临床护士第二受害者经历与支持影响因素的meta分析

摘要/Abstract

摘要： 目的系统评价以第二受害者经历与支持量表为工具进行临床护士第二受害者影响因素调查的横断面研究,为制定临床护士第二受害者的相关干预措施提供参考依据。方法计算机检索CNKI、万方、维普、CBM、Pubmed、WOS、Embase和Cochrane Library数据库,搜集有关临床护士第二受害者经历与支持影响因素的相关研究,检索时限为建库至2023年10月。采用Revman 5.3软件进行meta分析。结果共纳入19篇研究,包括13 999名临床护士。个人相关因素中的想离职程度（r=0.159,95%CI：0.100~0.264）、感知组织内部压力（r=0.149,95%CI：0.090~0.197）以及背景/环境因素中的工作年限（r=0.110,95%CI：0.030~0.178）、科室（r=0.110,95%CI：0.040~0.178）、职称（r=0.139,95%CI：0.020~0.245）、发生不良事件的次数（r=0.110,95%CI：0.050~0.168）、每月夜班数（r=0.149,95%CI：0.050~0.245）与临床护士第二受害者经历与支持呈低度正相关（P<0.05）;智谋水平（r=-0.446,95%CI：-0.585~-0.282）、心理韧性（r=-0.438,95%CI：-0.551~-0.310）与临床护士第二受害者经历与支持呈中度负相关（P<0.05）。背景/环境因素中的组织支持感（r=-0.565,95%CI：-0.824~-0.119）为临床护士第二受害者经历与支持的高度负相关因素（P<0.05）。结论智谋水平、心理韧性、组织支持感、工作年限、职称、科室、每月夜班数、想离职程度、不良事件发生次数、感知组织内部压力为临床护士第二受害者经历与支持的主要影响因素。医院护理管理者应建立相应的关怀项目及支持系统,进行同伴、领导的相关支持培训。

关键词: 临床护士, 第二受害者, 经历与支持, Meta分析

Abstract: Objective To systematically evaluate a cross-sectional study on the influencing factors of clinical nurses' second victims using the second victim experience and support scale as a tool,and provide reference for the development of relevant intervention measures for clinical nurses' second victims. Methods The databases of CNKI,Wanfang,VIP,CBM,Pubmed,WOS,Embase,and Cochrane Library were searched by computer,and the study on the influencing factors of the experience and support of the second victim of clinical nurses was collected. The retrieval time was from the establishment of the database to October 2023. Meta-analysis was conducted using Revman 5.3 software. Results A total of 19 studies were included,including 13 999 clinical nurses. Personal related factors included the degree of desire to resign（r=0.159,95%CI：0.100-0.264）,perceived internal organizational pressure（r=0.149,95%CI：0.090-0.197）,with the working years（r=0.110,95%CI：0.030-0.178）,clinical department（r=0.110, 95%CI：0.040-0.178）,professional title（r=0.139,95%CI：0.020-0.245）,the number of adverse events（r=0.110,95%CI：0.050-0.168） and monthly night shift（r=0.149,95%CI：0.050-0.245） in background/environmental factors,which were weakly positively correlated with the experience and support of the second victim of clinical nurses（all P<0.05）. Resourcefulness level（r=-0.446, 95%CI：-0.585--0.282） and resilience（r=-0.438,95%CI：-0.551--0.310） were moderately negatively correlated with the experience and support of the second victim of clinical nurses（both P<0.05）. Sense of organizational support（r=-0.565,95%CI：-0.824--0.119） among background/environmental factors was highly negatively correlated with the experience and support of the second victim of clinical nurses（P<0.05）. Conclusion The level of resourcefulness,psychological resilience,sense of organizational support,working years,professional title,clinical department,number of night shifts per month,degree of desire to resign,number of adverse events,and perceived internal organizational pressure were the main influencing factors for the experience and support of the second victim of clinical nurses. Hospital nursing administrators should establish appropriate care programs and support systems,and conduct peer and leader training related to support.

Key words: Clinical nurses, The second victim, Experience and support, Meta-analysis

中图分类号:

R181.2

付娟, 邱羽, 秦潇, 张金华, 暴青竹. 临床护士第二受害者经历与支持影响因素的meta分析. [J]职业与健康, 2025, 41(9): 1254-1260.

FU Juan, QIU Yu, QIN Xiao, ZHANG Jinhua, BAO Qingzhu. Meta-analysis of factors influencing the experience and support of second victims in clinical nurses. [J]OCCUPATION AND HEALTH, 2025, 41(9): 1254-1260.

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