主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2023, Vol. 23 ›› Issue (6): 893-898.doi: 10.3969/j.issn.1672-1756.2023.06.018

• 人力资源 • 上一篇    下一篇

还原患者安全事件经过时对护士支持策略的构建

张晓红 李卓霞 杜荣欣 陈家琦 何芳 张翠玲 许佳佳 刘姣 邱会芳   

  1. 山西白求恩医院护理部,030032太原市(张晓红,李卓霞,杜荣欣,陈家琦);普通外科(何芳,刘姣);肿瘤中心(张翠玲);综合医疗科(许佳佳);甲状腺外科(邱会芳)
  • 出版日期:2023-06-15 发布日期:2023-06-15
  • 通讯作者: 何芳,硕士,副主任护师,普通外科护士长兼外科系统总护士长,E-mail:zxhxb2013@126.com
  • 作者简介:张晓红,硕士,主任护师,护理部副主任
  • 基金资助:
    山西省科技战略研究专项一般项目(202104031402143);山西白求恩医院科研项目(2021YH01)

Construction of support strategies for nurses as the second victim in patient safety incidents

ZHANG Xiaohong, LI Zhuoxia, DU Rongxin, CHEN Jiaqi, HE Fang, ZHANG Cuiling, XU Jiajia, LIU Jiao, QIU Huifang   

  1. Nursing Department, Shanxi Bethune Hospital, Taiyuan, 030032, China
  • Online:2023-06-15 Published:2023-06-15
  • Contact: E-mail:zxhxb2013@126.com

摘要: 目的:构建还原患者安全事件经过时对第二受害者(护士)的支持策略。方法:以社会支持理论为指导,运用半结构式访谈法及问卷调查法明确护士在患者安全事件发生后还原事件经过时的感受及需求,采用专题小组讨论法形成还原经过时对护士的支持策略条目池;采用德尔菲法对16名专家进行2轮函询,从不同层面和角度提供客观的意见和建议。结果:形成了还原患者安全事件经过时对护士的支持策略,包括5个支持项目、11个支持内容及32个支持方式。2轮专家函询问卷有效回收率分别为90.0%、88.9%;专家权威系数分别为0.88、0.94;专家肯德尔和谐系数分别为0.13、0.26(P<0.01)。结论:支持策略形成过程科学、规范,可作为护理管理者在还原患者安全事件经过时对第二受害者进行支持的工具。

关键词: 患者安全事件;还原经过;支持策略;第二受害者;护士;德尔菲技术

Abstract: Objective: To construct a support strategy for the second victim of nurses when restoring the process of patient safety incidents. Methods: Guided by the theory of social support, the semi-structured interview method and questionnaire survey method were used to clarify the feelings and needs of nurses when restoring the event after the patient safety incident, and the special group discussion method was used to form a pool of support strategies for the second victim during the restoration process. The Delphi method was used to conduct two rounds of correspondence with 16 experts to provide opinions and suggestions from different levels and perspectives. Results: The study formed a support strategy for the second victim of nurses during the restoration process after a patient safety event (referred to as "EAERI support strategy for restoration events"), including 5 support items, 11 support contents and 32 support methods. The recovery rates of the effective questionnaires for the two rounds of expert correspondence were 90.0% and 88.9% respectively, and the expert authority levels were 0.88 and 0.94 respectively. The Kendall harmony coefficients of experts were 0.13 and 0.26 respectively (P<0.01). Conclusion: The formation process of EAERI support strategy is scientific and normative, which can be used as a tool for nursing managers to support the second victim when restoring the incident.

Key words: patient safety event; restoration process; support strategy; the second victim; nurse; Delphi technique

中图分类号:  R47;R197