Afifeh Khosravi, Sanu Mahat, Tiina Syyrilä, Marja Härkänen
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引用次数: 0
Abstract
Aim: This study aims to explore the negative emotions experienced by nurses following medication errors.
Design: Mixed-method systematic review.
Methods: A systematic search was conducted in PubMed, Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature, PsycINFO and Google Scholar for studies published in English between January 2013 and October 2024. The Joanna Briggs Institute critical appraisal tool was used to assess article quality and data were analysed through qualitative content analysis.
Results: From 1619 screened studies, 19 were selected: 14 qualitative, 3 quantitative and 2 mixed-method. The negative emotions experienced by nurses, as second victims of medication errors, can be categorised into 8 groups: Fear, anger, disturbance, sadness, shame, guilt, low self-esteem and depression. Additionally, the following 11 types of fear were identified: Fear of judgement, disrespect, losing one's job, getting scolded and contempt, retaliation and punishment, reaction, consequences, disciplinary actions and lawsuits, patient's well-being, reporting a medication error and losing patient's/their families' trust. Furthermore, two types of shame were identified: Internal and external shame.
Conclusions: The negative emotions that nurses experience as second victims can persist long after the error occurs. It underscores the need for structured psychological support systems to foster a culture of 'responsibility without blame'.
Implications for the profession and patient care: Addressing nurses' emotional challenges as second victims enhances their well-being and improves global healthcare safety and quality.
Impact: These findings highlight the need for healthcare leaders and policymakers to implement interventions that foster a supportive, non-punitive workplace with the aim of improving the emotional well-being of nurses following medication errors.
Reporting method: The study adhered to PRISMA guidelines.
目的：探讨护理人员用药差错后的负性情绪。设计：混合方法系统评价。方法：系统检索PubMed、Scopus、Web of Science、Cumulative Index to Nursing and Allied Health Literature、PsycINFO和谷歌Scholar网站2013年1月至2024年10月间发表的英文论文。采用乔安娜布里格斯研究所批判性评估工具评估文章质量，并通过定性内容分析分析数据。结果：从1619项筛选研究中筛选出19项：定性研究14项，定量研究3项，混合方法研究2项。作为药物错误的第二受害者，护士所经历的负面情绪可分为8类：恐惧、愤怒、不安、悲伤、羞耻、内疚、自卑和抑郁。此外，还发现了以下11种恐惧类型：对评判的恐惧、对不尊重的恐惧、对失去工作的恐惧、对挨骂和蔑视的恐惧、对报复和惩罚的恐惧、对反应的恐惧、对后果的恐惧、对纪律处分和诉讼的恐惧、对病人健康的恐惧、对药物错误的报告恐惧、对失去病人/家属信任的恐惧。此外，我们还发现了两种羞耻感：内在羞耻感和外在羞耻感。结论：作为第二受害者的护士所经历的负面情绪在错误发生后会持续很长时间。它强调了有必要建立结构化的心理支持系统，以培养一种“负责而不责备”的文化。对职业和患者护理的影响：解决护士作为第二受害者的情感挑战，提高他们的福祉，提高全球医疗保健安全和质量。影响：这些发现强调了医疗保健领导者和政策制定者需要实施干预措施，培养一个支持性的、非惩罚性的工作场所，以改善护士在用药错误后的情绪健康。报告方法：本研究遵循PRISMA指南。患者或公众贡献：无。跟踪注册：普洛斯彼罗代码：CRD42023439304。
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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