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Second victim phenomenon after patient safety incidents among Korean nursing students: A cross-sectional study

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Abstract
Background: Perfectionism in the medical field turns healthcare professionals into second victims of patient safety
incidents. They suffer physically and psychologically, which makes them consider changing occupations. Nursing
students may also have similar negative experiences during clinical practice.
Objective: To describe the second victim phenomenon among nursing students after patient safety incidents
during their clinical practice.
Design: A descriptive cross-sectional study using an online questionnaire.
Setting and participants: Fourth-year nursing students (n = 354) who encountered patient safety incidents directly
or indirectly during clinical practice. Participants were recruited through convenience and snowball sampling
methods using personal contacts, professional networks, and online platforms.
Methods: The questionnaire addressed the characteristics of patient safety incidents, and physical and psychological responses after the most significant patient safety incident. Descriptive statistics and a chi-square test
were performed for data analysis.
Results: Of the participants, 22.6% were directly involved in patient safety incidents and 77.4% had indirectly
encountered patient safety incidents, such as witnessing incidents with colleagues or other healthcare professionals. After patient safety incidents, of those, 67.8% experienced shock at the time of the incident, 47.2%
feared experiencing a similar incident, and 28.2% were still affected although time had passed. Additionally,
26.3% reported experiencing long-term embitterment; of them, 7.3% were experiencing severe embitterment.
Furthermore, 31.9% and 27.1% of the students experienced sleeping and eating difficulties, respectively, and
these rates were higher when incidents were encountered directly rather than indirectly.
Conclusions: Nursing students may become second victims of patient safety incidents during clinical practice.
Therefore, nursing education institutions need to develop comprehensive support strategies to help nursing
students cope with experiencing the second victim phenomenon
Author(s)
최은영표지희옥민수Haeyoung Lee
Issued Date
2021
Type
Article
Keyword
AnalysisCare and treatmentEducation parksNursingNursing educationNursing studentNursing safetyPatient safety incidentPatientsSchool facilitiesSecond victim
DOI
10.1016/j.nedt.2021.105115
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7737
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_proquest_miscellaneous_2569378779&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Second%20victim%20phenomenon%20after%20patient%20safety%20incidents%20among%20Korean%20nursing%20students:%20A%20cross-sectional%20study&offset=0&pcAvailability=true
Publisher
NURSE EDUCATION TODAY
Location
네덜란드
Language
한국어
ISSN
0260-6917
Citation Volume
107
Citation Start Page
105115
Citation End Page
105115
Appears in Collections:
Medicine > Medicine
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