以质量求发展，以服务铸品牌

Journal of Nursing ›› 2020, Vol. 27 ›› Issue (6): 29-34.doi: 10.16460/j.issn1008-9969.2020.06.029

Previous Articles     Next Articles

Experience and Support Needs of 731 Second Victims of Inpatient Suicide

TAN Ronga, HU De-yingb, LIU Yi-lanb, LUO Kai-yana   

  1. a.Dept. of Orthopaedics; b.Dept.of Nursing Administration, Union Hospital Affiliated with Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430022, China
  • Received:2019-10-16 Online:2020-03-25 Published:2020-07-13

PDF (PC)

358

Like

Abstract: Objective To understand the experience and support needs of nurses as the second victim of inpatient suicide in general hospitals. Methods Convenient sampling method was used to select 731 nurses who experienced inpatient suicide from 8 tertiary general hospitals in Hubei Province in May 2019. The nurses were surveyed with a general information questionnaire and Inpatient Suicide Second Victim Experience and Support Needs Questionnaire. Results The item average score of experience of the second victim of inpatient suicide was 3.20±0.76, and that of support needs 3.46±0.44. Second victims with different working years had a statistically significant difference in terms of experience score (P<0.05). Support needs of second victims with different gender, working years, professional title and positions were statistically significant (P<0.05). Conclusion Experience and support needs of the second victims of inpatient suicide are both in mediate or above level. Second victims of inpatient suicide are mainly manifested as negative psychological and physical experience. Those with 1 to 5 working years perform the highest experience score in the second victims of inpatient suicide. Female, those with 6 to10 working years and those with vice-director nurse or above and head nurses perform the highest scores of support needs in the second victims of inpatient suicide. It is recommended that nursing managers should provide targeted training, diversified support resources and actively establish support system for second victims.

Key words: general hospital, inpatient suicide, second victim, nurse, psychological experience, support need

CLC Number: 

  • R471
[1] 胡德英,曾莉,黄笛,等. 住院病人自杀时值班护士心理状况的质性研究[J]. 护理研究, 2014,28(10A):3492-3494.DOI:10.3969/j.issn.10096493.2014.28.013.
[2] 周丽萍,周慧英,陶筱琴,等. 精神科住院患者自杀事件对护士影响的调查[J].护理学杂志,2005,20(9):48-50.DOI:10.3969/j.issn.1001-4152.2005.09.023.
[3] Wang S, Ding X, Hu D, et al.A Qualitative Study on Nurses’ Reactions to Inpatient Suicide in General Hospital[J].Int J Nurs Sci,2016, 3(4):354-361.DOI:10.1016/j.ijnss.2016.07.007.
[4] 刘华. 护士经历患者自杀事件后心理体验的质性研究[D].长沙:中南大学, 2010.
[5] Wu AW.Medical Error: The Second Victim. The Doctor Who Makes the Mistake Needs Help Too[J]. BMJ,2000,320(7237):726-727.DOI:10.1136/bmj.320.7237.726.
[6] Grissinger M.Too Many Abandon the “Second Victims” of Medical Errors[J].Pharm Ther,2014,39(9):591-592.
[7] Takahashi C, Chida F, Nakamura H, et al.The Impact of Inpatient Suicide on Psychiatric Nurses and Their Need for Support[J]. BMC Psychiatry, 2011,11(38):1-8.DOI:10.1186/1471-244X-11-38.
[8] Martens J, Van Gerven E, Lannoy K, et al.Serious Reportable Events Within the Inpatient Mental Health Care:Impact on Physicians and Nurses[J]. Rev Calid Asist, 2016,31(Suppl 2):26-33. DOI:10.1016/j.cali.2016.04.004.
[9] 郑娜,朱秀琴,胡兰,等.亲历病人自杀事件的临床一线护士心理体验及应对方式[J].护理研究,2019,33(3):481-484. DOI:10.12102/j.issn.1009-6493.2019.03.027.
[10] 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. DOI:10.3870/j.issn.1001-4152.2019.02.102.
[11] 韩怡茹,何剑琴.医疗不良事件中第二受害者的国内外研究现状与启示[J].中华医院管理杂志,2018,34(10):877-880. DOI:10.3760/cma.j.issn.1000-6672.2018.10.021.
[12] Busch IM, Moretti F, Purgato M, et al. Psychological and Psychosomatic Symptoms of Second Victims of Adverse Events: A Systematic Review and Meta-analysis[J].J Patient Saf, 2019:1-14(2019-03-26).DOI:10.1097/PTS.0000000000000589.
[13] 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.
[14] Cabilan CJ, Kynoch K.Experiences of and Support for Nurses as Second Victims of Adverse Nursing Errors: A Qualitative Systematic Review[J].JBI Database System Rev Implement Rep, 2017, 15(9):2333-2364.DOI:10.11124/JBISRIR-2016-003254.
[15] Gazoni FM, Amato PE, Malik ZM, et al.The Impact of Perioperative Catastrophes on Anesthesiologists: Results of a National Survey[J]. Anesth Analg,2012,114(3):596-603. DOI:10.1213/ANE.0b013e318227524e.
[16] Edrees HH, Paine LA, Feroli ER, et al.Health Care Workers as Second Victims of Medical Errors[J]. Pol Arch Med Wewn,2011,121(4):101-108.
[17] Fang F, Kemp J, Jawandha A, et al.Encountering Patient Suicide:A Resident’s Experience[J].Acad Psychiatry, 2007,31(5):340-344.DOI:10.1176/appi.ap.31.5.340.
[18] Takahashi C, Chida F, Nakamura H,et al.The Impact of Inpatient Suicide on Psychiatric Nurses and Their Need for Support[J]. BMC Psychiatry, 2011,11(38):1-8. DOI:10.1186/1471-244X-11-38.
[19] Seys D, Wu AW, Gerven EV, et al.Health Care Professionals as Second Victims after Adverse Events: A Systematic Review[J]. Eval Health Prof, 2013, 36(2):135-162.DOI:10.1177/0163278712458918.
[20] Schelbred AB, Nord R.Nurses’ Experiences of Drug Administration Errors[J]. J Adv Nurs,2007,60(3):317-24.DOI:10.1111/j.1365-2648.2007.04437.x.
[21] 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):122-124.
[22] Edrees HH, Wu AW. Does One Size Fit All? Assessing the Need for Organizational Second Victim Support Programs[J]. J Patient Saf, 2017:1-8(2017-07-30). DOI:10.1097/PTS.0000000000000321.
[23] Seys D, Wu AW, Gerven EV, et al.Health Care Professionals as Second Victims after Adverse Events: A Systematic Review[J]. Eval Health Prof, 2013, 36(2):135-162.DOI:10.1177/0163278712458918.
[24] 胡德英,丁小萍,熊宇,等. 19例住院患者夜间自杀现状分析与防范对策[J]. 护理学报,2015,22(3):62-65.DOI:10.16460/j.issn1008-9969.2015.03.062.
[25] 赵玲玲,谢敏叶,任晓碧.调节焦点对护士职业认同与职业怠倦相关性的调节效应分析[J].护理学报,2017, 24(2):66-69.DOI:10.16460/j.issn1008-9969.2017.02.066.
[26] Gaebel W, Groβimlinghaus I, Heun R,et al.European Psychiatric Association (EPA) Guidance on Quality Assurance in Mental Healthcare[J]. Eur Psychiatr,2015,30:360-387.DOI:10.1016/j.eurpsy.2015.01.011.
[27] 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.
[28] Plews-Ogan M,Owens JE, May NB.Wisdom Through Adversity: Learning and Growing in the Wake of an Error[J].Patient Educ Couns,2013, 91(2):236-242.DOI:10.1016/j.pec.2012.12.006.
[29] Joyce B, Wallbridge H.Effects of Suicidal Behavior on a Psychiatric Unit Nursing Team[J]. J Psychosoc Nurs Ment Health Serv,2003,41(3):14-23.
[30] 徐燕,邵琼,安娜.上海市松江区女性医务人员心理健康状况调查[J].护理研究,2017, 31(17):2140-2141.DOI:10.3969/j.issn.1009-6493.2017.17.030.
[31] Scott SD, Hirschinger LE, Cox KR, et al.Caring for Our Own: Deploying a Systemwide Second Victim Rapidresponse Team[J].Jt Comm J Qual Patient Saf,2010,36(5):233-240.
[32] Merandi J, Liao N, Lewe D, et al.Deployment of a Second Victim Peer Support Program: A Rication Study[J].Pediatr Qual Saf, 2017,2(4):e031.DOI:10.1097/pq9.0000000000000031.
[1] BAO Yan-qiao, ZHANG Wen-li, BIAN Xiao-lu, LIU Fang-mei. Effect of Narrative Nursing on Mental Health of Nurses Fighting against COVID-19 [J]. Journal of Nursing, 2020, 27(6): 44-48.
[2] TIAN Fan-li, LI Hui-ling, DU Mei-lan, JIANG Fang-qin, ZHANG Xin-mei, YIN Xue-qun. Qualitative Study on Emotional Experience of Male Nurses Supporting Wuhan for Fighting COVID-19 [J]. Journal of Nursing, 2020, 27(12): 46-49.
[3] CHEN Juan-hui, CHEN Yan-ping, MENG Yu-fei, LIN Shao-ying, TAO Yan-ling. Construction of Evaluation Index System for Community Nurses' Knowledge, Attitude and Behavior of Home Visit to Elderly People [J]. Journal of Nursing, 2020, 27(12): 73-78.
[4] LIU Wei-quan, XIONG Jie, XIAO Qi, JIANG Yan, LIU Jun-ya. PBL Combined with Medical Simulation Teaching Method in Cultivating Clinical Ability of ICU Specialist Nurses [J]. Journal of Nursing, 2019, 26(4): 10-13.
[5] DU Li, MAO Hong-bo. Status Quo of Compensation Justice of 1 423 Clinical Nurses and Its Influence Factors [J]. Journal of Nursing, 2019, 26(4): 43-48.
[6] WU Fan, SHENG Yu, ZHANG Yu-jun, ZHU Ling-ling, LIU Xiu-hua. Qualitative Study on Rescue Experience of Nurses in Disaster Response: A Meta Synthesis [J]. Journal of Nursing, 2019, 26(3): 28-33.
[7] MI Yuan-yuan, DONG Jiang, LIU Huan. Qualitative Research on Job Burnout in Nurses: A Meta Synthesis [J]. Journal of Nursing, 2019, 26(3): 34-39.
[8] XU Na, ZHANG Yong-ai, ZHANG Xiao-na, LI Fei. Job Satisfaction of Nurses from Comprehensive Hospitals in Shaanxi Province and Its Influencing Factors: A 1,640-case Study [J]. Journal of Nursing, 2019, 26(16): 46-51.
[9] JI Jia-mei, LUO Cai-feng, XU Jian-ou. Development of Nurse Affective Domain Ability Scale and Its Reliability and Validity [J]. Journal of Nursing, 2019, 26(15): 46-50.
[10] LIU Yuan-yuan, SHI Fu-yan, CUI Juan, NIU Jie, YIN Chong-gao. Status Quo of Nursing Work Environment Perception in Newly Enrolled Nurses with Standardized Training and Its Influencing Factors [J]. Journal of Nursing, 2019, 26(14): 1-4.
[11] WANG Jin-bo, SUN Hui-min, HUANG Rong-rong, ZHANG Xiu-xiu, CHEN Gui-ru. Current Status of Professional Identity of Newly-graduated Male Nurses in Guizhou Province [J]. Journal of Nursing, 2019, 26(12): 6-9.
[12] GUO Yi-li, CHEN Yu, CHEN Wei-chen. Current Status of Perceived Professional Benefits and Its Influence Factors in Nurses from One Municipal TCM Hospital [J]. Journal of Nursing, 2019, 26(12): 10-14.
[13] HE Yue-yue, Huang Xiu-mei, YIN An-chun, LIU Si-yu. Attitudes Toward Hospice Care of ICU Nurses and Its Influence Factors [J]. Journal of Nursing, 2019, 26(11): 5-8.
[14] MA Dan-ting,LI Wen-yuan,ZHOU Chun-lan,LIU Ying,WANG Yan. Occupational Commitment of CIinical Nurses and Its Influence Factors [J]. Journal of Nursing, 2018, 25(9): 8-12.
[15] LIU Xue-lian,LI Li. Clinical Nurses' Knowledge of Core Competencies of Pain Management [J]. Journal of Nursing, 2018, 25(9): 12-16.
Viewed
Full text


Abstract

Cited
  Shared   
[1] ZHAO Di, ZHAO Meng-Lu, WANG Na, FU Ming-Jing, LIANG Feng, ZHANG Wei, WANG Ai-Min. Current Status of Social Isolation of Community-dwelling Elderly People in Qingdao and Its Influencing Factors[J]. Journal of Nursing, 2020, 27(11): 6 -10 .
[2] . [J]. Journal of Nursing, 2020, 27(11): 11 -15 .
[3] XIE Yan-zhen, LI Zhuang-miao, ZHANG Jia-yu, JI Qiu-lu, WU Yu-xin. Bibliometric Analysis of Moxibustion for Hemiplegia after Stroke[J]. Journal of Nursing, 2020, 27(11): 16 -20 .
[4] . [J]. Journal of Nursing, 2020, 27(11): 21 -25 .
[5] YE Dong-ting, ZHANG Qin-lian, JING Shuang, GUO Jia, XING Yan-fen. Psychological Experience of Family Members of ICU Patients during ICU Transfer: A Meta-synthesis[J]. Journal of Nursing, 2020, 27(11): 33 -39 .
[6] GUO Xiao-yu, SHI Dong-li, ZHANG Zheng-mei, LI Na, ZHANG Pei-feng, YANG Li-juan. Best Evidence Summary for Early Removal of Urinary Catheters in Male Patients after Lumbar Spine Surgery under General Anethesia[J]. Journal of Nursing, 2020, 27(11): 46 -51 .
[7] . [J]. Journal of Nursing, 2020, 27(11): 52 -56 .
[8] . [J]. Journal of Nursing, 2020, 27(11): 66 -70 .
[9] LI Xi-zhen, CAO Mei-chang, DENG Ju-ying, ZENG Man-ping, OU Li-fang. Effect of Narrative Therapy on Fear of Cancer Recurrence and Level of Hope in Patients with Nasopharyngeal Carcinoma[J]. Journal of Nursing, 2020, 27(11): 71 -74 .
[10] . [J]. Journal of Nursing, 2020, 27(11): 75 -78 .