探索护士在中国患者安全事件后作为第二受害者的经验和支持:一种混合方法方法
Wenzhen Tang1, Yuanxi Xie1, Qingfeng Yan2
1The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, 530021, People's Republic of China.
Risk management and healthcare policy
|March 19, 2024
概括
作为第二个受害者经历患者安全事件的护士报告了大量的实践和心理痛苦. 医疗保健领导者必须通过有效的预防策略来解决这种困扰,以支持护理人员.
科学领域:
- 医疗保健 医疗保健 医疗保健 医疗保健
- 护理 护理 护理
- 患者安全 患者安全
背景情况:
- 在患者发生不良事件后,医疗保健专业人员,特别是护士,可能成为"第二受害者".
- 了解这些护士的经验和支持需求对于改善医疗保健质量和员工福祉至关重要.
研究的目的:
- 调查护士的经历和支持作为第二个受害者的现状.
- 探索与护士在中国的第二受害者经历相关的因素.
主要方法:
- 这是一项连续的,解释性的,混合方法的研究,涉及中国七家三级医院的406名护士.
- 使用第二个受害者经验和支持问卷 (SVEST),亚健康状况体质投诉问卷 (SCSSQ) 和泛性焦虑障碍 (GAD-7) 收集的定量数据.
- 通过对八名护士进行深入采访收集的定性数据,并使用解释性现象学分析进行分析.
主要成果:
- 护士报告了高水平的实践困扰 (15.74 ± 4.97) 和心理困扰 (15.48 ± 3.74).
- 根据人口和职业因素 (p < 0.05),第二受害者的经历和支持有很大差异.
- SVEST得分与SCSSQ (r = 0.444) 和GAD-7 (r = 0.490) (p < 0.05) 有正相关性.
结论:
- 成为第二个受害者的护士经历了严重的练习和心理痛苦.
- 护理管理人员应优先解决护士在患者安全事件后的痛苦问题.
- 需要有效的预防措施来支持经历第二受害者现象的护士.
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