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中国地区级工作护士的第二受害者经历和支持需求。

Second victim experience and support desire among nurses working at regional levels in China.

机构信息

School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Department of Medical Affairs, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

出版信息

J Nurs Manag. 2022 Apr;30(3):767-776. doi: 10.1111/jonm.13563. Epub 2022 Mar 11.

Abstract

AIM

The aim of this study was to describe and analyse the degree of second victim syndrome and the desire for supports among nurses working in regional hospitals in China.

BACKGROUND

The evidence on the prevalence of second victim among health care workers remains inconsistent and has rarely focused on the regional level.

METHODS

A quantitative, descriptive, survey-based, online, cross-sectional study was conducted among 1,194 nurses in three regional hospitals.

RESULTS

A total of 918 (76.88%) nurses, who reported have had experienced patient safety incidents, were selected for the final analysis. The mean score for the Chinese version of the Second Victim Experience and Support Tool (C-SVEST) was (65.58 ± 10.05). Psychological distress (15.91 ± 2.99) and practice distress (15.26 ± 4.32) had the highest score. The mean score for the desired form of support was (4.29 ± 0.614). The option 'the opportunity to get guidance and suggestions for future work' was rated the most desired.

CONCLUSION

Nurses working at the regional level reported a similar degree of second victim experience and support desire, while the prevalence was much higher.

IMPLICATIONS FOR NURSING MANAGEMENT

The second victim phenomenon has become increasingly complex and challenging and deserves more attention. Not only Safety-I but also Safety-II approaches are suggested to integrated to patient safety.

摘要

目的

本研究旨在描述和分析中国地区医院护士的第二受害者综合征程度和对支持的需求。

背景

医护人员中第二受害者的普遍程度的证据仍然不一致,而且很少关注地区层面。

方法

在三家地区医院中,采用定量、描述性、基于调查的在线横向研究,对 1194 名护士进行了调查。

结果

共有 918 名(76.88%)报告曾经历过患者安全事件的护士被选入最终分析。中文版第二受害者体验和支持工具(C-SVEST)的平均得分为(65.58±10.05)。心理困扰(15.91±2.99)和实践困扰(15.26±4.32)得分最高。对支持形式的期望平均得分为(4.29±0.614)。“获得未来工作指导和建议的机会”这一选项被评为最期望的支持形式。

结论

在地区层面工作的护士报告了类似程度的第二受害者体验和支持需求,但流行程度要高得多。

对护理管理的意义

第二受害者现象变得越来越复杂和具有挑战性,值得更多关注。建议不仅要采用安全 I 方法,还要采用安全 II 方法来整合患者安全。

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