医疗不良事件后临床护士第二受害者经历与支持对工作不安全感的影响

doi:10.3969/j.issn.1006-5253.2022.06.011

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Abstract Objective To explore the second victim experiences of nurses in medical adverse events and its impact on job insecurity.Methods There were 283 second victim nurses selected from 3 tertiary hospitals from a city from June to August 2022 with convenience sampling method. The basic information questionnaire, Chinese version of the Second Victim Experience and Support Tool and Job Insecurity Scale were used in the investigation.Results The average score of the second victim's experience and support was （73.35±16.49）, among which the average score of distress subscale was （41.42±11.12） and that of support subscale was （31.38±6.35）. The average score of job insecurity items was （2.98±0.77）, among which the average score of job quality insecurity items was （3.21±0.82）, and the average score of job quantity insecurity items was （2.68±0.70）. Multiple linear regression analysis showed that gender and secondvictim distress affected the job insecurity of clinical nurses. The way of employment affected the job quantity insecurity of clinical nurses. Second victim experience and support influenced overall job insecurity of clinical nurses.Conclusion Nursing managers should pay attention to the influence of adverse events on the second victim nurses, especially male nurses, and formulate support and management programs from the risk management, organizational support, emotional guidance and other levels, eliminate the concerns about influence of adverse events on career development, and reduce their job insecurity.

Key words： clinical nurse adverse medical event second victim experience and support job insecurity

Received: 16 September 2022

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	Articles by authors
	Chen Feifei
	Miao Dahong
	Xu Yangyang

Cite this article:

Chen Feifei,Miao Dahong,Xu Yangyang. Experience and support of secondary victims of clinical nurses after adverse medical events and the impact on job insecurity[J]. journal1, 2022, 29(6): 459-465.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2022.06.011 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2022/V29/I6/459

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