三级甲等医院护士第二受害者经验与支持和出勤主义现状及其相关性研究

职业与健康 ›› 2023, Vol. 39 ›› Issue (17): 2369-2374.

三级甲等医院护士第二受害者经验与支持和出勤主义现状及其相关性研究

张萍^1,2, 聂婷瑶², 易琴², 何彩云¹

1.湖南师范大学医学院,湖南长沙 410000;
2.湖南中医药大学第一附属医院血液肿瘤科,湖南长沙 410000

收稿日期:2023-02-06 修回日期:2023-03-14 出版日期:2023-09-01 发布日期:2026-03-25
通信作者: 何彩云,副教授,E-mail：3165552520@qq.com
作者简介:张萍,女,主管护师,主要从事临床护理工作。
基金资助:
2023湖南省卫生健康委科研计划项目（D202314058411）

Study on current situation and correlation of nurses' second victim's experience,support and presenteeism in tertiary grade A hospitals

ZHANG Ping^1,2, NIE Tingyao², YI Qin², HE Caiyun¹

1. Medical College of Hunan Normal University,Changsha Hunan 410000,China;
2. Department of Hematology Oncology,the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Changsha Hunan 410000,China

Received:2023-02-06 Revised:2023-03-14 Online:2023-09-01 Published:2026-03-25
Contact: HE Caiyun,Associate professor,E-mail：3165552520@qq.com

摘要/Abstract

摘要： 目的了解三级甲等医院护士第二受害者经验与支持、出勤主义现状,进一步探究二者间的相关性。方法 2022年1—4月,用便利抽样法选湖南省6所三级甲等医院320名临床护士为研究对象,用一般资料问卷、第二受害者经验与支持调查问卷及出勤主义量表进行调查,并对数据进行分析。结果湖南省6所三级甲等医院320名护士第二受害者经验与支持和出勤主义总分分别为（69.76±14.25）和（6.68±2.52）分;是否独生子女、是否喜欢护理、不同婚姻状况、夜班数、健康状况及工作支持度的护士第二受害者经验与支持水平得分比较,差异均有统计学意义（均P<0.05）;不同年龄、是否独生子女、婚姻状况、工作时间、在职方式、职称等级、是否有子女、每周工作时长级健康状况和工作支持度的护士出勤主义水平得分比较,差异均有统计学意义（均P<0.05）。是否独生子女、婚姻状况和健康状况均是护士第二受害者经验与支持的影响因素（均P<0.01）,是否独生子女、每周工作时长及健康状况均是护士出勤主义行为的影响因素（均P<0.01）。护士第二受害者经验与支持和出勤主义呈正相关（r=0.169,P<0.05）,其中生理痛苦维度、同事支持维度、上级支持维度、组织支持维度、其他支持维度、离职与缺勤和出勤主义行为均呈正相关（均P<0.05）。结论湖南省6所医院320名临床护士第二受害者经验与支持和出勤主义均处于一般水平,医院护士应该理性认识自身的出勤主义行为引导自身降低第二受害者经验与支持。护理管理者应采取措施以降低不同特征护士的第二受害者经验与支持水平,减少其出勤主义行为。

关键词: 三级甲等医院护士, 第二受害者经验与支持, 出勤主义

Abstract: Objective To understand the second victim experience support score and presenteeism in tertiary hospitals,the correlation between the two was further explored. Methods From January to April 2022,320 clinical nurses from 6 tertiary hospitals in Hunan Province were selected by convenience sampling as the research subjects,and the general information questionnaire,the second victim experience and support questionnaire and the presenteeism scale were used to investigate and analyze the data. Results The total scores of experience,support and presenteeism of the second victim of 320 nurses in 6 tertiary hospitals in Hunan Province were （69.76±14.25） and （6.68±2.52）points,respectively. The scores of experience and support level of the second victim of nurses who were only children,whether they liked nursing,marital status,number of night shifts,health status and work support were statistically significant（all P<0.05）,and the scores of nurses of different ages,whether they were only children,marital status,working hours,working style,title level,whether they had children,weekly working hours health status,and job support were statistically significant（all P<0.05）. Whether the only child,marital status and health status were all influencing factors of the experience and support of the second victim of nurses（all P<0.01）,and whether there was only one child,weekly working hours and health status were the influencing factors of nurses' presenteeism behavior（all P<0.01）. The experience of the second victim of nurses was positively correlated with support and presenteeism（r=0.169,P<0.05）,among which the physiological pain dimension,colleague support dimension,superior support dimension,organizational support dimension,other support dimension,separation and absenteeism and presenteeism behavior were positively correlated（all P<0.05）. Conclusion The experience and support and presenteeism of the second victim of 320 clinical nurses in 6 hospitals in Hunan Province were at the average level,and hospital nurses should rationally understand their own presenteeism behavior and guide themselves to reduce the experience and support of the second victim. Care managers should take steps to reduce the level of experience and support for Nurses with different characteristics as second victims,and reduce their presenteeism behavior.

Key words: Nurses in tertiary A hospitals, Second victim experience and support, Presenteeism

中图分类号:

R181.3⁺1

张萍, 聂婷瑶, 易琴, 何彩云. 三级甲等医院护士第二受害者经验与支持和出勤主义现状及其相关性研究. [J]职业与健康, 2023, 39(17): 2369-2374.

ZHANG Ping, NIE Tingyao, YI Qin, HE Caiyun. Study on current situation and correlation of nurses' second victim's experience,support and presenteeism in tertiary grade A hospitals. [J]OCCUPATION AND HEALTH, 2023, 39(17): 2369-2374.

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