
Kristen R. Choi*
Affiliation:
School of Nursing, University of California Los Angeles (UCLA), Los Angeles, CA, USA Department of Health Policy and Management, Fielding School of Public Health, UCLA, Los Angeles, CA, USA
MarySue V. Heilemann
Affiliation:
School of Nursing, University of California Los Angeles (UCLA), Los Angeles, CA, USA
Stephanie Anne Romero
Affiliation:
School of Nursing, University of California Los Angeles (UCLA), Los Angeles, CA, USA
Kelly Peng
Affiliation:
School of Nursing, University of California Los Angeles (UCLA), Los Angeles, CA, USA
Joyce Wu
Affiliation:
School of Nursing, University of California Los Angeles (UCLA), Los Angeles, CA, USA
Dorita Sondereker
Affiliation:
HealthTrust Workforce Solutions, Las Vegas, NV, USA
Christopher Fisher
Affiliation:
Sunrise Hospital, Las Vegas, NV, USA
Melissa Brymer
Affiliation:
National Center for Child Traumatic Stress, UCLA, Los Angeles, CA, USA Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA
*
Corresponding author: Kristen R. Choi; Email: krchoi@ucla.edu.
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Abstract

Objective:

The purpose of this study was to explore the experiences of nurses who responded to a public mass shooting in 2017.

Methods:

This qualitative study was conducted with a sample of nurses who responded to a mass shooting, recruited purposively from a hospital in Las Vegas, Nevada. Intensive interviews were conducted with a total of 7 nurses, audio-recorded and transcribed for thematic analysis.

Results:

Six themes were developed from interview data: (1) “The worst night of my life”: Overrun and overwhelmed; (2) Unexpected altruism and benevolence of patients and staff; (3) “The Wild West”: Giving victim care by improvising beyond rules; (4) Experiencing a range of reactions in the immediate aftermath and in the long term; (5) Shifts in nursing practice and evolving team dynamics; and (6) Defining realistic approaches to support staff mental health and mass casualty preparation.

Conclusion:

Nurses who were involved in responding to the public mass shooting described the event as life-altering. Given the critical role of nurses in responding to mass shootings, it is essential to consider how nurses can be supported in the aftermath of these events and how mass disaster preparation can include attention to the needs of nurses.

Keywords

mass casualty incidentsemergency nursingstress disorderstraumatic

Information

Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e492
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health

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References

Towers, S, Wallace, D, Hemenway, D. Temporal trends in public mass shootings: high-capacity magazines significantly increase fatality counts, and are becoming more prevalent. medRxiv. Published online December 15, 2019. doi: 10.1101/2019.12.12.19014738 Google Scholar
Responding to Victims of Terrorism and Mass Violent Crimes. US Office for Victims of Crime, US Department of Justice. https://ojp.gov/ovc/publications/infores/redcross/ncj209681.pdf Google Scholar
Murthy, RS. Mass violence and mental health—recent epidemiological findings. Int Rev Psychiatry. 2009;19(3):183-192. doi: 10.1080/09540260701365460 CrossRefGoogle Scholar
Gramlich, J. Gun deaths in the US: 10 key questions answered. Pew Research Center. Published 2022. Accessed September 1, 2022. https://www.pewresearch.org/fact-tank/2022/02/03/what-the-data-says-about-gun-deaths-in-the-u-s/ Google Scholar
Pfefferbaum, BJ, Reissman, DB, Pfefferbaum, RL, et al. Building resilience to mass trauma events. In: Handbook of Injury and Violence Prevention. Springer; 2008:347-358.Google Scholar
Wild, J, Maher, J, Frazee, RC, et al. The Fort Hood massacre: lessons learned from a high profile mass casualty. J Trauma Acute Care Surg. 2012;72(6):1709-1713. doi: 10.1097/TA.0B013E318250CD10 CrossRefGoogle ScholarPubMed
Tang, N, Kelen, GD. Role of tactical EMS in support of public safety and the public health response to a hostile mass casualty incident. Disaster Med Public Health Prep. 2007;1(S1):S55-S56. doi: 10.1097/DMP.0B013E3181468790 CrossRefGoogle ScholarPubMed
Gregory, J, De Lepinau, J, De Buyer, A, et al. The impact of the Paris terrorist attacks on the mental health of resident physicians. BMC Psychiatry. 2019;19(1):1-8. doi: 10.1186/S12888-019-2058-Y/TABLES/4 CrossRefGoogle ScholarPubMed
McCall, WT. Caring for patients from a school shooting: a qualitative case series in emergency nursing. J Emerg Nurs. 2020;46(5):712-721.e1. doi: 10.1016/J.JEN.2020.06.005 CrossRefGoogle ScholarPubMed
Vandentorren, S, Pirard, P, Sanna, A, et al. Healthcare provision and the psychological, somatic and social impact on people involved in the terror attacks in January 2015 in Paris: cohort study. Br J Psychiatry. 2018;212(4):207-214. doi: 10.1192/BJP.2017.63 CrossRefGoogle ScholarPubMed
Havron, WS, Safcsak, K, Corsa, J, et al. Psychological effect of a mass casualty event on general surgery residents. J Surg Educ. 2017;74(6):e74-e80. doi: 10.1016/J.JSURG.2017.07.021 CrossRefGoogle ScholarPubMed
Motreff, Y, Baubet, T, Pirard, P, et al. Factors associated with PTSD and partial PTSD among first responders following the Paris terror attacks in November 2015. J Psychiatr Res. 2020;121:143-150. doi: 10.1016/J.JPSYCHIRES.2019.11.018 CrossRefGoogle ScholarPubMed
Skogstad, L, Fjetland, AM, Ekeberg, Ø. Exposure and posttraumatic stress symptoms among first responders working in proximity to the terror sites in Norway on July 22, 2011—a cross-sectional study. Scand J Trauma Resusc Emerg Med. 2015;23(1):1-9. doi: 10.1186/S13049-015-0104-4/TABLES/5 CrossRefGoogle Scholar
Marvaldi, M, Mallet, J, Dubertret, C, et al. Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Neurosci Biobehav Rev. 2021;126:252-264. doi: 10.1016/J.NEUBIOREV.2021.03.024 CrossRefGoogle ScholarPubMed
D’ettorre, G, Ceccarelli, G, Santinelli, L, et al. Post-traumatic stress symptoms in healthcare workers dealing with the COVID-19 pandemic: a systematic review. Int J Environ Res Public Health. 2021;18(2):601. doi: 10.3390/IJERPH18020601 CrossRefGoogle ScholarPubMed
Bertuzzi, V, Semonella, M, Bruno, D, et al. Psychological support interventions for healthcare providers and informal caregivers during the COVID-19 pandemic: a systematic review of the literature. Int J Environ Res Public Health. 2021;18(13):6939. doi: 10.3390/IJERPH18136939/S1 CrossRefGoogle ScholarPubMed
Braun, V, Clarke, V. Thematic analysis: a practical guide. SAGE; 2022.CrossRefGoogle Scholar
Charmaz, K. Constructing grounded theory: a practical guide through qualitative research. 2nd ed. SAGE; 2014.Google Scholar
Corbin, J, Strauss, AL. Basics of qualitative research: techniques and procedures for developing grounded theory. SAGE; 2015.Google Scholar
Sterina, E, Neylan, T, Clifford, G, et al. Effects of trauma timing on prospective PTSD development. Biol Psychiatry. 2021;89(9):S146-S147. doi: 10.1016/j.biopsych.2021.02.377 CrossRefGoogle Scholar
Roulston, K. Reflective interviewing: a guide to theory and practice. SAGE; 2010.CrossRefGoogle Scholar
Saldaña, J. The coding manual for qualitative researchers. 2nd ed. SAGE; 2015.Google Scholar
Lozada, MJ, Cai, S, Li, M, et al. The Las Vegas mass shooting: an analysis of blood component administration and blood bank donations. J Trauma Acute Care Surg. 2019;86(1):128-133. doi: 10.1097/TA.0000000000002089 CrossRefGoogle Scholar
Grieger, TA, Fullerton, CS, Ursano, RJ. Posttraumatic stress disorder, alcohol use, and perceived safety after the terrorist attack on the Pentagon. Psychiatr Serv. 2003;54(10):1380-1382. doi: 10.1176/APPI.PS.54.10.1380 CrossRefGoogle ScholarPubMed
Sabbath, EL, Shaw, J, Stidsen, A, Hashimoto, D. Protecting mental health of hospital workers after mass casualty events: a social work imperative. Soc Work. 2018;63(3):272-275. doi: 10.1093/SW/SWY029 CrossRefGoogle ScholarPubMed
Kim, J, Kim, S, Byun, MK. Emotional distancing in nursing: a concept analysis. Nurs Forum. 2020;55(4):595-602. doi: 10.1111/NUF.12475 CrossRefGoogle Scholar
Kirk, K, Cohen, L, Edgley, A, Timmons, S. “I don’t have any emotions”: an ethnography of emotional labour and feeling rules in the emergency department. J Adv Nurs. 2021;77(4):1956-1967. doi: 10.1111/JAN.14765 CrossRefGoogle ScholarPubMed
Kaplowitz, L, Reece, M, Hershey, JH, et al. Regional health system response to the Virginia Tech mass casualty incident. Disaster Med Public Health Prep. 2007;1(S1):S9-S13. doi: 10.1097/DMP.0B013E318149F5A2 CrossRefGoogle Scholar