论文部分内容阅读
目的:调查三级医院护士经历不良事件后的第二受害者效应现状，并分析其影响因素。方法:本研究为横断面调查研究，采用便利抽样方法于2019年10—12月选取北京市、山西省、山东省三级医院护士作为调查对象，采用一般资料调查表、第二受害者经历与支持测评量表对其进行调查。通过单因素方差分析、多重线性回归分析对护士第二受害者影响因素进行分析。共发放网络问卷2 163份，有效回收2 040份，有效回收率为94.3%。结果:813名护士报告了不良事件经历，纳入研究分析。813名护士第二受害者效应总分为（58.01±15.32）分，各维度条目均分中，“心理困扰”得分最高，“管理支持”得分最低，分别为（3.20±1.04）分和（2.02±0.90）分。单因素分析结果显示，不同科室、婚姻状态、职称和用工性质的护士第二受害者效应总分比较，差异有统计学意义（n P<0.05）；多重线性回归分析结果显示，科室、职称、用工性质是护士第二受害者效应的影响因素；用工性质、婚姻状态、科室对第二受害者生理困扰有影响；不良事件分级和科室对第二受害者心理困扰有影响。n 结论:不良事件的发生对三级医院护士第二受害者的影响处于中等水平，护士所面临的心理困扰较严重，感受到的支持主要依靠“管理支持”，并受到多因素影响。医院管理者应积极看待第二受害者效应，关注经历第二受害者角色护士的身心健康，并针对不同的影响因素提供有效的支持。“,”Objective:To investigate the status of secondary victim effect of nurses in tertiary hospitals after adverse events and analyze its influencing factors.Methods:This study was a cross-sectional study. The convenient sampling method was used to select nurses from tertiary hospitals in Beijing, Shanxi and Shandong Province from October to December 2019 as the survey objects. The general information questionnaire and the Second Victim Experience and Support Tool (SVEST) were used to investigate them. Through single factor analysis of variance and multiple linear regression analysis, influencing factors of second victims of nurses were analyzed. A total of 2 163 online questionnaires were distributed and 2 040 were effectively recovered, with an effective recovery rate of 94.3%.Results:Among them, 813 nurses reported adverse event experiences, which were included in the study analysis. The total score of second victim effect of 813 nurses was (58.01±15.32) . Among the average scores of each dimension item, the score of “psychological distress” was the highest and the score of “management support” was the lowest, which were respectively (3.20±1.04) and (2.02±0.90) . The results of univariate analysis showed that there were statistically significant differences in the total scores of the second victim effect of nurses in different departments, marital status, professional title and employment nature ( n P<0.05) . The results of multiple linear regression analysis showed that department, professional title and employment nature were the influencing factors of the second victim effect of nurses. The employment nature, marital status and departments had effects on the physiological distress of the second victim, and adverse event classification and departments had an effect on the psychological distress of second victims.n Conclusions:The occurrence of adverse events has a moderate impact on the second victim of nurses in tertiary hospitals. Nurses are faced with more serious psychological distress, and the support they feel mainly depends on “management support”, which is affected by many factors. Hospital administrators should take a positive view of the second victim effect, pay attention to the physical and mental health of nurses experiencing the role of second victim and provide effective support for different influencing factors.