Impacts of Second-Victim Experience and Resilience on Nurses’ Turnover Intention

IF 3.8 3区医学 Q1 NURSING

International Nursing Review Pub Date : 2025-05-16 DOI:10.1111/inr.70031

Essa Hakamy, Adnan Innab, Zainab Alfar

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引用次数: 0

Abstract

Aim

This study aimed to examine the relationships between second-victim experience, resilience, and nurses’ turnover intention.

Introduction

The second-victim experience significantly affects nurses’ psychological well-being in healthcare settings, leading to serious consequences. These psychological impacts can compromise patient care, clinical judgment, and confidence, ultimately jeopardizing patient safety and the quality of care. Support from organizations and colleagues is vital to alleviate the negative effects of these experiences. Addressing these factors can help develop targeted interventions to prevent adverse outcomes from second-victim experiences.

Methods

This cross-sectional correlational descriptive study collected data from secondary- and tertiary-care hospitals across 13 regions of Saudi Arabia, with 117 nurses participating. The Second-Victim Experience and Support Tool, Turnover Intention Scale, and Connor–Davidson Resilience Scale 25 were utilized to assess secondary-victim experiences, resilience, and turnover intention.

Results

Local nurses reported higher second-victim experiences (M = 2.83, SD ± .42, p = .004) and turnover intention (M = 2.83, SD ± .42, p = .012) but lower resilience scores (M = 12.43, SD ± 4.6, p = .03) compared with expatriate nurses. A significant positive correlation existed between second-victim–related distress and turnover intention. Conversely, a significant negative correlation existed between most second-victim–related variables (physical and psychological distress), supervisor support, and resilience. The regression model was significant (F [1, 115] = 73.13, p < .001, R² = .389), with second-victim experience (β = 1.822, p < .001) significantly predicting turnover intention.

Discussion

This study highlights the physical and psychological distress experienced by nurses, their turnover intentions, and resilience in response to second-victim experiences.

Implications for Nursing Practice and Policy

Health organizations should implement programs that assist nurses with overcoming trauma post adverse events and enhancing resilience, which may reduce their turnover intention in the profession.

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二次受害者经历和心理弹性对护士离职意向的影响

目的探讨二次受害者经历、心理韧性与护士离职意向的关系。第二受害者的经历显著影响护士的心理健康在医疗机构，导致严重后果。这些心理影响会损害患者护理、临床判断和信心，最终危及患者安全和护理质量。来自组织和同事的支持对于减轻这些经历的负面影响至关重要。解决这些因素有助于制定有针对性的干预措施，以防止第二受害者经历的不良后果。方法本横断面相关描述性研究收集了来自沙特阿拉伯13个地区的二级和三级护理医院的数据，共有117名护士参与。采用二次受害者体验与支持工具、离职倾向量表和Connor-Davidson弹性量表25对二次受害者体验、弹性和离职倾向进行评估。结果与外籍护士相比，本地护士的二次受害经历（M = 2.83, SD±0.42,p = 0.004）和离职倾向（M = 2.83, SD±0.42,p = 0.012）高于外籍护士，应变能力得分（M = 12.43, SD±4.6,p = 0.03）低于外籍护士。第二受害者心理压力与离职倾向呈显著正相关。相反，大多数与第二受害者相关的变量（生理和心理困扰）、主管支持和心理弹性之间存在显著的负相关。回归模型显著(F [1,115] = 73.13, p <；.001, R2 = .389)，第二受害者经历(β = 1.822, p <；.001)显著预测离职倾向。本研究强调了护士所经历的生理和心理困扰，他们的离职意向，以及对第二受害者经历的反应弹性。对护理实践和政策的启示卫生组织应该实施方案，帮助护士克服创伤后的不良事件和增强弹性，这可能会减少他们的职业离职意向。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Nursing Review 医学-护理

CiteScore

7.90

自引率

7.30%

发文量

审稿时长

6-12 weeks

期刊介绍： International Nursing Review is a key resource for nurses world-wide. Articles are encouraged that reflect the ICN"s five key values: flexibility, inclusiveness, partnership, achievement and visionary leadership. Authors are encouraged to identify the relevance of local issues for the global community and to describe their work and to document their experience.