DOI QR코드

DOI QR Code

간호사가 인식한 이차 피해 경험이 삼차 피해 경험에 미치는 영향과 이차 피해 지지의 다중 매개효과

Effects of Nurse's Second Victim Experiences on Third Victim Experiences: Multiple Mediation Effects of Second Victim Supports

  • 투고 : 2017.11.15
  • 심사 : 2017.12.12
  • 발행 : 2017.12.31

초록

Purpose: Nurse's second victim experiences could influence organizational negative work-related outcome. The purpose of this study was to investigate the casual relationship between nurses' second victim experience and third victim experience and multiple mediation effects of second victim supports. Methods: A cross-sectional, self-report survey (the Second Victim Experience and Support Tool) was conducted with 305 nurses working in a general hospital. Data were collected from October 20 to November 25, 2016 and analyzed using SPSS Win version 23.0. Results: The nurses' perceived second victim experience was $3.24{\pm}0.61$ and the third victim experience was $3.12{\pm}0.92$. Nurses' second victim experience was found to have a direct effect on increasing third victim experience and indirect effect of colleague support as mediator (p<.05). However, institutional support and supervisor support had not a partial and indirect effect on third victim experience. Conclusion:This study is one of the first to connect second victim experience to third victim experience in South Korea. This study broadens the understanding of the negative effects of a second victim experience influence third victim experience. When involvement in patient safety events, the important role of colleague support in limiting nurse's third victim experience have been acknowledged. This study reinforces the efforts health care leaders are making to develop interventional programs to colleague support their staff as they recover from adverse event involvement.

키워드

참고문헌

  1. Lee SI. Necessity and enactment of Patient Safety Act. Health Policy Forum. 2013;11(2): 37-42.
  2. Lee SI. Significance and challenges of Patient Safety Act. Health and Welfare Forum. 2016;240:2-4.
  3. Agency for Healthcare Research and Quality. Patient Safety Organizations. [Internet]. U.S.A: [cited 2016 Dec 4] Available from: https://www.ahrq.gov/index.html.
  4. Kohn LT, Corrigan JM, Donaldson MS. To err is Human: building a safer health system. Washington (DC): National Academies Press (US); 2000.
  5. Waterman AD, Garbutt J, Hazel E, Dunagan WC, Levinson W, Fraser VJ, et al. The emotional impact of medical errors on practicing physicians in the United States and Canada. The Joint Commission Journal on Quality and Patient Safety. 2007;33(8):467-476. https://doi.org/10.1016/S1553-7250(07)33050-X
  6. Scott SD, Hirschinger LE, Cox KR, McCoig M, Brandt J, Hall LW. The natural history of recovery for the healthcare provider "second victim" after adverse patient events. Quality and Safety in Health Care. 2009;18(5):325-330. https://doi.org/10.1136/qshc.2009.032870
  7. Edrees HH, Paine LA, Feroli ER, Wu AW. Health care workers as second victims of medical errors. Polskie Archiwum Medycyny Wewnetrznej, 2011. 121(4):101-108.
  8. Seys D, Wu AW, Gerven EV, Vleugels A, Euwema M, Panella M, et al. Health care professionals as second victims after adverse events: A systematic review. Evaluation & the health professions. 2013;36(2):135-162. https://doi.org/10.1177/0163278712458918
  9. Mira JJ, Lorenzo S, Carrillo I, Ferrús L, Pérez-Pérez P, Iglesias F, et al. Interventions in health organisations to reduce the impact of adverse events in second and third victims. BMC Health Services Research. 2015;15:1-9. https://doi.org/10.1186/s12913-014-0652-8
  10. Rassin M, Kanti T, Silner D. Chronology of medication errors by nurses: Accumulation of stresses and PTSD symptoms. Issues in Mental Health Nursing. 2005;26(8):873-886. https://doi.org/10.1080/01612840500184566
  11. Prins JT, Van Der Heijden FMMA, Hoekstra-Weebers JEHM, Bakker AB, Van de Wiel HBM, Jacobs B, et al. Burnout, engagement and resident physicians' self-reported errors. Psychology, Health & Medicine. 2009;14(6):654-666. https://doi.org/10.1080/13548500903311554
  12. Harrison R, Lawton R, Perlo J, Gardner P, Armitage G, Shapiro J. Emotion and coping in the aftermath of medical error: A cross-country exploration. Journal of patient safety. 2015;11(1):28-35. https://doi.org/10.1097/PTS.0b013e3182979b6f
  13. Chard R. How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors. AORN journal. 2010;91(1):132-145. https://doi.org/10.1016/j.aorn.2009.06.028
  14. Burlison JD, Scott SD, Browne EK, Thompson SG, Hoffman JM. The second victim experience and support tool(SVEST): Validation of an organizational resource for assessing second victim effects and the quality of support resources. Journal of Patient Safety. 2014.
  15. Burlison JD, Quillivan RR, Scott SD, Johnson S, Hoffman JM. The effects of the second victim phenomenon on work-related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism. Journal of Patient Safety. 2016:1-6.
  16. Jones JH, Treiber LA. When nurses become the "second" victim. In Nursing forum. 2012;47(4):286-291. https://doi.org/10.1111/j.1744-6198.2012.00284.x
  17. Seys D, Scott S, Wu A, Van Gerven E, Vleugels A, Euwema M, et al. Supporting involved health care professionals (second victims) following an adverse health event: A literature review. International Journal of Nursing Studies. 2013;50(5):678-687. https://doi.org/10.1016/j.ijnurstu.2012.07.006
  18. Ullstrom S, Sachs MA, Hansson J, Ovretveit J, Brommels M. Suffering in silence: A qualitative study of second victims of adverse events. BMJ Quality & Safety, 2014;23(4):325-331 https://doi.org/10.1136/bmjqs-2013-002035
  19. Quillivan RR, Burlison JD, Browne EK, Scott SD, Hoffman JM. Patient Safety Culture and the Second Victim Phenomenon: Connecting Culture to Staff Distress in Nurses. The Joint Commission Journal on Quality and Patient Safety. 2016;42(8):377-386. https://doi.org/10.1016/S1553-7250(16)42053-2
  20. Scott SD, Hirschinger LE, Cox KR, McCoig M, Hahn-Cover K, Epperly KM, et al. Caring for our own: Deploying a systemwide second victim rapid response team. Communication of Critical Test Results. 2010;36(5):233-240.
  21. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior research methods. 2009;41(4):1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  22. Kim KS, KWON SH, KIM JA, Cho S. Nurses' perceptions of medication errors and their contributing factors in South Korea. Journal of Nursing Management. 2011;19(3):346-353. https://doi.org/10.1111/j.1365-2834.2011.01249.x
  23. Hayes AF, Preacher KJ. Statistical mediation analysis with a multicategorical independent variable. British Journal of Mathematical and Statistical Psychology. 2014;67(3):451-470. https://doi.org/10.1111/bmsp.12028
  24. Hayes AF. PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling. New York: Guilford Press; 2012.
  25. Edrees H, Paine LA, Feroli ER, Wu AW. The experiences of risk managers in providing emotional support for health care workers after adverse events. Journal of Healthcare Risk Management. 2016;35(4):14-21. https://doi.org/10.1002/jhrm.21219
  26. Schelbred AB, Nord R. Nurses’ experiences of drug administration errors. Journal of Advanced Nursing. 2007;60(3):317-324. https://doi.org/10.1111/j.1365-2648.2007.04437.x
  27. Edrees HH, Paine LA, Feroli ER, Wu AW. Health care workers as second victims of medical errors. Polskie Archiwum Medycyny Wewnetrznej, 2011;121(4):101-108.
  28. Daniels RG, McCorkle R, Design of an evidence-based "Second Victim" curriculum for nurse anesthetists. Journal of American Association of Nurse Anesthetists. 2016;84(2):107-113.
  29. Krzan KD, Merandi J, Morvay S, Mirtallo J. Implementation of a "second victim" program in a pediatric hospital. American Journal of Health-System Pharmacy. 2015;72(7):563-567. https://doi.org/10.2146/ajhp140650
  30. Denham CR. TRUST: the 5 rights of the second victim. Journal of Patient Safety. 2007;3(2):107-119. https://doi.org/10.1097/01.jps.0000236917.02321.fd