상급초보 간호사의 이차피해경험과 긍정심리자본이 재직의도에 미치는 영향
The Influences of Second-victim Experiences and Positive Psychological Capital on Intention to Remain among Advanced Beginner Nurses
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Purpose: The aim of this study was to examine the influence of second victim experiences following patient safety incidents and positive psychological capital on the intention to remain among advanced beginner nurses working at tertiary hospitals. Methods: The participants were 179 nurses with a clinical experience of 13 to 36 months at two tertiary hospitals. We collected data using questionnaires related to second victim experiences, positive psychological capital, and intention to remain. Data were analyzed using descriptive statistics, independent t-test, a one-way analysis of variance (ANOVA), Scheffé test, Pearson correlation, and hierarchical regression analysis. Results: The intention to remain in advanced beginner nurses was negatively correlated with second victim experiences and positively correlated with positive psychological capital. A hierarchical multiple regression model with control variables (subjective job satisfaction and self-assessed work proficiency), psychological capital, and second victim experience accounted for 26% of the factors that influenced advanced beginner nurses’ intention to remain. Among the related factors, the most influential was subjective job satisfaction. Second victim experience and positive psychological capital also influenced the advanced beginner nurses’ intention to remain. Conclusion: The results of this study suggest a need to develop a program that helps promote intention to remain for nurses at the advanced beginner stage by minimizing second victim experiences and improving positive psychological capital and the work environment.
Abstract
Purpose: The aim of this study was to examine the influence of second victim experiences following patient safety incidents and positive psychological capital on the intention to remain among advanced beginner nurses working at tertiary hospitals. Methods: The participants were 179 nurses with a clinical experience of 13 to 36 months at two tertiary hospitals. We collected data using questionnaires related to second victim experiences, positive psychological capital, and intention to remain. Data were analyzed using descriptive statistics, independent t-test, a one-way analysis of variance (ANOVA), Scheffé test, Pearson correlation, and hierarchical regression analysis. Results: The intention to remain in advanced beginner nurses was negatively correlated with second victim experiences and positively correlated with positive psychological capital. A hierarchical multiple regression model with control variables (subjective job satisfaction and self-assessed work proficiency), psychological capital, and second victim experience accounted for 26% of the factors that influenced advanced beginner nurses’ intention to remain. Among the related factors, the most influential was subjective job satisfaction. Second victim experience and positive psychological capital also influenced the advanced beginner nurses’ intention to remain. Conclusion: The results of this study suggest a need to develop a program that helps promote intention to remain for nurses at the advanced beginner stage by minimizing second victim experiences and improving positive psychological capital and the work environment.
참고문헌 (29)
- A Survey on the Status of Hospital Nursing Personnel Arrangements, "Lee KI", Hospital Nurses Association, ~ (2023)
- Koppel, Jenna, "The Case for Focusing on Millennial Retention", JONA:The Journal of Nursing Administration, 47(7, pp.8) (2017), 361~363
- Yarbrough S, "Professional values, job satisfaction, career development, and intent to stay", Nursing Ethics, 24(6), pp.675~685 (2017)[DOI]
- 2019 NSI National Health Care Retention & RN Staffing Report, "Nursing Solutions, Inc", NSI, ~ (2019)
- Benner, Patricia, "From Novice To Expert", AJN, American Journal of Nursing, 82(3), pp.402~407 (1982)
- Wu AW, "Medical error: the second victim. The doctor who makes the mistake needs help too", BMJ, 320(7237), pp.726~727 (2000)[DOI]
- Finney RE, "Second victim experiences of nurses in obstetrics and gynaecology : A Second Victim Experience and Support Tool Survey", J Nurs Manag, 29(4), pp.642~652 (2021)[DOI]
- Mok WQ, "A cross-sectional survey on nurses' second victim experience and quality of support resources in Singapore", J Nurs Manag, 28(2), pp.286~293 (2020)[DOI]
- Rodriquez J, "When Clinicians Drop Out and Start Over after Adverse Events", The Joint Commission Journal on Quality and Patient Safety, 44(3), pp.137~145 (2018)[DOI]
- Cabilan CJ, "Experiences of and support for nurses as second victims of adverse nursing errors : a qualitative systematic review", JBI Database of Systematic Reviews and Implementation Reports, 15(9), pp.2333~2364 (2017)[DOI]
- Jones JH, "When nurses become the"second"victim", Nurs Forum, 47(4), pp.286~291 (2012)[DOI]
- Coddington, K, "Contagious trauma : reframing the spatial mobility of trauma within advocacy work", Emotion, Space and Society, 24, pp.66~73 (2016)[DOI]
- Pulido ML, "The ripple effect : Lessons learned about secondary traumatic stress among clinicians responding to the September 11th terrorist attacks", Clinical Social Work Journal, 40(3), pp.307~315 (2012)[DOI]
- Kim KJ, "The Influence of Psychological Capital and Work Engagement on Intention to Remain of New Graduate Nurses", JONA: The Journal of Nursing Administration, 48(9), pp.459~465 (2018)[DOI]
- Luthans F, "Psychological capital : Developing the human competitive edge", pp.1~256 (2007), Oxford University Press
- Mubarak N, "Impact of public health education on undue fear of COVID-19 among nurses : The mediating role of psychological capital", Int J Ment Health Nurs, 30(2), pp.544~552 (2021)[DOI]
- Frey RR, "Burnout, compassionfatigueandpsy-chological capital : findings from a survey of nurses delivering palliativecare", Applied Nursing Research, 43, pp.1~9 (2018)[DOI]
- Boamah S, "Engaging new nurses : the role of psychological capital and workplace empowerment", Journal of Research in Nursing, 20(4), pp.265~277 (2015)[DOI]
- Burlison, "The Second Victim Experience and Support Tool : Validation of an Organizational Resource for Assessing Second Victim Effects and the Quality of Support Resources", Journal of Patient Safety, 13(2), pp.93~102 (2017)[DOI]
- Kim EM, "Psychometric Properties of Korean Version of the Second Victim Experience and Support Tool(K-SVEST)", Journal of Patient Safety, 16(3), pp.179~186 (2020)[DOI]
- 임태홍, "한국판 긍정심리자본척도(K-PPC) 타당화 검증", 코칭능력개발지, 16(3), pp.157~166 (2014), 한국코칭능력개발원
- Cowin, Leanne, "The Effects of Nurses’ Job Satisfaction on Retention : An Australian Perspective", JONA : The Journal of Nursing Administration, 32(5), pp.283~291 (2002)[DOI]
- Park OH, "The Effect of Work Engagement on Grit, Positive Psychological Capital and Burnout of Clinical Nurses", Master, pp.2022
- Chang YC, "Job Competency and Intention to Stay among Nursing Assistants : The Mediating Effects of Intrinsic and Extrinsic Job Satisfaction", Int J Environ Res Public Health, 18(12), pp.6436~ (2021)[DOI]
- 정수진, "임상간호사의 환자안전사건으로 인한 이차피해경험, 이차피해지지가 업무관련결과에 미치는 영향", 간호행정학회지, 28(4), pp.331~341 (2022), 간호행정학회
- 정서희, "환자안전사건과 관련된 임상간호사의 이차피해경험이 간호실무변화에 미치는 영향: 대처의 매개효과", Journal of Korean Academy of Nursing, 51(4), pp.489~504 (2021), 한국간호과학회
- Choi EY, "Nurses’ experiences of patient safety incidents in Korea : a cross-sectional study", BMJ Open, 10(10), pp.e037741~ (2020)[DOI]
- 최은영, "환자안전사건을 경험한 의료진을 위한 제2의 피해자 지원 프로그램의 동향", 한국의료질향상학회지, 29(1), pp.58~69 (2023), 한국의료질향상학회[DOI]
- Lim MR, "Development of Positive Psychological Capital Improvement Program for Nursing Hospital Nurses", PhD, pp.2019
