[1]翟云霄孟婧文游兆媛丁舒.护理不良事件中第二受害者心理体验的质性研究[J].中国卫生质量管理,2022,29(09):21-25.[doi:10.13912/j.cnki.chqm.2022.29.9.05 ]
　ZHAI Yunxiao,MENG Jingwen,YOU Zhaoyuan.A Qualitative Study on the Psychological Experience of the Second Victim in Nursing Adverse Events[J].Chinese Health Quality Management,2022,29(09):21-25.[doi:10.13912/j.cnki.chqm.2022.29.9.05 ]

点击复制

护理不良事件中第二受害者心理体验的质性研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第29卷期数: 2022年09期页码: 21-25 栏目: 患者安全出版日期: 2022-09-28

Title:: A Qualitative Study on the Psychological Experience of the Second Victim in Nursing Adverse Events

作者:: 翟云霄孟婧文游兆媛丁舒; 北京大学人民医院

Author(s):: ZHAI Yunxiao; MENG Jingwen; YOU Zhaoyuan; Peking University People's Hospital

关键词:: 护理不良事件; 第二受害者; 心理体验; 质性研究; 患者安全

Keywords:: Nursing Adverse Event; Second Victim; Psychological Experience; Qualitative Study; Patient Safety

分类号:: R197.323；R192.6；R47

DOI:: 10.13912/j.cnki.chqm.2022.29.9.05

文献标志码:: A

摘要:: 目的探讨护理不良事件中第二受害者护士的心理体验，为构建针对性支持体系提供参考，从而促进护士和患者安全。方法采用质性研究中的现象学研究方法，于2019年2月—12月选取北京市某三甲医院15名经历过不良事件的护士，通过半结构深入访谈收集资料，采用Colaizzi 7步分析法进行资料分析。结果提炼出4个主题：（1）情绪体验。包括担忧、愧疚与自责、焦虑；（2）认知体验。包括怀疑自身能力、从事件中成长；（3）应对行为体验。包括以问题为中心的应对和以情绪为中心的应对；（4）支持需求。包括切实可行的预防措施和建立非责备性文化。结论护士第二受害者身心负担较为严重。护理管理者应关注第二受害者的体验，了解其支持需求，建立第二受害者相关支持系统，给予指导和干预，以改善护士第二受害者的身心健康状况，保障护士和患者安全。

Abstract:: ObjectiveTo explore the psychological experience of the second victim nurse in nursing adverse events, and provide reference for the construction of targeted support system, so as to promote the safety of nurses and patients.MethodsThe phenomenological research method of qualitative research was used to recruit 15 nurses who had experienced adverse events in a tertiary hospital in Beijing from February to December 2019. Data were collected through semi-structured in-depth interviews and analyzed by Colaizzi 7-step analysis method.ResultsThe research had extracted four themes: (1) emotion experience. Including worry, guilt and self-blame, anxiety; (2) cognition experience. Including doubting self-ability, and growth from events; (3) coping behavior experience. Including problem-centered coping and emotion-centered coping; (4) support needs. Including practical preventive measures and the establishment of a non-blame culture.Conclusion The second victim nurse had a serious physical and mental burden. Nursing managers should pay attention to the experience of the second victim, understand their support needs, establish the relevant support system for the second victim, give guidance and intervention, so as to improve the physical and mental health of the nurses of the second victim, and ensure the safety of nurses and patients.

参考文献/References:

［1］史瑞芬，刘银燕，张振路.广东省110家三级医院护理不良事件监测及报告现状［J］.中国护理管理，2015，15(9):1098-1101. ［2］吴欣娟.医院临床护理质量安全评审指南［M］.北京:中国协和医科大学出版社,2005:108. ［3］刘玮琳，叶文琴.加拿大Mcgill大学对护理差错的认识和处理［J］．南方护理学报，2003，4(10):94. ［4］SCOTT SD, HIRSCHINGER LE, COX KR,et al. The natural history of recovery for the healthcare provider "second victim" after adverse patient events［J］. Quality and Safety in Health Care, 2009,18(5): 325-330. ［5］潘绥铭, 姚星亮, 黄盈盈. 论定性调查的人数问题:是“代表性”还是“代表什么”的问题——“最大差异的信息饱和法”及其方法论意义［J］. 社会科学研究, 2010(4): 108-115. ［6］CHAN ST，KHONG BPC，TAN LPL，et al. Experiences of Singapore nurses as second victims: a qualitative study［J］. Nurs Health Sci，2018,20(2): 165-172. ［7］LEE W, PYO J, JANG SG, et al. Experiences and responses of second victims of patient safety incidents in Korea: a qualitative study［J］. BMC Health Services Research, 2019,19(1):100. ［8］COLAIZZI P. Psychological research as the phenomenologist views［M］. NewYork: Oxford University Press,1978: 48. ［9］贾亚南,柴宇霞,裴理辉,等.急诊科护士在不良事件中成为第二受害者心理体验的质性研究［J］.中国临床护理,2021,13(7):416-420. ［10］金玉梅,何晓君.儿科护士在护理不良事件中作为第二受害者的心理体验［J］.中国护理管理,2019,19(4):501-504. ［11］韩燕,钱一平,侯学媛,等. 严重医疗不良事件中第二受害者认知与心理体验的质性研究［J］. 中华现代护理杂志,2020,26(4):486-490. ［12］马硕,徐东娥,冯勤.护士作为医疗不良事件中第二受害者体验研究的Meta整合［J］.中华护理教育,2020,17(10):941-948. ［13］HARRISON R, LAWTON R，PERLO J,et al. Emotion and coping in the aftermath of medical error: a cross-country exploration［J］. Journal of Patient Safety, 2015, 11(1): 28-35. ［14］ULLSTRM S, SACHS MA, HANSSON J, et al. Suffering in silence: a qualitative study of second victims of adverse events［J］. BMJ Quality & Safety, 2013, 23(4):325-331. ［15］KOEHN AR, EBRIGHT PR, DRAUCKER CB. Nurses' experiences with errors in nursing［J］. Nursing Outlook, 2016, 64(6):566-574. ［16］张静,王燕,周虎.正念减压疗法改善护理不良事件中第二受害者情绪及睡眠质量的效果评价［J］.临床医学工程,2021,28(8):1101-1102. ［17］陈贵儒,孙慧敏,黄蓉蓉,等.我国护士作为第二受害者体验及支持需求的Meta整合［J］.护理学杂志,2019,34(24):64-67. ［18］MELVIN K, GROSS D, HAYAT MJ, et al. Couple functioning and post-traumatic stress symptoms in US army couples: the role of resilience［J］. Research in Nursing＆Health, 2012, 35(2):164-177. ［19］杨巧, 郑双江, 陈登菊, 等. 应关注患者安全事件中第二受害者的支持需求［J］. 中国卫生质量管理, 2018, 25(3): 38-41. ［20］ENGEL KG, ROSENTHAL M, SUTCLIFFE KM. Residents’ responses to medical error: coping, learning, and change［J］. Academic Medicine, 2006, 81(1):86-93. ［21］危志华, 罗辉芳, 马晴, 等. 第二受害者支持项目的比较研究［J］. 中国卫生质量管理, 2021,28(1):54-57. ［22］SCOTT SD, HIRSCHINGER LE, COX KR, et al. Caring for our own: deploying a systemwide second victim rapid response team［J］. Joint Commission Journal on Quality Patient Safety, 2010, 36(5): 233-240. ［23］EDREES H, CONNORS C, PAINE L, et al. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study［J］. BMJ Open, 2016, 6(9): e11708. ［24］HECHI MWE, BOHNEN JD, WESTFAL M, et al. Design and impact of a novel surgery-specific second victim peer support program［J］. J Am Coll Surg, 2020, 230(6): 926-933. ［25］BOHNEN JD, LILLEMOE KD, MORT EA, et al. When things go wrong: the surgeon as second victim［J］. Annals of Surgery, 2019, 269(5): 808-809. ［26］QUILLIVAN RR, BURLISON JD, BROWNE EK, et al. Patient safety culture and the second victim phenomenon: connecting culture to staff distress in nurses［J］. Joint Commission Journal on Quality & Safety,2016, 42(8): 377-386. ［27］MARMON LM, HEISS K. Improving surgeon wellness: the second victim syndrome and quality of care［J］.Seminars in Pediatric Surgery, 2015, 24(6): 315-318. ［28］Agency for Healthcare Research and Quality (AHRQ). Patient safety primers, safety culture［EB/OL］. (2020-03-02)［2022-02-23］. http://psnet.ahrq.gov/primer.aspx?primerID=5.2020-3-2.［29］成守珍，黄天雯，蔡金辉,等.非惩罚性医院护理安全文化建设［J］.中国护理管理，2018，18(10):1304-1307. ［30］杨惠，金梅.新入职护士安全文化培训及效果研究［J］.中华护理杂志，2018，53(8):983-989. ［31］吕永利,王培红,李沙沙,等.护理管理者对护理不良事件中第二受害者态度的质性研究［J］.中华护理杂志,2019,54(8):1210-1214.

相似文献/References:

[1]黄春梅,李佩忠,黄晓光.绩效考核在护理不良事件管理中的应用效果分析[J].中国卫生质量管理,2016,23(04):73.[doi:10.13912/j.cnki.chqm.2016.23.3.24]
[2]郎红娟陈素兰张娜雷巧玲.护理不良事件管理实践[J].中国卫生质量管理,2016,23(05):67.[doi:10.13912/j.cnki.chqm.2016.23.5.20]
[3]杨巧郑双江陈登菊肖明朝.应关注患者安全事件中第二受害者的支持需求[J].中国卫生质量管理,2018,25(03):38.[doi:10.13912/j.cnki.chqm.2018.25.3.13]
[4]危志华彭杰刘婉君杨湘薇宋阳.第二受害者研究热点可视化分析[J].中国卫生质量管理,2020,27(05):79.
　WEI Zhihua,PENG Jie,LIU Wanjun,et al.Visual Analysis of Research Hotspot on the Second Victim[J].Chinese Health Quality Management,2020,27(09):79.
[5]张彩凤刘可闫影影胡肖银.儿科护理不良事件报告意向及影响因素分析[J].中国卫生质量管理,2021,28(01):46.[doi:10.13912/j.cnki.chqm.2021.28.1.13 ]
　ZHANG Caifeng,LIU Ke,YAN Yingying.Reporting Intention and Influencing Factors Analysis of Nursing Adverse Events in Pediatric Department[J].Chinese Health Quality Management,2021,28(09):46.[doi:10.13912/j.cnki.chqm.2021.28.1.13 ]
[6]危志华罗辉芳马晴刘婉君杨湘薇宋阳.第二受害者支持项目的比较研究[J].中国卫生质量管理,2021,28(01):54.[doi:10.13912/j.cnki.chqm.2021.28.1.15 ]
　WEI Zhihua,LUO Huifang,MA Qing.A Comparative Study of the Second Victim Support Program[J].Chinese Health Quality Management,2021,28(09):54.[doi:10.13912/j.cnki.chqm.2021.28.1.15 ]
[7]姚海燕向晴郑双江肖明朝.基于文献计量学的我国第二受害者研究可视化分析[J].中国卫生质量管理,2022,29(09):1.[doi:10.13912/j.cnki.chqm.2022.29.9.01 ]
　YAO Haiyan,XIANG Qing,ZHENG Shuangjiang.Visual Analysis of Second Victim Research in China Based on Bibliometrics[J].Chinese Health Quality Management,2022,29(09):1.[doi:10.13912/j.cnki.chqm.2022.29.9.01 ]
[8]周鹭黄欢欢赵庆华肖明朝徐玲郑双江.第二受害者结局评估工具分析及启示[J].中国卫生质量管理,2022,29(09):6.[doi:10.13912/j.cnki.chqm.2022.29.9.02 ]
　ZHOU Lu,HUANG Huanhuan,ZHAO Qinghua.Analysis and Inspiration of the Second Victim Outcome Assessment Tools[J].Chinese Health Quality Management,2022,29(09):6.[doi:10.13912/j.cnki.chqm.2022.29.9.02 ]
[9]宋晓刘丽华邵静王冲王永娜刘晓乐.第二受害者的经验与支持调查：以某精神专科医院护士为例[J].中国卫生质量管理,2022,29(09):11.[doi:10.13912/j.cnki.chqm.2022.29.9.03 ]
　SONG Xiao,LIU Lihua,SHAO Jing.The Second Victim Experience and Support Survey: A Case Study of Nurses in a Psychiatric Hospital[J].Chinese Health Quality Management,2022,29(09):11.[doi:10.13912/j.cnki.chqm.2022.29.9.03 ]
[10]危志华邓宝贵李向芳宋阳.心理韧性在护士第二受害者支持与职业生涯成功间的中介作用研究[J].中国卫生质量管理,2022,29(09):17.[doi:10.13912/j.cnki.chqm.2022.29.9.04 ]
　WEI Zhihua,DENG Baogui,LI Xiangfang.The Mediating Role of Resilience in Nurses' Secondary Victim Support and Career Success[J].Chinese Health Quality Management,2022,29(09):17.[doi:10.13912/j.cnki.chqm.2022.29.9.04 ]

更新日期/Last Update: 2022-09-28