摘要
目的:了解护士作为护理不良事件第二受害者经历与支持的现状,并分析其影响因素。方法:采用便利抽样法,2022年1月至3月选取天津市某医院的421名经历过护理不良事件的执业护士作为研究对象,采用一般资料问卷、第二受害者经历与支持量表、心理韧性量表进行问卷调查,采用多元线性回归分析其影响因素。结果:护士作为护理不良事件第二受害者经历与支持量表得分为(91.74±12.66)分,经历过护理不良事件的护士心理韧性量表的得分为(90.12±17.58)分,第二受害者经历与支持总分及第二受害者痛苦和心理韧性总分及各维度得分均无相关性(P>0.05)。组织支持和心理韧性总分、自强呈正相关(P<0.05),非工作相关支持和心理韧性总分、坚韧、乐观、自强呈正相关(P<0.05)。多元线性回归分析显示,文化程度、职称、了解“第二受害者”概念是护士第二受害者痛苦的影响因素(P<0.05)。每月夜班数和心理韧性总分是护士组织支持的影响因素(P<0.05)。结论:护士作为护理不良事件第二受害者经历与支持水平有待改善,护理不良事件使第二受害者身心出现了负面影响,且可获得的支持短缺。提示护理管理者应根据护士特点采取针对性方法指导与帮助护士缓解不良事件对其身心健康造成的不良影响,同时以提升护理不良事件第二受害者的心理韧性水平为切入点,改善护士作为护理不良事件第二受害者的经历与支持水平。
Objective:To understand the current situation of nurses’experience and support as the second victim of adverse nursing events,and analyze the influencing factors.Methods:A total of 421 nurses who had experienced adverse nursing events in a hospital in Tianjin were included by convenience sampling method from January to March 2022.General data questionnaire,second victim experience and support scale and mental toughness scale were used for the survey,and the influencing factors were analyzed by multiple linear regression.Results:The total score of experience and support scale for nurses as the second victim of adverse nursing events was 91.74±12.66,and the total score of mental toughness scale for nurses who had experienced adverse nursing events was 90.12±17.58.There was no correlation between the second victim experience and the total score of support,the second victim total score of pain and mental resilience,and the scores of all dimensions(P>0.05).Organizational support was positively correlated with total score of mental toughness and self-strengthening(P<0.05),while non-job-related support was positively correlated with total score of mental toughness,tenacity,optimism and self-strengthening(P<0.05).Multiple linear regression analysis showed that educational level,professional rank and understanding of the concept of"second victim"were the influencing factors of the pain of nurses as the second victim of adverse nursing events(P<0.05).The number of night shift per month and the total score of mental toughness were influencing factors of organizational support of nurses(P<0.05).Conclusion:The experience and support level of nurses as the second victim of adverse nursing events need to be improved.Adverse nursing events have a negative impact on the physical and mental well-being of nurses as the second victim,and the available support is short.It is suggested that nursing managers should adopt targeted methods to guide and help nurses to alleviate the negative effects of adverse events on nurses’physical and mental health according to the characteristics of nurses,and improve the experience and support level of nurses as the second victim of adverse nursing events by improving the mental toughness level.
作者
刘思含
李惠霞
赵雨晴
孙雪影
白倩
郑杰
LIU Sihan;LI Huixia;ZHAO Yuqing;SUN Xueying;BAI Qian;ZHENG Jie(Tianjin Medical University Cancer Institute and Hospital,Tianjin 300060)
出处
《天津护理》
2023年第5期535-539,共5页
Tianjin Journal of Nursing
基金
天津市医学重点学科建设项目(TJYXZDXK-011A)。
关键词
护理不良事件
第二受害者
心理韧性
Nursing adverse events
Second victim
Psychological resilience
