对护士作为第二受害者的同行支持的实施障碍:从支持者的角度进行定性研究
Ya'nan Zhang1, Qianfei Li2, Xiaohong Zhang3
1Emergency Department, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, 030032, People's Republic of China.
Journal of multidisciplinary healthcare
|October 23, 2025
概括
护士面临的重大障碍是为"第二受害者"提供同行支持,包括认知差距和系统性问题. 解决这些问题需要意识培训,文化转变和结构化的计划,以提供有效的机构支持.
科学领域:
- 医疗保健管理的管理
- 护理支持系统护理支持系统
- 组织心理学 组织心理学
背景情况:
- 医疗保健专业人员,特别是护士,在不良事件发生后容易受到心理困扰,成为"第二个受害者".
- 有效的同行支持对于减轻对这些护士的负面影响至关重要.
- 现有的支持策略往往缺乏系统的实施,并面临许多障碍.
研究的目的:
- 探讨护士在为"第二受害者"提供同行支持时所面临的挑战.
- 从支持提供者的角度识别障碍.
- 为医疗机构制定系统的同行支持策略提供信息.
主要方法:
- 描述性的定性研究设计.描述性的定性研究设计.
- 与14名护士进行了半结构面试,这些护士在三级医院为"第二受害者"提供同行支持.
- 面试数据的专题分析,以知识-态度-实践理论为指导.
主要成果:
- 确定了三个核心主题:"概念意识与个人经验之间的断开" (认知盲点,角色混),"对同行积极支持的三重障碍" (个人归因偏见,组织文化约束,系统缺陷) 和"支持措施的分散实践" (时间差异,内容限制,需要标准化).
结论:
- 为制度化同行支持提出了一种分层方法:提高认识培训以弥合认知差距,促进文化转变以减少对问责制的恐惧,并实施持续支持的结构化计划.
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