护士第二受害者支持现状与专业生活品质的相关性研究

Support perceived by nurses as the second victims and the relationship between support and professional quality of life

目的了解护士作为第二受害者的经历与支持现状及其与专业生活品质的相关性,为第二受害者的护理干预提供参考。方法采用第二受害者经历与支持量表、专业生活品质量表,对经历过患者安全事件的421名护士进行调查。结果护士第二受害者经历与支持总分为72.00(65.00,74.50)分;护士第二受害者经历与支持总分与专业生活品质中的慈心满意得分呈负相关,与工作倦怠、二次创伤得分呈正相关(均P<0.01)。多元线性回归结果显示,专业生活品质量表的慈心满意、工作倦怠及二次创伤3个维度对护士第二受害者经历与支持具有预测作用(P<0.05,P<0.01),可解释总变异的34.9%。结论护士作为第二受害者的经历与支持处于中等水平,且与专业生活品质相关。建议护理管理者客观认识护士的第二受害者体验,倡导非惩罚性文化,营造积极健康的工作环境,改善护士的第二受害者体验及专业生活品质。

Objective To explore experience and support level of nurses as second victims,to probe the association between support and professional quality of life,and to provide basis for formulation of nursing intervention for second victims.Methods Conve-nience sampling method was used to select 421 nurses who had experienced patient safety incidents.The Second Victim Experience and Support Tool(SVEST)and Professional Quality of Life Scale(Pro-QOL)were used to survey the nurses.Results The median total score of SVEST was 72.00(65.00,74.50).SVEST was negatively correlated with compassion satisfaction,while positively correlated with burnout and secondary trauma stress dimensions of Pro-QOL(P<0.01 for all).Multiple linear regression analysis showed that compassion satisfaction,burnout and secondary trauma stress had predictive effects on SVEST(P<0.05,P<0.01),and were able to explain 34.9%of the total variation.Conclusion The experience and support of nurses as second victims was at medium level,and had certain correlation with professional quality of life.It is suggested that nursing managers should objectively understand the expe-rience of nurses as second victims,provide necessary organizational support,advocate non-punitive culture,create a positive and healthy working environment,so as to improve nurses′experience as second victims and their professional quality of life.