作为第二个受害者,重症监护护士的应对轨迹:一个有根据的理论
Maria Kappes1, Marta Romero-Garcia2, Maria Sanchez1
1Faculty of Health Care Sciences, Universidad San Sebastian, Puerto Montt, Chile.
经历不良事件 (AE) 的重症监护病房 (ICU) 护士需要机构支持来应对. 对ICU护士来说,同行和主管的支持至关重要,以克服成为AE第二个受害者的心理影响.
科学领域:
- 护理 护理 护理
- 医疗保健 专业人员 幸福 幸福
- 定性研究是指质量研究.
背景情况:
- 参与不良事件 (AE) 的医疗保健专业人员可能会经历严重的心理痛苦,影响他们的信心,并可能导致进一步的AE.
- 医疗保健中的"第二受害者"现象是影响专业福利和患者安全的公认问题.
研究的目的:
- 描述在重症监护室 (ICU) 成为第二次AE受害者的护士的应对轨迹.
- 确定对经历AE的ICU护士所需的机构支持机制.
主要方法:
- 使用接地理论方法学的定性研究.
- 深入采访和专注小组与智利高复杂性公立医院的11名ICU护士进行了深入采访.
- 数据分析涉及不断比较,开放,轴向和选择性编码,直到理论和.
主要成果:
- 六个类别出现了:对支持的感知,无助,AE发起人,对AE的反应,专业责任和对AE的感知.
- 支持的感知是影响护士停滞不前或克服成为第二个受害者经历的主要类别.
- 缺乏支持加剧了无助感,并延长了应对过程.
结论:
- 机构支持,特别是来自同事和主管的支持,是ICU护士应对AE的最关键因素.
- 有效的支持系统对于减轻对第二受害者护士的负面心理影响至关重要.
- 解决第二次受害者的需求对于保持健康和有弹性的护理劳动力至关重要.
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