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妇产科护士的二次受害者经历:一项二次受害者经历与支持工具调查

Second victim experiences of nurses in obstetrics and gynaecology: A Second Victim Experience and Support Tool Survey.

作者信息

Finney Robyn E, Torbenson Vanessa E, Riggan Kirsten A, Weaver Amy L, Long Margaret E, Allyse Megan A, Rivera-Chiauzzi Enid Y

机构信息

Department of Anesthesiology and Perioperative Medicine, Mayo Clinic Rochester, Rochester, MN, USA.

Department of Obstetrics and Gynecology, Mayo Clinic Rochester, Rochester, MN, USA.

出版信息

J Nurs Manag. 2021 May;29(4):642-652. doi: 10.1111/jonm.13198. Epub 2020 Nov 18.

Abstract

AIM (S): To investigate second victim experiences and supportive resources for nurses in obstetrics and gynaecology.

BACKGROUND

Nurses are at risk of developing second victim experiences after exposure to work related events.

METHODS

Nurses at a single institution were invited to participate in an anonymous survey that included the validated Second Victim Experience and Support Tool to assess symptoms related to second victim experiences and current and desired supportive resources.

RESULTS

Of 310 nurses, 115 (37.1%) completed the survey; 74.8% had not heard of the term 'second victim'. Overall, 47.8% reported feeling like a second victim during their career and 19.1% over the previous 12 months. As a result of a second victim experience, 18.4% experienced psychological distress, 14.3% turnover intentions, 13.0% decreased professional self-efficacy, and 12.2% felt that institutional support was poor. Both clinical and non-clinical events were reported as possible triggers for second victim experiences. Peer support was the most desired form of support as reported by 95.5%.

CONCLUSION(S): Nurses in obstetrics and gynaecology face clinical and non-clinical situations that lead to potential second victim experiences.

IMPLICATIONS FOR NURSING MANAGEMENT

The second victim experiences of nurses should be acknowledged, and resources should be implemented to navigate it. Educational opportunities and peer supportive interventions specific to second victim experiences should be encouraged.

摘要

目的

调查妇产科护士的“第二受害者”经历及支持资源。

背景

护士在接触与工作相关的事件后有产生“第二受害者”经历的风险。

方法

邀请一家机构的护士参与一项匿名调查,该调查包括经过验证的“第二受害者经历与支持工具”,以评估与“第二受害者”经历相关的症状以及当前和期望的支持资源。

结果

在310名护士中,115名(37.1%)完成了调查;74.8%的人从未听说过“第二受害者”这个术语。总体而言,47.8%的人表示在其职业生涯中感觉自己像个“第二受害者”,在过去12个月中有19.1%的人有此感受。由于“第二受害者”经历,18.4%的人经历了心理困扰,14.3%有离职意向,13.0%的人职业自我效能感下降,12.2%的人认为机构支持不足。临床和非临床事件均被报告为可能引发“第二受害者”经历的因素。95.5%的人报告称同伴支持是最期望的支持形式。

结论

妇产科护士面临导致潜在“第二受害者”经历的临床和非临床情况。

对护理管理的启示

应认识到护士的“第二受害者”经历,并应实施相关资源来应对。应鼓励提供针对“第二受害者”经历的教育机会和同伴支持干预措施。

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