International Journal of Clinical Practice, cilt.2026, sa.1, 2026 (SCI-Expanded, Scopus)
Background: Major earthquakes impose sustained operational and psychological stress on clinicians. Clarifying how post-disaster trauma relates to compassion fatigue, secondary traumatic stress, and burnout can guide service planning and support. Objectives: To describe post-earthquake trauma levels among physicians and nurses and examine their associations with compassion fatigue, secondary traumatic stress, and occupational burnout following the 2023 Kahramanmaraş earthquakes. Methods: A cross-sectional survey of frontline clinicians from multiple hospital units was conducted using validated instruments for trauma-related symptoms, compassion fatigue, secondary traumatic stress, and occupational burnout. Descriptive statistics were used to summarize the sample. Group comparisons were used to evaluate differences by sex, profession, and exposure-related factors (bereavement, displacement, difficulty contacting family, and basic-needs problems). Bivariate correlations were used to characterize the associations among continuous scores. Two-tailed tests were used with α = 0.05. Results: The clinicians reported a substantial psychosocial burden. Among female and nursing healthcare personnel, participants who had lost contact with a loved one, experienced nutritional problems, lost a loved one, or relocated due to home damage had higher mean post-earthquake trauma scores (p < 0.05). Furthermore, it was determined that those experiencing nutritional problems had higher levels of occupational burnout and those who had lost contact with a loved one had higher levels of secondary trauma (p < 0.05). A moderately positive and significant correlation was found between the total mean score of the “Scale for Determining the Level of Post-Earthquake Trauma (PETLDS)” and the mean scores of the “Compassion Fatigue-Short Scale (CF-SS),” “CF-SS/sub-dimension of Secondary Trauma Stress,” and “CF-SS/sub-dimension of Occupational Burnout” (p < 0.001). Conclusions: After mass-casualty events, clinicians may experience coupled elevations in trauma-related distress, compassion fatigue, and burnout. Unit-proximal supports—facilitated family contact, reliable access to basic needs, and low-barrier psychosocial resources—may help maintain service capacity. Longitudinal adjusted analyses are warranted to refine risk stratification and inform targeted interventions.