Zheng Yan, Zhou Yinghao, Fu Junhua, Zhou Dan, Lu Liang, Yang Xiuzhi, Li Yali, Zhao Lin
Operatina Room, The Affiliated Hospital of Qingdao University, Qingdao, China.
Spinal Joint Surgical Care Unit, The Affiliated Hospital of Qingdao University, Qingdao, China.
Front Health Serv. 2025 May 15;5:1527983. doi: 10.3389/frhs.2025.1527983. eCollection 2025.
As the second victim, nurses may suffer severe physical and mental damage. How to reduce the trauma level of operating room nurses after adverse events, enhance career resilience, and stabilize the nursing team has become an urgent concern for operating room nursing managers.
To investigate the experience of operating room nurses as the Second Victim of adverse events, and analyze the risk factors affecting the psychological status of operating room nurses as the Second Victim.
From September to October 2023, convenience sampling was used to select 224 operating room nurses from a Class III Grade A hospital in Shandong Province as the research object. The general information questionnaire, Second Victim Experience and Support Scale, Career Resilience Scale and Organizational Support Scale were used to investigate.
The score of second victim experience and support was 94.32 ± 15.54. Correlation analysis showed that the second victim experience and support of operating room nurses were negatively correlated with career resilience ( = -0.383, < 0.01) and organizational support ( = -0.272, < 0.01). The results of multiple linear regression analysis showed that responsibility in the occurrence of adverse events, career resilience and organizational support were the influencing factors of victim experience and support of Operating Room nurses ( < 0.05).
Most of the second victim experience of operating room nurses is at a medium or high level. Responsibility in adverse events, career resilience and organizational support have a significant impact on the second victim experience of operating room nurses. As a management level, crisis support and external help should be provided for the second victim, and a support system based on the hospital or department level should be established to provide professional and psychological support for nurses and enhance the professional identity of nurses in the operating room at work, so as to further improve the quality of nursing in the operating room and promote the construction of clinical nursing services.
作为“第二受害者”,护士可能会遭受严重的身心损害。如何降低手术室护士在不良事件后的创伤程度,增强职业复原力,稳定护理团队,已成为手术室护理管理者亟待关注的问题。
调查手术室护士作为不良事件“第二受害者”的体验,并分析影响手术室护士作为“第二受害者”心理状态的风险因素。
2023年9月至10月,采用便利抽样法,选取山东省某三级甲等医院的224名手术室护士作为研究对象。采用一般资料问卷、“第二受害者”体验与支持量表、职业复原力量表和组织支持量表进行调查。
“第二受害者”体验与支持得分为94.32±15.54。相关性分析显示,手术室护士的“第二受害者”体验与支持与职业复原力(r=-0.383,P<0.01)和组织支持(r=-0.272,P<0.01)呈负相关。多元线性回归分析结果显示,不良事件发生中的责任、职业复原力和组织支持是手术室护士受害者体验与支持的影响因素(P<0.05)。
手术室护士的“第二受害者”体验大多处于中高水平。不良事件中的责任、职业复原力和组织支持对手术室护士的“第二受害者”体验有显著影响。作为管理层面,应针对“第二受害者”提供危机支持和外部援助,建立基于医院或科室层面的支持系统,为护士提供专业及心理支持,增强护士在手术室工作中的职业认同感,从而进一步提高手术室护理质量,促进临床护理服务建设。