医疗保健中的重大事件后继续前进：第二受害者的观点和经历的定性研究。
Moving on after critical incidents in health care: A qualitative study of the perspectives and experiences of second victims.
机构信息
School of Nursing & Midwifery, Edith Cowan University, Bunbury, Western Australia, Australia.
School of Nursing & Midwifery, Edith Cowan University, Joondalup, Western Australia, Australia.
出版信息
J Adv Nurs. 2022 Sep;78(9):2960-2972. doi: 10.1111/jan.15274. Epub 2022 Apr 22.
AIMS
To gain a deeper understanding of nurses and midwives' experiences following involvement in a critical incident in a non-critical care area and to explore how they have 'moved-on' from the event.
DESIGN
An interpretive descriptive design guided inductive inquiry to interpret the meaning of moving-on.
METHODS
Purposive sampling recruited 10 nurses and midwives. Data collection comprised semi-structured interviews, memos and field notes. Data were concurrently collected and analysed during 2016-2017 with NVivo 11. The thematic analysis enabled a coherent analytical framework evolving emerging themes and transformation of the data into credible interpretive description findings, adhering to the COREQ reporting guidelines.
RESULTS
The findings revealed five main themes: Initial emotional and physical response, the aftermath, long-lasting repercussions, workplace support and moving-on.
CONCLUSION
This study shed light on the perceptions of nurses and midwives who lived through the impact of critical incidents. Through their lens, the strategies engaged in to move-on were identified and their call for organizational and collegial support received a voice.
目的
更深入地了解护士和助产士在非重症监护病房参与危急事件后的经历，并探讨他们是如何“从事件中走出来”的。
设计
解释性描述设计指导归纳探究，以解释“走出来”的含义。
方法
采用目的性抽样方法招募了 10 名护士和助产士。数据收集包括半结构化访谈、备忘录和现场笔记。2016-2017 年期间，使用 NVivo 11 同时收集和分析数据。主题分析使一个连贯的分析框架得以发展，出现的主题和数据的转化为可信的解释性描述结果，符合 COREQ 报告指南。
结果
研究结果揭示了五个主要主题：最初的情绪和身体反应、后果、持久的影响、工作场所支持和走出来。
结论
这项研究揭示了经历过危急事件的护士和助产士的看法。通过他们的视角，确定了他们用于“走出来”的策略，并为他们争取组织和同事支持的呼声提供了一个渠道。
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