A qualitative study on the psychological recovery pathway and support needs of the second victim of nurses
10.3760/cma.j.cn111325-20230316-00209
- VernacularTitle:护士第二受害者的心理复苏路径和支持需求质性研究
- Author:
Shihua PAN
1
;
Huimin SUN
;
Guiru CHEN
;
Rongrong HUANG
;
Juan SHUAI
;
Xiaomin DING
;
Jieli LI
Author Information
1. 武汉大学中南医院综合医疗科，武汉 430062
- Keywords:
Nurse;
Adverse events;
Second victim;
Resuscitation pathway;
Support needs;
Qualitative study
- From:
Chinese Journal of Hospital Administration
2023;39(10):781-786
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the psychological recovery pathway and support needs of second victims of nurses who have experienced medical adverse events through qualitative research.Methods:From June to December 2022, a purposive sampling method was used to select 20 nurses who had experienced level Ⅲ or above adverse events and voluntarily participated in this study from 3 grade A tertiary hospitals in Hubei Province and 1 grade A tertiary hospital in Sichuan Province. Semi-structured interviews were conducted with the research subjects and the data was analyze by using thematic analysis.Results:The psychological recovery path of nurses who had experienced medical adverse events included three stages, named as the plateau period, stress response period, and coping and growth period. The second victim of nurses hoped to receive support from the department′s environmental culture, organizational atmosphere, and non punitive culture, and nurses in the platform stage had a stronger need for the first two types of support; the nurses preferred emotional support from superiors, colleagues, family/friends during the stress response period, and preferred knowledge learning and training support during the coping and growth period.Conclusions:The psychological recovery of the second victim of nurses will go through a plateau period, a stress response period, and a coping and growth period. There are differences in support needs during each period, and more targeted intervention plans should be developed.
