DOI QR코드

DOI QR Code

The Influences of Second-victim Experiences and Positive Psychological Capital on Intention to Remain among Advanced Beginner Nurses

상급초보 간호사의 이차피해경험과 긍정심리자본이 재직의도에 미치는 영향

  • Bae, Soohyun (Inha university Hospital, Department of Nursing, Inha University) ;
  • Kim, Kyoung Ja (Department of Nursing, Inha University) ;
  • Song, Hansol (Inha university Hospital, Department of Nursing, Inha University) ;
  • Lee, Yesung (Inha university Hospital, Department of Nursing, Inha University) ;
  • Nam, Jooyoung (Inha university Hospital, Department of Nursing, Inha University)
  • 배수현 (인하대학교 병원, 인하대학교 간호학과) ;
  • 김경자 (인하대학교 간호학과) ;
  • 송한솔 (인하대학교 병원, 인하대학교 간호학과) ;
  • 이예성 (인하대학교 병원, 인하대학교 간호학과) ;
  • 남주영 (인하대학교 병원, 인하대학교 간호학과)
  • Received : 2023.09.11
  • Accepted : 2023.10.25
  • Published : 2023.12.31

Abstract

Purpose: The aim of this study was to examine the influence of second victim experiences following patient safety incidents and positive psychological capital on the intention to remain among advanced beginner nurses working at tertiary hospitals. Methods: The participants were 179 nurses with a clinical experience of 13 to 36 months at two tertiary hospitals. We collected data using questionnaires related to second victim experiences, positive psychological capital, and intention to remain. Data were analyzed using descriptive statistics, independent t-test, a one-way analysis of variance (ANOVA), Scheffé test, Pearson correlation, and hierarchical regression analysis. Results: The intention to remain in advanced beginner nurses was negatively correlated with second victim experiences and positively correlated with positive psychological capital. A hierarchical multiple regression model with control variables (subjective job satisfaction and self-assessed work proficiency), psychological capital, and second victim experience accounted for 26% of the factors that influenced advanced beginner nurses' intention to remain. Among the related factors, the most influential was subjective job satisfaction. Second victim experience and positive psychological capital also influenced the advanced beginner nurses' intention to remain. Conclusion: The results of this study suggest a need to develop a program that helps promote intention to remain for nurses at the advanced beginner stage by minimizing second victim experiences and improving positive psychological capital and the work environment.

Keywords

Acknowledgement

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT & Future Planning (NRF-2020R1F1A1076006)

References

  1. Lee KI, Gwon EJ, Sim WH, Choi EJ, Chu YS, Ko MH. A Survey on the Status of Hospital Nursing Personnel Arrangements. Hospital Nurses Association. 2023 February.
  2. Koppel, Jenna BA, Deline, Marisa MA, Virkstis, Katherine ND. The Case for Focusing on Millennial Retention. JONA: The Journal of Nursing Administration 2017;47(7/8):p 361-363. https://doi.org/10.1097/NNA.0000000000000495
  3. Yarbrough S, Martin P, Alfred D, McNeill C. Professional values, job satisfaction, career development, and intent to stay. Nursing Ethics. 2017;24(6):675-685. https://doi.org/10.1177/0969733015623098
  4. Nursing Solutions, Inc. 2019 NSI National Health Care Retention & RN Staffing Report. NSI. 2019 January.
  5. Benner, Patricia. From Novice To Expert. AJN, American Journal of Nursing. 1982;82(3):p 402-407. https://doi.org/10.1097/00000446-198282030-00004
  6. Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000 Mar 18;320(7237):726-7. https://doi.org/10.1136/bmj.320.7237.726
  7. Finney RE, Torbenson VE, Riggan KA, Weaver AL, Long ME, Allyse MA, Rivera-Chiauzzi EY. Second victim experiences of nurses in obstetrics and gynaecology: A Second Victim Experience and Support Tool Survey. J Nurs Manag. 2021 May;29(4):642-652. https://doi.org/10.1111/jonm.13198
  8. Mok WQ, Chin GF, Yap SF, Wang W. A cross-sectional survey on nurses' second victim experience and quality of support resources in Singapore. J Nurs Manag. 2020 Mar;28(2):286-293. doi: 10.1111/jonm.12920. Epub 2020 Feb 11. PMID: 31789437. https://doi.org/10.1111/jonm.12920
  9. Rodriquez J, Scott SD. When Clinicians Drop Out and Start Over after Adverse Events. The Joint Commission Journal on Quality and Patient Safety. 2018 Mar;44(3):137-145. https://doi.org/10.1016/j.jcjq.2017.08.008
  10. Cabilan CJ, Kynoch K. Experiences of and support for nurses as second victims of adverse nursing errors: a qualitative systematic review. JBI Database of Systematic Reviews and Implementation Reports. 2017 Sep;15(9):2333-2364. https://doi.org/10.11124/JBISRIR-2016-003254
  11. Jones JH, Treiber LA. When nurses become the "second" victim. Nurs Forum. 2012 Oct-Dec;47(4):286-91. https://doi.org/10.1111/j.1744-6198.2012.00284.x
  12. Coddington, K. Contagious trauma: reframing the spatial mobility of trauma within advocacy work. Emotion, Space and Society. 2016;24:66-73. https://doi.org/10.1016/j.emospa.2016.02.002
  13. Pulido ML. The ripple effect: Lessons learned about secondary traumatic stress among clinicians responding to the September 11th terrorist attacks. Clinical Social Work Journal. 2012;40(3):307-315. https://doi.org/10.1007/s10615-012-0384-3
  14. Kim KJ, Yoo MS, The Influence of Psychological Capital and Work Engagement on Intention to Remain of New Graduate Nurses. JONA: The Journal of Nursing Administration 2018;48(9):459-465. https://doi.org/10.1097/NNA.0000000000000649
  15. Luthans F, Youssef CM, Avolio BJ. Psychological capital: Developing the human competitive edge. Oxford: Oxford University Press; 2007. p. 1-256.
  16. Mubarak N, Safdar S, Faiz S, Khan J, Jaafar M. Impact of public health education on undue fear of COVID-19 among nurses: The mediating role of psychological capital. Int J Ment Health Nurs. 2021 Apr;30(2):544-552. https://doi.org/10.1111/inm.12819
  17. Frey RR, Wong C, Gott M. Burnout, compassionfatigueandpsy-chological capital: findings from a survey of nurses delivering palliativecare. Applied Nursing Research. 2018;43:1-9. https://doi.org/10.1016/j.apnr.2018.06.003
  18. Boamah S, Laschinger H. Engaging new nurses: the role of psychological capital and workplace empowerment. Journal of Research in Nursing. 2015;20(4):265-277. https://doi.org/10.1177/1744987114527302
  19. Burlison, Jonathan D, Scott SD, Browne EK, Thompson SG, Hoffman JM. The Second Victim Experience and Support Tool: Validation of an Organizational Resource for Assessing Second Victim Effects and the Quality of Support Resources. Journal of Patient Safety. 2017 Jun;13(2):93-102. https://doi.org/10.1097/pts.0000000000000129
  20. Kim EM, Kim SA, Lee JR, Burlison, Jonathan D, Oh EG. Psychometric Properties of Korean Version of the Second Victim Experience and Support Tool (K-SVEST). Journal of Patient Safety. 2020 Sep;16(3):179-186. https://doi.org/10.1097/PTS.0000000000000466
  21. Lim TH. Validation of the Korean version of the Positive Psychological Capital Scale (K-PPC). Korea Coaching Development Center. 2014;16(3):157-166.
  22. Cowin, Leanne MNS, RGN. The Effects of Nurses' Job Satisfaction on Retention: An Australian Perspective. JONA: The Journal of Nursing Administration. 2002 May;32(5):283-291. https://doi.org/10.1097/00005110-200205000-00008
  23. Park OH. The Effect of Work Engagement on Grit, Positive Psychological Capital and Burnout of Clinical Nurses. [Master thesis]. Jeollanam-do: Sunchon National University; 2022. 67p.
  24. Chang YC, Yeh TF, Lai IJ, Yang CC. Job Competency and Intention to Stay among Nursing Assistants: The Mediating Effects of Intrinsic and Extrinsic Job Satisfaction. Int J Environ Res Public Health. 2021 Jun 14;18(12):6436 https://doi.org/10.3390/ijerph18126436
  25. Jung SJ, Lee Y, Bae SH. Influence of Clinical Nurses' Second-Victim Experience and Second-Victim Support in Relation to Patient Safety Incidents on Their Work-Related Outcomes. J Korean Acad Nurs Adm. 2022;28(4):331-341. https://doi.org/10.11111/jkana.2022.28.4.331
  26. Jeong SH, Jeong SH. Effects of Second Victim Experiences after Patient Safety Incidents on Nursing Practice Changes in Korean Clinical Nurses: The Mediating Effects of Coping Behaviors. J Korean Acad Nurs. 2021;51(4):489-504. https://doi.org/10.4040/jkan.21089
  27. Choi EY, Pyo JH, Lee W, Jang SG, Park YK, Ock SM, et al. Nurses' experiences of patient safety incidents in Korea: a cross-sectional study. BMJ Open. 2020;10(10):e037741. https://doi.org/10.1136/bmjopen-2020-037741
  28. Choi EY, Pyo JH, Jang SG, Lee W, Ock MS, Lee HY. Trends in Second Victim Support Programs for Healthcare Providers: A Literature Review. Qual Improv Health Care. 2023;29(1):58-69. https://doi.org/10.14371/QIH.2023.29.1.58
  29. Lim MR. Development of Positive Psychological Capital Improvement Program for Nursing Hospital Nurses. [PhD thesis] Daegu: Keimyung University; 2019. 121p.