关键词: 护理管理研究, 不良事件, 第二受害者, 质性研究

Abstract:

Objective To investigate the status of the attitude among nursing managers towards the second victim in adverse medical events,and to provide the basis for the support strategy and system in medical institutions for the second victim. Methods We used qualitative method to conduct semi-structured in-depth interviews among 9 nursing managers in a tertiary hospital from May to August,2018,and adopted Colaizzi 7-step analysis method for data analysis. Results Nursing managers had insufficient knowledge of the second victim. Participants had different opinions on whether a second victim should be responsible for adverse medical events,and whether accountability and punishment was needed. Participants admitted that the second victim was under psychological pressure,but humanistic care measures were insufficient. Conclusion Nursing managers have insufficient knowledge of the second victims,they and medical institutions should pay attention to the medical adverse events. Nursing managers should formulate corresponding preventive measures according to the causes,reduce and control the occurrence of medical adverse events,and reduce the harm to the second victims.

Key words: Nursing Administration Research, Adverse Events, Second Victim, Qualitative Research