환자안전 사건과 관련된 임상간호사의 이차피해 경험에 관한 통합적 문헌고찰

초록

Purpose: The aim of this study was to understand clinical nurses’ second victim experience after patient safety incidents and to identify the factors affecting the second victim experience of clinical nurses and the effect of second victim experience on clinical nurses. Methods: This study was conducted according to the guideline of Whittmore and Knafl consisting of five steps (problem identification, literature search, data evaluation, data analysis, and data presentation). Literature search was conducted in electronic databases such as RISS, KISS, CINAHL and PubMed, and the literature was evaluated using MMAT. Results: The level of second victim experience was medium to moderate, and the factors influencing second victim experience were age, gender, nationality, marital status, work experience, type of patient safety incidents, patient safety culture, social and psychological capital, and organizational support. The effects of second victim experience on clinical nurses included increases in turnover intention, absenteeism, and burnout. In addition, while there were negative aspects of second victim experience (e.g., anxiety, depression, insomnia, and fatigue), positive aspects (e.g., post-traumatic growth) were also found. Conclusion: Organizational interventions for second victims are needed to mitigate the negative effects of second victim experience on clinical nurses and lead to positive results.

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