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

Abstract

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

CLC Number:

R181.3⁺1

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.

References

[1] SCOTT S D,HIRSCHINGER L E,COX K R,et al.The natural history of recovery for the healthcare provider "second victim" after adverse patient events[J].Qual Saf Health Care,2009,18(5):325-330.
[2] 宋晓,刘丽华,邵静,等.第二受害者的经验与支持调查:以某精神专科医院护士为例[J].中国卫生质量管理,2022,29(9):11-16.
[3] 张纪豪,王胜男,王玮,等.护士出勤主义行为对工作投入的影响:情感耗竭与分配公平的作用[J].中国临床心理学杂志,2019,27(4):808-811.
[4] 郭舒婕,张纪豪,李永鑫,等.护士出勤主义行为与工作压力源的相关性研究[J].中华现代护理杂志,2018,24(9):1028-1031.
[5] 张蕊馨,谢晖,蔡维维.护士第二受害者经验与支持的影响因素研究[J].护士进修杂志,2022,37(15):1351-1356.
[6] 姜茹鑫,支慧,张纪豪,等.护士出勤主义行为与心理健康状态、离职意愿的相关性研究[J].护理研究,2023,37(2):327-332.
[7] 庞静,冯素萍,崔春艳.河南省医护人员出勤主义行为与工作绩效的关系[J].河南医学研究,2021,30(30):5594-5597.
[8] 郭舒婕,常玉兰,单格妍,等.护士出勤主义行为与患者安全文化的相关性[J].护理学杂志,2021,36(19):77-79.
[9] BURLISON J D,SCOTT S D,BROWNE E K,et al.The second victim experience and support tool:Validation of an organizational resource for assessing second victim effects and the quality of support resources[J].Patient Saf,2017,13(2):93-102.
[10] 陈贵儒,孙慧敏,黄蓉蓉,等.第二受害者经验及支持量表的汉化与信效度评价[J].护理学杂志,2019,34(14):73-77.
[11] LUO L,COOPER C L,HUI Y L.A cross-cultural examination of presenteeism and supervisory support[J].Career Dev Int,2013,18(5):440-456.
[12] 金玉梅,戚雨遐.新入职护士作为第二受害者的感知体验及支持现状调查[J].护理与康复,2023,22(1):42-46.
[13] 朱可可,薛会元,张芬,等.护士第二受害者经验与支持在医院患者安全文化和职业倦怠间的中介作用[J].中国护理管理,2022,22(12):1877-1882.
[14] 张平娜. 护理不良事件中护士作为第二受害者的心理体验[J].中国城乡企业卫生,2020,35(9):157-159.
[15] 陈娇娇,杨巧,赵庆华,等.患者安全事件中护士作为第二受害者的经历与支持现状[J].中华护理杂志,2020,55(6):894-899.
[16] 陈贵儒,孙慧敏,黄蓉蓉,等.护士第二受害者经验的调查分析[J].中国护理管理,2019,19(10):1522-1528.
[17] 旷紫霞,陈玲,赖国鑫,等.重症监护室护理不良事件中第二受害者支持现状及影响因素研究[J].解放军护理杂志,2021,38(12):13-17.
[18] 段秋改,成巧梅,郭舒婕,等.ICU护士出勤主义行为的现状调查及对策研究[J].护士进修杂志,2021,36(9):827-831.
[19] 杨焱平. 护士出勤主义行为现状及结果研究[D].重庆:重庆医科大学,2020.
[20] 张彩丽,于漫,白姗,等.护士出勤主义行为与患者满意度的相关性研究[J].中华现代护理杂志,2022,28(10):1328-1332.
[21] 侯文静. 我国医护人员出勤主义现状及对策研究[J].中国卫生人才,2017(10):74-78.
[22] ROBERTSON J J,LONG B.Suffering in silence:Medical error and its impact on health care providers[J].J Emerg Med,2018,54(4):402-409.
[23] 方登星,董翠萍.护士对患者非计划性拔管心理体验的质性研究[J].解放军护理杂志,2018,35(15):17-20.
[24] 宋佳,刘芳,姚洁,等.西安市5家三级甲等医院护士出勤主义行为在情绪劳动与生产力损失中的中介效应[J].职业与健康,2022,38(1):46-50.
[25] 郑双江,滕苗,肖明朝,等.密苏里大学医疗保健系统第二受害者机构支持经验与启示[J].重庆医学,2021,50(12):2146-2148.