护士的沉默:了解以色列护士中第二受害者现象的影响
Rinat Cohen1,2, Yael Sela3, Inbal Halevi Hochwald4
1Department of Health Systems Management, Ariel University, Ariel 4076405, Israel.
Healthcare (Basel, Switzerland)
|July 14, 2023
概括
在不良事件 (AE) 后经历第二受害者现象 (SVP) 的医疗保健专业人员遭受重大痛苦. 许多护士需要支持,但由于意识和个人障碍,他们没有得到支持,这凸显了组织干预的必要性.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 心理学 心理学 心理学
背景情况:
- 第二个受害者现象 (SVP) 描述了医疗保健专业人员在不良事件 (AE) 后的痛苦.
- 恢复模型的自然历史概述了第二个受害者的恢复阶段.
- 组织支持计划对于解决全球SVP至关重要.
研究的目的:
- 通过恢复模型检查 SVP 对以色列护士的影响.
- 将感知到的组织支持需求与护士获得的支持进行比较.
- 识别SVP经历的护士获得支持的障碍.
主要方法:
- 与经历过SVP的护士进行了15次深入的半结构面试.
- 录制,转录和主题分析的采访数据.
- 用第二个受害者的自然历史恢复模型作为框架.
主要成果:
- 护士报告说,在AES后,在所有恢复阶段都存在身体和情绪上的痛苦.
- 对情绪调节的困难和生活质量受损是常见的.
- 大多数护士希望分享经验,但没有寻求专业帮助,组织很少提供主动支持,因为意识有限,缺乏合法性.
结论:
- 及时和持续的组织支持对护士,患者和医疗保健组织至关重要.
- 意识有限和个人障碍阻碍了有效支持的识别和提供.
- 将SVP支持纳入组织政策是提高护理质量和患者安全的关键.
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