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

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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

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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.
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