关键词: 患者安全文化, 第二受害者, 横断面研究, 影响因素分析, 护理管理研究, 安全管理

Abstract:

Objective To explore the effects of hospital patient safety culture on distress of nurses as second victims. Methods This study used convenience sampling method to investigate 2 897 nurses who had experience of patient safety incidents in 6 tertiary hospitals in central and west China from October 2018 to January 2019. The Hospital Survey on Patient Safety Culture（HSOPSC）,and the Second Victim Experience and Support Tool （SVEST） were used. Results The hospital patient safety culture had significant impact on psychological distress,physical distress,and professional self-efficacy of nurses as second victims. The associated factors of nurses’ psychological distress were non-punitive response to error,handoffs and transitions,teamwork across units,feedback and communication about error,overall perceptions of patient safety. The associated factors of physical distress were non-punitive response to error,handoffs and transitions,teamwork across units,staffing and nurses’ position. The associated factors of professional self-efficacy were non-punitive response to error,teamwork across units,overall perceptions of patient safety,handoffs and transitions,and nurses’ working years. Conclusion Distress of nurses as second victims is affected by the hospital patient safety culture,among which the non-punitive safety culture,teamwork across units and patient handoff were important influencing factors.

Key words: Patient Safety Culture, Second Victim, Cross-Sectional Studies, Root Cause Analysis, Nursing Administration Research, Safety Management