Xu Yun, Jin Qi, Zhou Qinghua, Zhang Rong, Ding Weiyan
Department of Nursing, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Chengde Medical University, Chengde, China.
J Nurs Manag. 2025 Jun 26;2025:7327139. doi: 10.1155/jonm/7327139. eCollection 2025.
This study aimed to investigate the mediating effect of posttraumatic growth in the relationship between second victim experience and turnover intention, as well as the moderating effect of resilience among nurses who have experienced second victimization. Healthcare professionals, particularly nurses, are vulnerable to becoming "second victims" following adverse events. However, the prevalence of second victim experiences among nurses has been largely overlooked, and limited attention has been given to the relationship among posttraumatic growth and turnover intention. A cross-sectional survey was conducted using convenience sampling. A total of 572 nurses participated in the study, with data collected via the Questionnaire Star Platform. The study utilized a general information questionnaire, the Resilience Scale, the Posttraumatic Growth Inventory, the Second Victim Experience and Support Tool, and the Turnover Intention Scale to assess relevant variables. The average scores of second victim experience, resilience, posttraumatic growth, and turnover intention were (64.86 ± 11.32), (26.52 ± 8.13), (62.12 ± 11.32), and (16.05 ± 4.42), respectively. The second victim experience was positively correlated with turnover intention ( = 0.372, < 0.001), and the posttraumatic growth partially mediated the relationship between second victim experience and turnover intention, with an indirect effect of -0.015 (95% CI = -0.0027∼-0.006). The relationships between second victim experience and turnover intention, as well as the mediating effect of posttraumatic growth, were moderated by resilience ( < 0.05). The second victim experience among nurses following adverse event has a significant mediating effect on turnover intention. Additionally, resilience moderates both the direct and indirect pathways in the model linking second victim experience, posttraumatic growth, and turnover intention. The second victim phenomenon presents a significant challenge and warrants greater attention. Hospital managers should recognize the impact of second victim experiences, foster a supportive and safe practice environment, and provide psychological support to protect healthcare professionals' mental health, reduce turnover intention, and enhance nursing quality and safety.
本研究旨在探讨创伤后成长在二次受害者经历与离职意愿关系中的中介作用，以及复原力在经历过二次受害的护士群体中的调节作用。医疗保健专业人员，尤其是护士，在不良事件后很容易成为“二次受害者”。然而，护士群体中二次受害者经历的普遍性在很大程度上被忽视了，对创伤后成长与离职意愿之间的关系也缺乏关注。本研究采用便利抽样法进行横断面调查。共有572名护士参与了本研究，数据通过问卷星平台收集。本研究使用了一般信息问卷、复原力量表、创伤后成长量表、二次受害者经历与支持工具以及离职意愿量表来评估相关变量。二次受害者经历、复原力、创伤后成长和离职意愿的平均得分分别为(64.86±11.32)、(26.52±8.13)、(62.12±11.32)和(16.05±4.42)。二次受害者经历与离职意愿呈正相关(r = 0.372, p < 0.001)，创伤后成长部分中介了二次受害者经历与离职意愿之间的关系，间接效应为 -0.015(95%CI = -0.0027∼-0.006)。二次受害者经历与离职意愿之间的关系以及创伤后成长的中介作用受到复原力的调节(p < 0.05)。护士在不良事件后的二次受害者经历对离职意愿具有显著的中介作用。此外，复原力调节了模型中二次受害者经历、创伤后成长和离职意愿之间直接和间接路径。二次受害者现象带来了重大挑战，值得更多关注。医院管理者应认识到二次受害者经历的影响，营造一个支持性和安全性的执业环境，并提供心理支持，以保护医疗保健专业人员的心理健康，降低离职意愿，提高护理质量和安全性。
JBI Database System Rev Implement Rep. 2016-4
BMC Health Serv Res. 2023-7-31
Nurs Outlook. 2023
Zotero 插件