医疗不良事件对第二受害者影响的研究进展

doi:10.16460/j.issn1008-9969.2021.03.023

摘要/Abstract

摘要： 目的对国内外医疗不良事件中第二受害者的研究进展进行综述,为今后开展第二受害者相关研究提供参考。方法回顾国内外文献,介绍医疗不良事件对第二受害者的影响现状、受到的伤害现状、评估工具,以及组织支持的制度、文化、手段、效果。结果医疗不良事件对第二受害者的影响严重,我国医疗机构对第二受害者还未有充分的认识,支持现状处于中低水平,且缺乏不良事件发生后对第二受害者相关干预的研究。结论未来应加强对第二受害者的关注,提高第二受害者支持水平,目前国内关于第二受害者的研究较少,我国医院管理者和政策制定者应结合我国国情和文化特点制定相关政策,以满足第二受害者的需求、提高护理质量、促进医疗事业可持续健康发展。

中图分类号:

张蕊馨, 谢晖, 汪晨晨, 蔡维维. 医疗不良事件对第二受害者影响的研究进展[J]. 护理学报, 2021, 28(3): 23-26.

参考文献

[1] Ozeke O, Ozeke V,Coskun O, et al.Second Victims in Health Care: Current Perspectives[J].Adv Med Educ Pract,2019,10:593-603.DOI:10.2147/AMEP.S185912.
[2] Zhang X, Li Q, Guo Y, et al.From Organisational Support to Second Victim-related Distress:Role of Patient Safety Culture[J].J Nurs Manag,2019,27(8):1818-1825.DOI:10.1111/jonm.12881.
[3] Hauk L.Support Strategies for Health Care Professionals Who Are Second Victims[J]. AORN J,2018,107(6):P7-P9. DOI:10.1002/aorn.12291.
[4] Tamburri LM.Creating Healthy Work Environments for Second Victims of Adverse Events[J]. AACN Adv Crit Care,2017,28(4):366-374. DOI:10.4037/aacnacc2017996.
[5] Cabilan CJ, Kynoch K.Experiences of and Support for Nurses as Second Victims of Adverse Nursing Errors: AQualitative Systematic Review[J].JBI Database System Rev Implement Rep,2017,15(9):2333-2364. DOI:10.11124/JBISRIR-2016-003254.
[6] Busch IM, Moretti F,Purgato M,et al.Psychological and Psychosomatic Symptoms of Second Victims of Adverse Events: A Systematic Reviewand Meta-analysis[J].J Patient Saf,2020,16(2):e61-e74. DOI:10.1097/PTS.0000000000000589.
[7] Kim EM, Kim SA, Lee JR,et al.Psychometric Properties of Korean Version of the Second Victim Experience and Support Tool (K-SVEST)[J].J Patient Saf,2020,16(3):179-186. DOI:10.1097/PTS.0000000000000466.
[8] Chan ST, Khong PCB, Wang W. Psychological Responses, Coping and Supporting Needs of Healthcare Professionals as Second Victims[J].Int Nurs Rev,2017,64(2):242-262. DOI:10.1111/inr.12317.
[9] 陈娇娇,杨巧,赵庆华,等.中文版第二受害者经历与支持测评量表信度效度检验[J]. 中国护理管理,2019,19(7):991-995.
[10] Mira JJ, Carrillo I, Lorenzo S, et al.The Aftermath of Adverse Events in Spanish Primary Care and Hospital Health Professionals[J].BMC Health Serv Res,2015,15:151.DOI:10.1186/s12913-015-0790-7.
[11] Vanhaecht K, Seys D, Schouten L,et al.Duration of Second VictimSymptoms in the Aftermath of a Patient Safety Incident and Association with the Level of Patient Harm: A Cross-sectional Study in the Netherlands[J]. BMJ Open, 2019,9(7):e029923.DOI:10.1136/bmjopen-2019-029923.
[12] Joesten L, Cipparrone N, Okuno-Jones S, et al.Assessing the Perceived Level of Institutional Support for the Second Victim after a Patient Safety Event[J].J Patient Saf,2015,11(2):73-78. DOI:10.1097/PTS.0000000000000060.
[13] Harrison R, Lawton R, Stewart K.Doctors′ Experiences of Adverse Events in Secondary Care:The Professional and Personal Impact[J].Clin Med (Lond),2014,14(6):585-590. DOI:10.7861/clinmedicine.14-6-585.
[14] McDaniel LR, Morris C. The Second Victim Phenomenon: How are Midwives Affected?[J].J Midwifery Womens Health,2020,65(4):503-511. DOI:10.1111/jmwh.13092.
[15] 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.
[16] Rinaldi C, Leigheb F, Vanhaecht K, et al. Becoming A“Second Victim” in Health Care: Pathway of Recovery after Adverse Event[J]. Rev Calid Asist,2016,31 Suppl 2:11-19. DOI:10.1016/j.cali.2016.05.001.
[17] 徐晶,顾岩,陈荣凤.医疗不良事件中护士成为第二受害者体验的质性研究[J].卫生职业教育,2018,36(15):116-118.
[18] 金玉梅,何晓君.儿科护士在护理不良事件中作为第二受害者的心理体验[J]. 中国护理管理,2019,19(4):501-504.
[19] 杨巧,郑双江,陈登菊,等.应关注患者安全事件中第二受害者的支持需求[J]. 中国卫生质量管理,2018,25(3):38-41.
[20] 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]. J Patient Saf,2017,13(2):93-102. DOI:10.1097/PTS.0000000000000129.
[21] Edrees H, Connors C, Paine L, et al.Implementing the RISE SecondVictim Support Programme at the Johns Hopkins Hospital: A Case Study[J]. BMJ Open,2016,6(9):e011708. DOI:10.1136/bmjopen-2016-011708.
[22] Mira JJ, Carrillo I, Guilabert M, et al.The Second Victim Phenomenon after a Clinical Error: The Design and Evaluation of a Website to Reduce Caregivers′ Emotional Responses after a Clinical Error[J]. J Med Internet Res,2017,19(6):e203. DOI:10.2196/jmir.7840.
[23] White AA, Brock DM, McCotter PI, et al. Risk Managers′ Descriptions of Programs to Support Second Victims after Adverse Events[J]. J Healthc Risk Manag,2015,34(4):30-40. DOI:10.1002/jhrm.21169.
[24] Edrees HH, Wu AW. Does One Size Fit All? Assessing the Need for Organizational Second Victim Support Programs[J].J Patient Saf, 2017 Jun 30.DOI:10.1097/PTS.0000000000000321.
[25] Shor S, Tal O, Maymon R.The Second Victim:Treating the Health Care Providers[J].Harefuah,2017,156(1):38-40.
[26] Quillivan RR, Burlison JD, Browne EK, et al.Patient Safety Culture and The Second Victim Phenomenon: Connecting Culture to Staff Distress in Nurses[J]. Jt Comm J Qual Patient Saf,2016,42(8):377-386.DOI:10.1016/s1553-7250(16)42053-2.
[27] Nydoo P, Pillay BJ, Naicker T, et al.The Second Victim Phenomenon in Health Care: A Literature Review[J].Scand J Public Health,2020, 48(6):629-637.DOI:10.1177/1403494819855506.
[28] Tawfik DS, Profit J,Morgenthaler TI,et al.Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reported Medical Errors[J].Mayo Clin Proc,2018,93(11):1571-1580. DOI:10.1016/j.mayocp.2018.05.014.
[29] Donahue KR, Gossai T, Succar L,et al.Second Victim Syndrome and the Pharmacy Learner[J]. J Am Pharm Assoc (2003),2020,60(4):e14-e17.DOI:10.1016/j.japh.2020.01.020.
[30] Koehn AR, Ebright PR, Draucker CB.Nurses′ Experiences with Errors in Nursing[J]. Nurs Outlook,2016,64(6):566-574. DOI:10.1016/j.outlook.2016.05.012.
[31] Chard R, Tovin M.The Meaning of Intraoperative Errors: Perioperative Nurse Perspectives[J]. AORN J,2018,107(2):225-235. DOI:10.1002/aorn.12032.
[32] Lee W, Pyo J, Jang SG, et al.Experiences and Responses of Second Victims of Patient Safety Incidents in Korea: A Qualitative Study[J].BMC Health Serv Res,2019,19(1):100.DOI:10.1186/s12913-019-3936-1.
[33] Wahlberg Å, Högberg U, Emmelin M.The Erratic Pathway to Regaining a Professional Self-image after an Obstetric Work-related Trauma: A Grounded Theory Study[J]. Int J Nurs Stud,2019,89:53-61.DOI:10.1016/j.ijnurstu.2018.07.016.
[34] 李洁莉,潘世华,陈贵儒,等.正念冥想干预对护士第二受害者体验及希望水平的影响[J].护理学杂志, 2020,35(18):1-4.
[35] El Hechi MW, Bohnen JD, Westfal M, et al.Design and Impact of A Novel Surgery-specific Second Victim Peer Support Program[J].J Am Coll Surg,2020,230(6):926-933. DOI:10.1016/j.jamcollsurg.2019.10.015.
[36] Marmon LM, Heiss K.Improving Surgeon Wellness: The Second Victim Syndrome and Quality of Care[J]. Semin Pediatr Surg, 2015, 24(6):315-318.DOI:10.1053/j.sempedsurg.2015.08.011.

Metrics

Viewed

Full text

Abstract

Cited

Shared