患者安全事件中护士作为第二受害者的经历与支持现状

doi:10.3761/j.issn.0254-1769.2020.06.019

摘要/Abstract

摘要：

目的了解重庆市患者安全事件中护士作为第二受害者的经历与支持现状,并分析其相关因素。方法 2019年1月,便利选取重庆市7所医院有第二受害者经历的护士为调查对象,采用第二受害者经历与支持测评量表进行调查,并对第二受害者经历与支持现状进行单因素和多元线性回归分析。结果共回收有效问卷1 422份,困扰、支持维度条目均分分别为（3.55±0.68）分、（2.43±0.61）分。“心理困扰”在困扰维度中得分最高,“同事支持”在支持维度中得分最低。多元线性回归分析结果显示,第二受害者经历与支持水平受工作收入、职称、年龄、婚姻状况影响。结论患者安全事件中护士作为第二受害者主要面临心理困扰,主要依靠同事支持,管理者应关注患者安全事件中作为第二受害者的护士,并针对不同影响因素为其提供相应的支持。

关键词: 患者安全, 第二受害者, 护士, 问卷调查, 横断面研究, 护理管理研究

Abstract:

Objective To investigate the status of experience and support of nurses as the second victims in patient safety incidents in Chongqing,and to analyze its relevant factors. Methods In January 2019,nurses from 7 hospitals in Chongqing were conveniently selected as respondents for an online survey by the second victim experience and support questionnaire,and univariate analysis and multiple linear regression analysis were adopted to investigate the level of the second victim experience and support. Results A total of 1 422 valid questionnaires were collected,and mean scores of distress and support dimension items were （3.55±0.68） and （2.43±0.61）,respectively. Mean score of “psychological distress” was the highest in distress dimension,while mean score of “colleague support” was the lowest in support dimension. The experience and support level of second victims were affected by income,professional title,age and marital status. Conclusion Nurses,as the second victims of patient safety incidents,mainly suffered from “psychological distress” and relied on “colleague support”. Managers should pay attention to nurses as the second victims in patient safety incidents,and provide corresponding support for them according to different influencing factors.

Key words: Patient Safety, Second Victims, Nurses, Questionnaires, Cross-Sectional Studies, Nursing Administration Research

陈娇娇, 杨巧, 赵庆华, 郑双江, 肖明朝. 患者安全事件中护士作为第二受害者的经历与支持现状[J]. 中华护理杂志, 2020, 55(6): 894-899.

CHEN Jiaojiao, YANG Qiao, ZHAO Qinghua, ZHENG Shuangjiang, XIAO Mingzhao. Experience and support of nurses as the second victims in patient safety incidents[J]. Chinese Journal of Nursing, 2020, 55(6): 894-899.

图/表 4

表1 第二受害者经历与支持测评量表各维度条目均分及排名情况（n=1 422）

表2 第二受害者经历与支持水平单因素分析结果（分,$\bar{x}±s$,n=1 422）

表3 自变量赋值表

表4 第二受害者经历与支持水平的多元线性回归分析结果（n=1 422）

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