Department of Nursing, Khoo Teck Puat Hospital, Yishun Health Campus, National Healthcare Group, Singapore.
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
J Nurs Manag. 2020 Mar;28(2):286-293. doi: 10.1111/jonm.12920. Epub 2020 Feb 11.
The study aimed to investigate nurses' second victim experience and quality of support resources in Singapore.
The second victim phenomenon, broadly described as the suffering of providers including nurses in the face of a clinical error, is often overlooked.
A cross-sectional questionnaire survey was adopted. A total of 1,163 nurses from an acute public hospital in Singapore took part in the study. The Second Victim Experience and Support Tool (SVEST) was employed to assess experience of second victims and the quality of support resources.
The study results showed that nurses experienced second victim-related physical, psychological and professional distress. About 31.8% of the participants had turnover intentions, while 9.3% had absenteeism following an error. Nurses who are younger and less experienced were more likely to experience greater second victim response. Among the support options, peer support was rated as the most desirable.
Nurses, being at the forefront of care delivery, are especially susceptible to being a casualty of the second victim phenomenon.
Acknowledging the second victim phenomenon, together with a strong organizational support, is essential in alleviating the trauma and assisting nurses with reconciliation in the aftermath of an unanticipated error.
本研究旨在调查新加坡护士的第二受害者经历和支持资源质量。
第二受害者现象广泛描述为在面对临床错误时包括护士在内的提供者所遭受的痛苦，这一现象经常被忽视。
采用横断面问卷调查。来自新加坡一家急性公立医院的 1163 名护士参与了这项研究。采用第二受害者经历和支持工具（SVEST）评估第二受害者的经历和支持资源的质量。
研究结果表明，护士经历了与第二受害者相关的身体、心理和职业困扰。约 31.8%的参与者有离职意向，而 9.3%的参与者在犯错后缺勤。年轻和经验较少的护士更有可能经历更大的第二受害者反应。在支持选项中，同伴支持被评为最理想的选择。
护士作为护理服务的第一线人员，特别容易成为第二受害者现象的受害者。
承认第二受害者现象，并提供强有力的组织支持，对于减轻创伤和协助护士在意外错误后和解至关重要。
