临床护士第二受害者经历与支持及组织支持感的关系:心理资本的中介作用  

The relationship between the second victim experience and support and organizational support in clinical nurses:the mediating role of psychological capital

作　　者：林程程[1] 陈宝霞[1] 胡小君 郑色秋[1] 贾晓慧[2] Lin Chengcheng;Chen Baoxia;Hu Xiaojun;Zheng Seqiu;Jia Xiaohui(Department of Anesthesia,the 2nd Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China;Department of Pediatric Respiration,the 2nd Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)

机构地区：[1]温州医科大学附属第二医院麻醉科,温州325000 [2]温州医科大学附属第二医院儿童呼吸科,温州325000

出　　处：《中华现代护理杂志》2020年第35期4935-4939,共5页Chinese Journal of Modern Nursing

基　　金：浙江省医药卫生科技计划项目(2019KY457)。

摘　　要：目的探讨临床护士第二受害者经历与支持现状,分析心理资本在组织支持感及第二受害者经历与支持之间的中介效应。方法采用便利抽样法,于2020年3—4月选择浙江省2所三甲医院的264名临床护士为研究对象,采用护士一般情况调查表、护士心理资本问卷、组织支持感量表及第二受害者经历与支持测评量表进行调查。共发放264份问卷,回收有效问卷259份,有效回收率为98.11%。使用SPSS 19.0统计软件进行数据分析。结果 259名临床护士第二受害者经历与支持总分为(32.73±8.15)分,心理资本总分为(83.49±9.74)分,组织支持感总分为(40.23±9.88)分;相关分析显示,临床护士组织支持感与第二受害者经历与支持总分呈负相关(r=-0.404,P<0.01),与心理资本总分呈正相关(r=0.417,P<0.01);心理资本与第二受害者经历与支持总分呈负相关(r=-0.365,P<0.01);中介效应分析显示,心理资本在组织支持感及第二受害者经历与支持中的中介效应显著(P<0.01),且中介效应占总效应的40.29%。结论临床护士的第二受害者经历与支持水平较高,心理资本可以分析部分中介组织支持感及第二受害者经历与支持之间的关系,高组织支持感的临床护士在面对患者不良事件后的第二受害者经历与支持水平较低,具有直接负效应。医疗机构应建立以改善第二受害者消极状态为核心的组织支持体系,健全不良事件非惩罚性管理体制,完善专业心理疏导小组职责及内涵,有效应对患者不良事件给临床护士作为第二受害者带来的不良影响,帮助其采取积极的应对方式,提高心理资本水平,从而提高临床护理服务质量。Objective To explore the status quo of the second victim experience and support in clinical nurses,and analyze the mediating effect of psychological capital between organizational support and the second victim experience and support.Methods From March to April 2020,totally 264 clinical nurses from 2 ClassⅢGrade A hospitals in Zhejiang Province were selected by convenient sampling and investigated with the general information questionnaire for nurses,Nurse Psychological Capital Questionnaire,Organization Support Scale and Second Victim Experience and Support Scale.Totally 264 questionnaires were distributed,and 259 valid questionnaires were collected,accounting for an effective recovery rate of 98.11%.SPSS 19.0 was used for statistical analyses.Results The total scores of second victim experience and support,psychological capital and organizational support of the 259 clinical nurses were(32.73±8.15),(83.49±9.74)and(40.23±9.88),respectively.Correlation analysis showed that the total score of organizational support of clinical nurses was negatively correlated with second victim experience and support(r=-0.404,P<0.01),and the total score of positively correlated with psychological capital(r=0.417,P<0.01),and the total score of psychological capital was negatively correlated with second victim experience and support(r=-0.365,P<0.01).The mediating effect analysis revealed that the mediating effect of psychological capital between organizational support and the second victim experience and support was significant(P<0.01),and the mediating effect accounted for 40.29%of the total effect.Conclusions The second victim experience and support level of clinical nurses is relatively high.Psychological capital can account for some relationship between organizational support and the second victim experience and support.The second victim experience and support levels in clinical nurses with a high organizational support after facing adverse events in patients are low,which has a direct negative effect.Medical institutions sho

关 键 词：护士 第二受害者经历与支持 心理资本 组织支持 中介效应 

分 类 号：R47[医药卫生—护理学]