Yun Xu, Qi Jin, Qinghua Zhou, Rong Zhang, Weiyan Ding
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A total of 572 nurses participated in the study, with data collected via the Questionnaire Star Platform. The study utilized a general information questionnaire, the Resilience Scale, the Posttraumatic Growth Inventory, the Second Victim Experience and Support Tool, and the Turnover Intention Scale to assess relevant variables.</p>\n <p><b>Results:</b> The average scores of second victim experience, resilience, posttraumatic growth, and turnover intention were (64.86 ± 11.32), (26.52 ± 8.13), (62.12 ± 11.32), and (16.05 ± 4.42), respectively. The second victim experience was positively correlated with turnover intention (<i>r</i> = 0.372, <i>p</i> < 0.001), and the posttraumatic growth partially mediated the relationship between second victim experience and turnover intention, with an indirect effect of −0.015 (95% CI = −0.0027∼−0.006). The relationships between second victim experience and turnover intention, as well as the mediating effect of posttraumatic growth, were moderated by resilience (<i>p</i> < 0.05).</p>\n <p><b>Conclusion:</b> The second victim experience among nurses following adverse event has a significant mediating effect on turnover intention. Additionally, resilience moderates both the direct and indirect pathways in the model linking second victim experience, posttraumatic growth, and turnover intention.</p>\n <p><b>Implications for Nursing Management:</b> The second victim phenomenon presents a significant challenge and warrants greater attention. Hospital managers should recognize the impact of second victim experiences, foster a supportive and safe practice environment, and provide psychological support to protect healthcare professionals’ mental health, reduce turnover intention, and enhance nursing quality and safety.</p>\n </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7000,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/7327139","citationCount":"0","resultStr":"{\"title\":\"Relationship Between Second Victim Experience and Turnover Intention in Chinese Nurses: Assessing the Mediating Role of Posttraumatic Growth Using Structural Equation Modeling\",\"authors\":\"Yun Xu, Qi Jin, Qinghua Zhou, Rong Zhang, Weiyan Ding\",\"doi\":\"10.1155/jonm/7327139\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n <p><b>Aim:</b> This study aimed to investigate the mediating effect of posttraumatic growth in the relationship between second victim experience and turnover intention, as well as the moderating effect of resilience among nurses who have experienced second victimization.</p>\\n <p><b>Background:</b> Healthcare professionals, particularly nurses, are vulnerable to becoming “second victims” following adverse events. 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引用次数: 0
摘要
目的：本研究旨在探讨创伤后成长在二次受害经历与离职倾向之间的中介作用，以及心理弹性在二次受害护士中的调节作用。背景：医疗保健专业人员，特别是护士，在不良事件发生后容易成为“第二受害者”。然而，护士中普遍存在的第二受害者经历在很大程度上被忽视了，并且对创伤后成长和周转意愿之间的关系给予了有限的关注。方法：采用方便抽样的横断面调查方法。共有572名护士参与了本研究，数据通过问卷星平台收集。本研究采用一般信息问卷、心理韧性量表、创伤后成长量表、第二受害者经历与支持工具、离职意向量表等量表对相关变量进行评估。结果：第二受害者体验、心理韧性、创伤后成长、离职意向的平均得分分别为（64.86±11.32）分、（26.52±8.13）分、（62.12±11.32）分、（16.05±4.42）分。第二受害者经历与离职倾向正相关(r = 0.372, p <；创伤后成长部分介导了第二受害者经历和离职倾向之间的关系，间接效应为- 0.015 （95% CI = - 0.0027 ~ - 0.006）。心理弹性调节了第二受害者经历与离职倾向之间的关系以及创伤后成长的中介作用(p <；0.05)。结论：护士不良事件后第二次受害经历对离职意向有显著的中介作用。此外，弹性调节了第二受害者经历、创伤后成长和离职意向之间的直接和间接通路。对护理管理的影响：第二受害者现象提出了一个重大的挑战，值得更多的关注。医院管理者应认识到二次受害者经历的影响，营造一个支持性和安全的执业环境，并提供心理支持，以保护医护人员的心理健康，降低离职意愿，提高护理质量和安全性。
Relationship Between Second Victim Experience and Turnover Intention in Chinese Nurses: Assessing the Mediating Role of Posttraumatic Growth Using Structural Equation Modeling
Aim: This study aimed to investigate the mediating effect of posttraumatic growth in the relationship between second victim experience and turnover intention, as well as the moderating effect of resilience among nurses who have experienced second victimization.
Background: Healthcare professionals, particularly nurses, are vulnerable to becoming “second victims” following adverse events. However, the prevalence of second victim experiences among nurses has been largely overlooked, and limited attention has been given to the relationship among posttraumatic growth and turnover intention.
Methods: A cross-sectional survey was conducted using convenience sampling. A total of 572 nurses participated in the study, with data collected via the Questionnaire Star Platform. The study utilized a general information questionnaire, the Resilience Scale, the Posttraumatic Growth Inventory, the Second Victim Experience and Support Tool, and the Turnover Intention Scale to assess relevant variables.
Results: The average scores of second victim experience, resilience, posttraumatic growth, and turnover intention were (64.86 ± 11.32), (26.52 ± 8.13), (62.12 ± 11.32), and (16.05 ± 4.42), respectively. The second victim experience was positively correlated with turnover intention (r = 0.372, p < 0.001), and the posttraumatic growth partially mediated the relationship between second victim experience and turnover intention, with an indirect effect of −0.015 (95% CI = −0.0027∼−0.006). The relationships between second victim experience and turnover intention, as well as the mediating effect of posttraumatic growth, were moderated by resilience (p < 0.05).
Conclusion: The second victim experience among nurses following adverse event has a significant mediating effect on turnover intention. Additionally, resilience moderates both the direct and indirect pathways in the model linking second victim experience, posttraumatic growth, and turnover intention.
Implications for Nursing Management: The second victim phenomenon presents a significant challenge and warrants greater attention. Hospital managers should recognize the impact of second victim experiences, foster a supportive and safe practice environment, and provide psychological support to protect healthcare professionals’ mental health, reduce turnover intention, and enhance nursing quality and safety.
期刊介绍：
The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses.
The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide.
The Journal of Nursing Management aims to:
-Inform practitioners and researchers in nursing management and leadership
-Explore and debate current issues in nursing management and leadership
-Assess the evidence for current practice
-Develop best practice in nursing management and leadership
-Examine the impact of policy developments
-Address issues in governance, quality and safety
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