[1]郝连盈.ICU护士不良事件支持现状以及与其职业生涯状况的相关性[J].医学信息,2020,33(21):124-127.[doi:10.3969/j.issn.1006-1959.2020.21.038]
　HAO Lian-ying.ICU Nurses’ Adverse Event Support Status and Its Correlation with Career Status[J].Medical Information,2020,33(21):124-127.[doi:10.3969/j.issn.1006-1959.2020.21.038]
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ICU护士不良事件支持现状以及与其职业生涯状况的相关性()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年21期
页码:
124-127
栏目:
调查分析
出版日期:
2020-11-01

文章信息/Info

Title:
ICU Nurses’ Adverse Event Support Status and Its Correlation with Career Status
文章编号:
1006-1959（2020）21-0124-04
作者:
郝连盈
（天津市西青医院呼吸与危重症学科，天津 300380）
Author(s):
HAO Lian-ying
(Department of Respiratory and Critical Care,Tianjin Xiqing Hospital,Tianjin 300380,China)
关键词:
ICU护士; 不良事件; 支持现状; 职业生涯
Keywords:
ICU nurse; Adverse events; Support status; Career
分类号:
R47
DOI:
10.3969/j.issn.1006-1959.2020.21.038
文献标志码:
A
摘要:
目的 分析天津市、河北省、山东省三级甲等医院ICU护士不良事件支持水平现状及其与职业生涯状况的相关性。方法 于2019年7~11月采用便利抽样法，采用一般资料调查问卷、第二受害者经验及支持量表和职业生涯状况评价量表，以221名ICU护士为研究对象，调查目前不良事件支持水平现状以及与职业生涯状况的相关性。结果 共调查221名护士，其中男87名，女134名，年龄24~51岁，平均年龄（30.34±2.99）岁；ICU护士不良事件支持水平得分为（31.23±5.82）分，不同年龄、性别和职称的护士不良事件支持水平得分比较，差异有统计学意义（P＜0.05）；ICU护士职业生涯状况得分为（88.92±13.77）分，职业生涯得分及其各维度与护士不良事件后支持水平均成正相关（P＜0.05）；多因素回归分析显示，性别、职称、职业认同、组织承诺及职业生涯状况是ICU护士不良事件支持水平得分的独立影响因素。结论 目前ICU护士作为第二受害者在不良事件发生支持处于中等水平，其中医疗机构对于事件发生后的给予的支持稍有不足，易导致护士产生离职倾向，影响护理队伍的稳定性。因此管理者和医疗机构在事故发生后不仅仅要重视患者维护患者利益，同样也关注护士的心理需求，仔细调查事件发生真相，分析问题原因，合理设置岗位帮助护士汲取教训和经验，提高护士职业认同感，感受到组织的关注和温暖，减少护士作为第二受害者的负面影响。
Abstract:
Objective To analyze the current status of adverse event support level of ICU nurses in tertiary A hospitals in Tianjin, Hebei, and Shandong and its correlation with career status.Methods From July to November 2019, the convenience sampling method was adopted. The general information survey questionnaire, the second victim experience and support scale, and the career status evaluation scale were used. 221 ICU nurses were used as the research object to investigate the current adverse event support status of level and its relevance to career status.Results A total of 221 nurses were surveyed, including 87 males and 134 females, aged 24-51 years old, with an average age of (30.34±2.99) years old; ICU nurses’ adverse event support level score was (31.23±5.82) points, with different ages and genders compared with the professional title nurse’s support level score for adverse events, the difference was statistically significant (P<0.05); ICU nurses’ career status score was (88.92±13.77) points, career scores and their various dimensions and the nurses’ support level after adverse events both were positively correlated (P<0.05); multivariate regression analysis showed that gender, job title, occupational identity, organizational commitment and career status were independent influencing factors of ICU nurses’ adverse event support level score.Conclusion At present, as the second victim, ICU nurses were at a moderate level of support in the occurrence of adverse events. Among them, medical institutions provided slightly insufficient support after the event, which might easily lead to nurses’ turnover tendency and affected the stability of the nursing team. Therefore, after an accident, managers and medical institutions should not only pay attention to the protection of patients’ interests, but also paid attention to the psychological needs of nurses, carefully investigate the truth of the incident, analyzed the cause of the problem, and set up positions to help nurses learn lessons and experience, and improved nurses’ careers. A sense of identity, felt the attention and warmth of the organization, and reduced the negative impact of nurses as the second victim.

参考文献/References:

[1]陈蓉,杨梦娇,蔡邱嫦,等.医疗不良事件中第二受害者研究现状与思考[J].护理学杂志,2019,34(2):102-105.[2]Chan ST,Khong P,Wang W.Psychological responses,coping and supporting needs of healthcare professionals as second victims[J].Int Nurs Rev,2017,64(2):242-262. [3]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. [4]Wu AW.Medical error:these second victim, the doctor whom makes them mistake needs help tool[J].BMJ,2000,320(7237):726-727.[5]Grissinger M.Too many abandon the"second victims"of medical errors[J].P&T,2014,39(9):591-592.[6]张楠.护士工作倦怠研究[D].安徽医科大学,2008.[7]Burlison JD,Scott SD,Browne EK,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].Journal of Patient Safety,2017,13(2):93-102.[8]童天.职业生涯发展与规划[M].北京:知识出版社,2006.[9]商临萍,许佳佳.太原市339名护理人员职业生涯状况及其影响因素的调查分析[J].中华护理杂志,2010,45(8):736-738.[10]Scott SD,Hirschinger LE,Cox KR,et al.The natural history of recovery for the healthcare provider"second victim"after adverse patient events[J].Qual Saf Health Care,2009,8(5):325-330.[11]Kim EM,Kim SA,Lee JR,et al.Psychometric pro-perties of Korean version of the Second Victim Experience and Support Tool(K-SVEST)[J].J Patient Saf,2020,16(3):179-186.[12]陈贵儒,孙慧敏,黄蓉蓉,等.护士第二受害者支持现状及与医院患者安全文化的关系研究[J].护理学杂志,2020,35(2):4-8.[13]徐晶,陈荣凤,郑微艳,等.医疗不良事件中第二受害者及其组织支持的研究现状与启示[J].中华护理杂志,2017,52(4):485-488.[14]严恒.我国男护士从业现状与趋势[J].天津护理,2014,22(2):181-182.[15]Panella M,Rinaldi C,Leigheb F,et al.The determinants ofdefensive medicine in Italian hospitals：the impact of being asecond victim[J].Rev Calid Asist,2016(2):20-25.

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更新日期/Last Update: 1900-01-01