Exploring the Experiences and Support of Nurses as Second Victims After Patient Safety Events in China: A Mixed-Method Approach

被引:0
|
作者
Tang, Wenzhen [1 ]
Xie, Yuanxi [1 ]
Yan, Qingfeng [2 ]
Teng, Yanjuan [1 ]
Yu, Li [1 ]
Wei, Liuying [3 ]
Li, Jinmei [4 ]
Chen, Yuhui [1 ]
Huang, Xiaolin [1 ]
Yang, Shaoli [1 ]
Jia, Kui [1 ]
机构
[1] Guangxi Med Univ, Affiliated Hosp 1, , Guangxi Zhuang Autonomous Reg, Nanning 530021, Guangxi Zhuang, Peoples R China
[2] Sanming Second Hosp, Sanming 366099, Fujian, Peoples R China
[3] Nanning Fourth Peoples Hosp, Nanning 530021, Guangxi Zhuang, Peoples R China
[4] Wanxiu Dist Chengnan Community Hlth Serv Ctr, Wuzhou 543000, Guangxi Zhuang, Peoples R China
关键词
Nurses; second victims; patient safety events; mixed method; HEALTH-CARE PROFESSIONALS; QUALITY;
D O I
10.2147/RMHP.S451766
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Aim: To investigate the current status of experience and support of nurses as second victims and explore its related factors in nurses. Design: A sequential, explanatory, mixed-method study was applied. Methods: A total of 406 nurses from seven tertiary hospitals in China were chosen as participants between September to October 2023. The Chinese version of the Second Victim Experience and Support Questionnaire (SVEST), Somatic Complaints of Sub-health Status Questionnaire (SCSSQ) and Generalized Anxiety Disorder (GAD-7) were applied to collect quantitative data. Eight nurses were selected for a qualitative study through in-depth interviews. Through interpretive phenomenological analysis, the interview data were analysed to explore the experience and support of nurses as second victims. Results: Practice distress (15.74 +/- 4.97) and psychological distress (15.48 +/- 3.74) were the highest dimensions, indicating Chinese nurses experienced second victim-related practice and psychological distress. Nurses with different gender, age, education, marital status, income, working hours, professional titles, and unit types have different levels of second victim-related experience and support (p < 0.05). In addition, the score of SVEST was positively associated with SCSSQ (r = 0.444) and GAD-7 (r = 0.490) (p < 0.05). This qualitative study found that the experience and support of nurses as second victims included nurses' perceptions and needs for patient safety events; psychological, physical and practice distress of nurses; and nurses and hospitals coping style after patient safety events. Discussion: Our findings suggest that nurses who are second victims of patient safety events experience severe practice and psychological distress, indicating that nursing managers should pay attention to psychological and practice distress of nurses after patient safety events and provide effective preventive measures.
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页码:573 / 586
页数:14
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