重症监护病房护士是不良事件的第二个受害者:拉丁美洲4个国家的多国研究
Maria Kappes1, Silvina Estrada2, Gladys Gaviria3
1Maria Kappes is an associate professor, Health Care Science Faculty, Nursing School, Universidad San Sebastián, Puerto Montt, Chile.
第二个受害者现象显著影响拉丁美洲的重症监护室 (ICU) 护士,造成心理痛苦. 组织必须实施支持计划,以减少护士轮流和缺勤率.
科学领域:
- 医疗保健专业人员 医疗保健专业人员
- 护理 护理 护理
- 患者安全 患者安全
背景情况:
- 重症监护病房 (ICU) 的护士面临着在不良事件发生后第二个受害者现象的高风险.
- 这种现象可能会导致医疗保健专业人员严重的心理痛苦.
研究的目的:
- 描述阿根廷,智利,哥伦比亚和巴拉圭的ICU护士经历的第二个受害者现象.
- 评估这些护士可获得的组织支持.
主要方法:
- 进行了一项多中心,描述性,横截面研究.
- 在2023年1月至12月期间,从四个拉丁美洲国家的762名ICU护士通过电子方式收集数据.
- 使用了西班牙适应的第二受害者经验和支持工具.
主要成果:
- 心理层面受到影响最大 (平均得分3.7/5),悲伤是最常见的情绪 (平均得分3.8/5).
- 增加的职业经验与脱离,缺勤和自我怀疑相关.
- 较低的同行支持与更大的心理痛苦,缺勤率和营业额的意图有关.
- 智利报告了最高的感知机构支持.
结论:
- 第二个受害者现象对拉丁美洲的ICU护士产生了重大影响,主要是通过心理困扰.
- 结构化的支持计划对于减轻护士缺勤率和轮流意图至关重要.
- 解决第二个受害者现象对于保持健康的护理劳动力至关重要.
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