[1]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):011-16.[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):011-16.[doi:10.13912/j.cnki.chqm.2022.29.9.03 ]
点击复制

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
分享到：

《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:
011-16
栏目:
患者安全
出版日期:
2022-09-28

文章信息/Info

Title:
The Second Victim Experience and Support Survey: A Case Study of Nurses in a Psychiatric Hospital
作者:
宋晓刘丽华邵静王冲王永娜刘晓乐
北京回龙观医院
Author(s):
SONG Xiao; LIU Lihua; SHAO Jing
Beijing Huilongguan Hospital
关键词:
患者安全; 不良事件; 精神专科医院; 护士; 第二受害者; 经验与支持
Keywords:
Patient Safety;  Adverse Events;  Psychiatric Hospital;  Nurses;  Second Victim; Experience and Support
分类号:
R749；R192.6；R47
DOI:
10.13912/j.cnki.chqm.2022.29.9.03
文献标志码:
A
摘要:
目的调查患者安全事件中精神专科医院护士作为第二受害者的经验与支持现状，并分析影响因素。方法2020年9月便利抽取北京市某三甲精神专科医院的280名护士进行问卷调查，采用单因素方差分析、多元线性回归分析方法分析影响因素。结果精神专科医院护士第二受害者负性体验报告率较高，经验与支持得分较高的维度是“心理痛苦”和“离职倾向”。不同年龄段、不同工作年限、经历患者安全事件、直接经历次数不同的护士群体在经验与支持量表总分上有统计学差异（P＜0.05）；直接和间接经历患者安全事件是精神专科医院护士第二受害者经验与支持水平和离职倾向的共同影响因素；年龄＞45岁是精神专科医院护士第二受害者经验与支持水平和缺勤的共同影响因素。结论精神专科医院管理者应重视护士第二受害者的身心健康，建立支持型的安全文化和相应支持性项目，以确保其安全。
Abstract:
ObjectiveTo investigate the experience and support status of nurses in psychiatric hospital as secondary victims in patient safety incidents, and analyze the influencing factors. MethodsConvenience sampling was used to select 280 nurses from a tertiary psychiatric hospital in Beijing in September 2020 for a questionnaire survey. Single factor analysis of variance and multiple linear regression analysis were used to analyze the influencing factors. ResultsThe report rate of negative experience of the second victim of nurses in psychiatric hospitals was higher, and the dimensions of experience and support score were "psychological pain" and "turnover intention". There were statistically significant differences in the total score of experience and support scale among nurses of different age groups, working years, experienced patient safety incidents and times of direct experience (P<0.05). Direct and indirect experiences of patient safety incidents were the common influencing factors of nurses' secondary victim experience and support level and turnover intention. Age > 45 was a common influencing factor for the level of experience and support of the nurse's second victim and absenteeism.Conclusion Managers of psychiatric hospitals should pay attention to the physical and mental health of the second victims of nurses, establish supportive safety culture and corresponding supportive projects to ensure their safety.

参考文献/References:

［1］WU AW.Medical error: the second victim. The doctor who makes the mistake needs help too［J］. BMJ, 2000, 320(7237): 726-727. ［2］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 Safety in Health Care, 2009, 18(5): 325-330. ［3］CHAN ST,KHONG PCB, WANG W.Psychological responses, coping and supporting needs of healthcare professionals as second victims［J］. International Nursing Review, 2017, 64(2): 242-262. ［4］HAN K, BOHNEN JD, PEPONIS T, et al.The surgeon as the second victim? Results of the boston intraoperative adverse events surgeons' attitude (bisa) study［J］. Journal of the American College of Surgeons, 2017, 224(6): 1048-1056. ［5］MOK WQ, CHIN GF, YAP SF, et al.A cross-sectional survey on nurses' second victim experience and quality of support resources in Singapore［J］. Journal of Nursing Management, 2020, 28(2): 286-293. ［6］MARTENS J, VAN GERVEN E, LANNOY K, et al.Serious reportable events within the inpatient mental health care: impact on physicians and nurses［J］. Revista de Calidad Asistencial : Organo de la Sociedad Espanola de Calidad Asistencial, 2016,31(S2): 26-33. ［7］TAKAHASHI C, CHIDA F, NAKAMURA H, et al.The impact of inpatient suicide on psychiatric nurses and their need for support［J］. BMC Psychiatry, 2011, 11(1):1-8. ［8］BURLISON JD, SCOTT SD, BROWNE EK, et al.The second victim experience and support tool: validation of an organizational resource for assessing second victim effects and the quality of support resources［J］. Journal of Patient Safety, 2017, 13(2): 93-102. ［9］VANHAECHT K, SEYS D, SCHOUTEN L, et al. Duration of second victim symptoms in the aftermath of a patient safety incident and association with the level of patient harm: a cross-sectional study in the Netherlands［J］. BMJ Open, 2019, 9(7): e029923. ［10］陈贵儒，孙慧敏，黄蓉蓉，等.第二受害者经验及支持量表的汉化与信效度评价［J］. 护理学杂志, 2019, 34(14): 73-77. ［11］倪 平，陈京立，刘 娜.护理研究中量性研究的样本量估计［J］.中华护理杂志，2010，45（4）：378-380. ［12］陈琳霞,姚国利,楼珊珊,等.精神科患者安全事件中护士作为第二受害者经历与支持的影响因素分析［J］.中国护理管理,2021,21(6):908-911. ［13］HOBFOLL SE. Conservation of resources.A new attempt at conceptualizing stress［J］.Am Psychol, 1989, 44(3): 513-524. ［14］陈贵儒，孙慧敏，黄蓉蓉，等.护士第二受害者经验的调查分析［J］. 中国护理管理, 2019, 19(10): 1522-1528. ［15］陈娇娇，杨巧，赵庆华，等.患者安全事件中第二受害者相关研究现状与展望［J］. 中国护理管理, 2019, 19(1): 100-103. ［16］STONE M.Second victim support: nurses' perspectives of organizational support after an adverse event［J］. The Journal of Nursing Administration,2020,50(10): 521-525. ［17］STONE M.Clinical nurses' experiences with sentinel events［J］. Nursing Management, 2019, 50(11): 38-42. ［18］GAZONI FM, AMATO PE, MALIK ZM, et al.The impact of perioperative catastrophes on anesthesiologists: results of a national survey［J］. Anesthesia and Analgesia, 2012, 114(3): 596-603. ［19］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. ［20］KALDJIAN LC, FORMAN-HOFFMAN VL, JONES EW, et al. Do faculty and resident physicians discuss their medical errors［J］. Journal of Medical Ethics, 2008, 34(10): 717-722. ［21］MANKAKA CO, WAEBER G,GACHOUD D.Female residents experiencing medical errors in general internal medicine: a qualitative study［J］. BMC Medical Education, 2014, 14:140. ［22］HARRISON R, LAWTON R, STEWART K, et al. Doctors' experiences of adverse events in secondary care: the professional and personal impact［J］. Clinical Medicine (London, England), 2014, 14(6): 585-590. ［23］GóMEZ-DURáN EL, TOLCHINSKY G, MARTIN-FUMADó C, et al.Neglecting the "second victim" will not help harmed patients or improve patient safety［J］. BMJ (Clinical Research ed), 2019, 365：12167. ［24］DE FREITAS GF, HOGA LA, FERNANDES MF, et al.Brazilian registered nurses' perceptions and attitudes towards adverse events in nursing care: a phenomenological study［J］. Journal of Nursing Management, 2011, 19(3): 331-338. ［25］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. ［26］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.

相似文献/References:

[1]周新歌,孙琳,徐佳,等.患者安全评价指标体系研究[J].中国卫生质量管理,2015,22(06):064.
[2]袁婷,李欣欣,刘志宇.纸介版与电子版不良事件上报途径对比分析[J].中国卫生质量管理,2016,23(02):042.[doi:10.13912/j.cnki.chqm.2016.23.2.14]
[3]肖定洪,柴维汉,金伟国,等.IHI全过程触发器监测不良事件的应用体会[J].中国卫生质量管理,2016,23(02):044.[doi:10.13912/j.cnki.chqm.2016.23.2.15]
[4]许春红朱诺.门诊不良事件报告对改进门诊管理与服务的作用[J].中国卫生质量管理,2016,23(05):034.[doi:10.13912/j.cnki.chqm.2016.23.5.10]
[5]贾桂丛张采红刘斯文 张燕何路军陈莉刘建辉杨敬芳常缨.血液安全监测文献综述及启示[J].中国卫生质量管理,2016,23(05):084.[doi:10.13912/j.cnki.chqm.2016.23.5.26]
[6]王弓茹 陈英耀*.国外医疗不良事件报告系统研究概述及启示[J].中国卫生质量管理,2016,23(05):113.[doi:10.13912/j.cnki.chqm.2016.23.5.35]
[7]王宏斌郑新瑞张珊红*刘维安书杰王东光.非计划二次手术质控策略探讨[J].中国卫生质量管理,2017,24(02):034.[doi:10.13912/j.cnki.chqm.2017.24.2.11]
[8]陈敏 王宏斌 刘晓雷.某院不良事件上报情况分析[J].中国卫生质量管理,2017,24(03):043.[doi:10.13912/j.cnki.chqm.2017.24.3.15]
[9]薛小静 杨小林 谭君.降低老年慢性病患者出院后非医源性不良事件发生率[J].中国卫生质量管理,2017,24(03):074.[doi:10.13912/j.cnki.chqm.2017.24.3.25]
[10]陈秋霞 艾慧坚 滕苗 刘剑 肖明朝.国家报告和学习系统的发展与启示[J].中国卫生质量管理,2017,24(03):113.[doi:10.13912/j.cnki.chqm.2017.24.3.37]
[11]滕苗,肖明朝,吕富荣,等.什么是RCA2[J].中国卫生质量管理,2016,23(02):016.[doi:10.13912/j.cnki.chqm.2016.23.2.06]
[12]应千山 罗琳娜 朱玲凤 朱琳鸿 季一鸣 罗文达 徐颖鹤 缪滔 马宗庆 陈海啸.从错误中学习并成长:台州恩泽医疗中心的实践[J].中国卫生质量管理,2019,26(01):049.[doi:10.13912/j.cnki.chqm.2019.26.1.16]
[13]李梦玲 王富兰 肖明朝 赵庆华 沈馨 江颖.1例给药错误的根本原因分析[J].中国卫生质量管理,2019,26(02):058.[doi:10.13912/j.cnki.chqm.2019.26.2.18]
[14]高天昊 邵渊 戴玮 景抗震.国内外患者安全事件报告系统研究与启示[J].中国卫生质量管理,2019,26(03):061.[doi:10.13912/j.cnki.chqm.2019.26.3.18]
[15]张燕彭伶丽*梁玲玲.我国医院推行快速反应系统的SWOT分析[J].中国卫生质量管理,2019,26(06):031.[doi:10.13912/j.cnki.chqm.2019.26.6.09]
[16]焦峰 闵嵘 王欣.1例检验结果发布错误的根本原因分析[J].中国卫生质量管理,2019,26(06):076.[doi:10.13912/j.cnki.chqm.2019.26.6.21]
[17]梅娜 李俊杰 张琳娟 韦延强 吴越.心脏外科术中给药错误的分析及对策[J].中国卫生质量管理,2020,27(01):082.[doi:10.13912/j.cnki.chqm.2020.27.1.21]
[18]姚丽丽 李跃荣 赵庆华 肖明朝.1例用药近似错误事件的根因分析[J].中国卫生质量管理,2020,27(01):086.[doi:10.13912/j.cnki.chqm.2020.27.1.22]
[19]肖玲 赵庆华 何芳 李跃荣 肖明朝.一例标本标签粘贴错误的思考与启示[J].中国卫生质量管理,2020,27(03):073.
　XIAO Ling,ZHAO Qinghua,HE Fang,et al.Reflection and Enlightenment of A Case of Specimen Label Sticking Error[J].Chinese Health Quality Management,2020,27(09):073.
[20]张金凤李赛银罗军萍曾纪荣 李梦莹温见炳.RCA2在住院患者中药煎剂发药错误事件中的应用[J].中国卫生质量管理,2020,27(04):066.
　ZHANG Jinfeng,LI Saiyin,LUO Junping,et al.Application of RCA2 Method in the Event of an Inpatient Error in Dispensation of Traditional Chinese Medicine Decoction[J].Chinese Health Quality Management,2020,27(09):066.

更新日期/Last Update: 2022-09-28