护士第二受害者经历与支持潜在剖面及其对 创伤后成长和离职意愿的影响
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女,硕士,副教授

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承德医学院科研课题项目(202123);浙江省卫生健康科技计划临床研究应用项目(2022KY812)


Latent profiles of second victim experience and support among nurses and the impact on posttraumatic growth and turnover intention
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    目的 探究护士第二受害者经历与支持的潜在类别特征,分析其对创伤后成长和离职意愿的影响,为制订针对性干预策略提供参考。方法 以便利抽样法选取杭州市3所三级甲等综合医院经历患者安全事件的护士560名,采用一般资料调查表、第二受害者经历与支持测评量表、中文版创伤后成长量表、离职意愿量表进行调查。结果 护士第二受害者经历与支持可分为高困扰-高支持组(36.3%)、中度困扰-低支持组(26.2%)、困扰-支持不均衡组(37.5%)3个潜在类别。分层回归分析显示,控制一般资料后,护士第二受害者经历与支持潜在剖面类别对创伤后成长和离职意愿有显著影响(均P<0.05)。结论 护士第二受害者经历与支持存在明显群体异质性,需重点关注中度困扰-低支持组、高困扰-高支持组。管理者应根据其潜在类别特征进行针对性干预和管理,以促进护士创伤后积极复苏,减少负性结局的发生。

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    Objective To identify the latent profiles characteristicsof second victim experiences and support among nurses, and to explore their impact on posttraumatic growth and turnover intention, so as to provide a reference fordeveloping targeted intervention strategies. Methods A total of 560 nurses who encountered patient safety incidents were recruited from 3 tertiary Class A general hospitals in Hangzhou using convenience sampling method. Data were collected using the general information questionnaire, the Second Victim Experience and Support Tool, the Chinese-Posttraumatic Growth Inventory, and the Turnover Intention Questionnaire. Results Nurses′ second victim experience and support were categorized into three latent profiles:high distress-high support group (36.3%),moderate distress-low support group (26.2%), and distress-support imbalance group (37.5%). Hierarchical regression analysis showed that, after controlling for general demographic data, the latent profiles of second victim experiences and support among nurses had significant effects on both posttraumatic growth and turnover intention (all P<0.05). Conclusion Nurses′ second victim experiences and support demonstrate significant heterogeneity, special attention should be paid to the moderate distress-low support group and high distress-high support group. Nurse managers are supposed to implement targeted interventions and management measures corresponding to the characteristics of each latent profile, so as to promote nurses′ positive psychological recovery after trauma and lower the incidence of adverse occupational outcomes.

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张荣,徐芸,李雪美,许惠淑,薛翠翠,田建丽.护士第二受害者经历与支持潜在剖面及其对 创伤后成长和离职意愿的影响[J].护理学杂志,2026,41(14):52-57

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  • 收稿日期:2026-03-02
  • 最后修改日期:2026-04-18
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  • 在线发布日期: 2026-08-31