护理不良事件中护士长身心体验的质性研究

A Qualitative Study on Feelings of Nurse Managers after Adverse Events

目的:探讨护理不良事件后护士长的身心体验,为医疗机构建立规范化护士长培训系统及管理提供策略及依据。方法:选择某三甲医院三个月内科室发生过护理不良事件的10名护士长进行半结构访谈,按现象学研究法对访谈资料进行分析。结果:利用Colaizzi分析法提炼归纳出3个主题:躯体反应、负性情绪体验、缺乏应对策略和组织支持。结论:护理不良事件中护士长普遍经历创伤体验,是第二受害者重点关注人群。医疗机构应采取措施维持其身心健康,稳定护理团队。

Objective: To explore somatic symptoms and psychological feelings of nurse managers after adverse events, so as to provide supportive strategies and bases for medical institutions to build nurse manager training system. Methods: Semi-structured interviews were conducted with 10 nurse managers who had experienced adverse nursing events within 3 months in the ward. In-depth interviews by phe-nomenological qualitative research methods were used. Results: Colaizzi analysis was used to ex-tract 3 themes: the somatic symptoms, negative emotional feelings, and the lack of coping strategies and organizational support after the adverse safety events. Conclusions: Nurse managers generally suffered from somatic symptoms and psychological feelings after adverse nursing events and are the second victim of the focus group. Medical institutions should take measures to maintain their physical and mental health and stabilize the nursing team.