Original ArticlesSecondary Traumatic Stress in Nursing A Walker and Avant Concept AnalysisKellogg, Marni B. PhD, RN, CPN, CNEAuthor Information University of Massachusetts Dartmouth. Correspondence: Marni B. Kellogg, PhD, RN, CPN, CNE, University of Massachusetts Dartmouth, 285 Old Westport Rd, Dartmouth, MA, 02747 ([email protected]). The author has no acknowledgments or disclosures. Supplemental digital contents are available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.advancesinnursingscience.com). Advances in Nursing Science: April/June 2021 - Volume 44 - Issue 2 - p 157-170 doi: 10.1097/ANS.0000000000000338 Buy SDC Metrics Abstract Nurses on the front lines of health care are impacted psychologically by their work and may experience secondary traumatic stress. The literature contains several different terms to explore concepts that describe the impact of traumatic patient experiences on the nurse, making it difficult to differentiate the concepts. Using the Walker and Avant method of analysis, the author reviewed nursing-specific publications within the last 10 years and seminal works to develop a purer meaning of secondary traumatic stress and distinguish it from other related terms. A more precise definition of secondary traumatic stress will allow for the advancement of research related to awareness and prevention in nursing. © 2020 Wolters Kluwer Health, Inc. All rights reserved.