急诊科护士第二受害者经验与支持对专业自我概念的影响  

Impact of second victim experience and support on professional self-concept of emergency department nurses

作　　者：卢靖 奉水华[2] 聂婷瑶 周莉 张上 张燕[5] LU Jing;FENG Shuihua;NIE Tingyao;ZHOU Li;ZHANG Shang;ZHANG Yan(Department of Colorectal Surgery,The First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007,China;Department of Nursing,The First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007,China;Department of Geriatrics,The First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007,China;Department of Neonatology,The First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007,China;Department of Discipline Inspection and Supervision,The First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007,China)

机构地区：[1]湖南中医药大学第一附属医院肛肠外科,湖南长沙410007 [2]湖南中医药大学第一附属医院护理部,湖南长沙410007 [3]湖南中医药大学第一附属医院老年病科,湖南长沙410007 [4]湖南中医药大学第一附属医院新生儿科,湖南长沙410007 [5]湖南中医药大学第一附属医院纪委监察科,湖南长沙410007

出　　处：《职业与健康》2024年第23期3210-3214,3218,共6页Occupation and Health

基　　金：湖南卫生健康委2023年度科研课题(D202314058411)。

摘　　要：目的 调查急诊科护士经历患者安全事件后,其第二受害者经历与支持对专业自我概念的影响。方法 2023年11—12月采用一般资料调查表、中文版第二受害者经验及支持量表、专业自我概念量表对湖南省6所三级甲等医院经历患者安全事件后的300名急诊科护士进行调查。结果 急诊科护士的第二受害者经验与支持得分为(70.01±9.72)分,专业自我概念得分为(86.81±13.35)分;湖南省急诊科护士的第二受害者经历、支持总分与专业与自我概念总分均呈负相关(r=-0.149~-0.370,均P<0.01)。其中对急诊科护士专业自我概念有影响的因素包括是否喜欢护理、健康状况,这2个因素能够共同解释变异量的3.3%。结论 湖南省三级甲等医院急诊科护士第二受害者心理痛苦以及专业自我概念均处于中等水平,且获得的支持一般。医院管理者应重视急诊科护士作为第二受害者的痛苦体验,并根据不同影响因素为其提供针对性的支持,以更好地指导其职业规划与发展。Objective To investigate the impact of second victim experiences and support on professional self-concept among emergency department nurses after experiencing patient safety incidents incidents.Methods From November to December 2023,300 emergency department nurses from six grade-A tertiary hospitals in Hunan Province who had experienced patient safety incidents were investigated with the general information questionnaire,the Chinese version of the second victim experience and support scale,and the professional self-concept scale,and the data were analyzed.Results The second victim experience and support score for emergency department nurses was(70.01±9.72)points,and the professional self-concept score was(86.81±13.35)points.There was a negative correlation between the total score of second victim experience and support and the total score of professional self-concept among emergency department nurses in Hunan Province(r=-0.149-0.370,all P<0.01).The factors that affected the professional self-concept of emergency department nurses were whether enjoy nursing and health status,which together explain 3.3%of the variance.Conclusion The psychological pain of the second victim and professional self-concept of emergency department nurses in grade-A tertiary hospitals in Hunan Province are at a moderate level,and the support received is average.Hospital managers should pay attention to the painful experience of emergency department nurses as the second victim,provide targeted support based on different influencing factors,and better guide their career planning and development.

关 键 词：急诊科护士 不良事件 第二受害者 专业自我概念 

分 类 号：R192.6[医药卫生—卫生事业管理]