[1]刘丽华,宋晓,邵静,等.精神科护士第二受害者负性体验及持续时间的调查分析[J].军事护理,2022,39(10):61.[doi:10.3969/j.issn.2097-1826.2022.10.016]
　LIU Lihua,SONG Xiao,SHAO Jing,et al.Analysis of Psychiatric Nurses as the Second Victim: Negative Experience and Duration[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(10):61.[doi:10.3969/j.issn.2097-1826.2022.10.016]
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精神科护士第二受害者负性体验及持续时间的调查分析
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年10期
页码:
61
栏目:
研究荟萃
出版日期:
2022-10-15

文章信息/Info

Title:
Analysis of Psychiatric Nurses as the Second Victim: Negative Experience and Duration
文章编号:
2097-1826(2022)10-0061-05
作者:
刘丽华1; 宋晓2; 邵静3; 王冲3; 刘晓乐1
(1.北京回龙观医院 临床二科,北京100096; 2.北京回龙观医院 临床一科; 3.北京回龙观医院 护理部)
Author(s):
LIU Lihua1; SONG Xiao2; SHAO Jing3; WANG Chong3; LIU Xiaole1
(1.Clinical Department Ⅱ, Beijing Huilongguan Hospital,Beijing 100096,China; 2.Clinical Department I,Beijing Huilongguan Hospital; 3.Nursing Department,Beijing Huilongguan Hospital)
关键词:
患者安全事件;  负性体验;  精神科;  护士;  第二受害者
Keywords:
patient safety incident;  negative experience;  psychiatry;  nurse;  second victim
分类号:
R473.74
DOI:
10.3969/j.issn.2097-1826.2022.10.016
文献标志码:
A
摘要:
目的 调查患者安全事件中精神科护士作为第二受害者的负性体验及持续时间,以期为后续干预支持提供参考和借鉴。方法 2020年9月,采用便利抽样方法选取北京市某三级甲等精神专科医院的280名精神科护士为研究对象,采用一般情况调查表、经历PSI后的负性体验调查表对其进行调查,统计各种负性体验的发生情况,并将各种负性情绪按照护士报告与否分为两组,比较护士在患者伤害后果及经历方式上的差异。结果 273名(97.5%)的护士报告1种及以上负性体验。持续时间超过6个月的负性体验报告率由高到低排序前三位的为“会在工作中规避风险”“感到压力”和“过度警惕”。在所有负性体验中,未报告与报告组患者伤害后果的差异均无统计学意义(均P>0.05)。在部分负性体验上,报告与否与经历方式呈线性趋势。结论 精神科护士负性体验的报告率较高且持续时间较长,亟需针对相关人员开展干预以保证护理质量稳步提高。
Abstract:
Objective To investigate the negative experience and duration of psychiatric nurses as the second victim in patient safety incidents, and to explore the relationship between the patient's injury consequences, experience mode and negative experience report rate.Methods In September 2020, 280 psychiatric nurses from a tertiary A psychiatric hospital in Beijing were selected by the convenience sampling method, and a survey was conducted.The general information questionnaire, patient safety event characteristic questionnaire, and negative experience questionnaire were used in the survey.The occurrence of various negative experiences was recorded, and the negative emotions were divided into two groups according to whether the nurses reported them or not.The differences of injury consequences and experience style were compared of the two groups.Results 273(97.5%)nurses reported one or more negative experiences.The top three negative experiences reported lasting for more than 6 months were avoiding risks at work, feeling stress, and hypervigilance.In all negative experiences, there was no significant difference in the injury outcomes between the unreported and reported groups(all P>0.05).For some negative experiences, there was a linear trend between reporting and experience mode.Conclusions The report rate of negative experience among psychiatric nurses was relatively high, and the duration last long.Interventions for relevant personnel are urgently needed to improve the quality of care.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-06-07 【 修回日期 】 2021-12-30
【 基金项目 】 北京市医院管理局青年人才培养“青苗”计划(QML20172002); 北京回龙观医院“龙跃计划”基金资助项目(LY202208)
【 作者简介 】 刘丽华,硕士,主管护师,从事精神心理护理
【 通信作者 】 邵静,电话:010-83024504
更新日期/Last Update: 2022-10-15