Barriers and facilitators of nurse second victim of patient safety incident actively to seek support: a qualitative study
Abstract Background Global efforts are being made to develop support programs and strategies for second victims of patient safety incident to alleviate the painful experience of health care workers involved. However, the second victims may be influenced by a variety of factors in the process of acti...
| Published in: | BMC Nursing |
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| Main Authors: | , , , , , , |
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-07-01
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| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12912-025-03499-7 |
| _version_ | 1849418788390305792 |
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| author | Qianfei Li Ya’nan Zhang Zhiheng Gao Zhuoqing Deng Qiong Wu Wenxia Lu Xiaohong Zhang |
| author_facet | Qianfei Li Ya’nan Zhang Zhiheng Gao Zhuoqing Deng Qiong Wu Wenxia Lu Xiaohong Zhang |
| author_sort | Qianfei Li |
| collection | DOAJ |
| container_title | BMC Nursing |
| description | Abstract Background Global efforts are being made to develop support programs and strategies for second victims of patient safety incident to alleviate the painful experience of health care workers involved. However, the second victims may be influenced by a variety of factors in the process of actively seeking support. This study aims to identify and explore barriers and facilitators for second victims to seek support from a nurse’s perspective. Methods Nurses who had experienced a patient safety incident in a tertiary hospital were recruited. Face-to-face semi-structured interviews were conducted from May to October 2024 using the interview outline developed by the theoretical domain framework, and the data were analyzed using the inductive content analysis method. Results Based on the interview data, a total of 5 categories and 13 sub-categories were extracted. The barriers for second victims to seek support included personal factors, managerial role conflicts, and organizational support dilemmas. The facilitating factors included easily accessible support systems and need for diverse support. Conclusion The barriers to support-seeking among second victims are multifaceted. Therefore, relevant authorities should implement comprehensive interventions, prioritize attention to nurses’ support-seeking behaviors as second victims, and address obstacles in the support-seeking process to facilitate desired behavioral changes. Clinical trial number Not applicable. |
| format | Article |
| id | doaj-art-c0ac4e2ea4ba4381979cc9b06e7875fa |
| institution | Directory of Open Access Journals |
| issn | 1472-6955 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| spelling | doaj-art-c0ac4e2ea4ba4381979cc9b06e7875fa2025-08-20T03:45:19ZengBMCBMC Nursing1472-69552025-07-0124111010.1186/s12912-025-03499-7Barriers and facilitators of nurse second victim of patient safety incident actively to seek support: a qualitative studyQianfei Li0Ya’nan Zhang1Zhiheng Gao2Zhuoqing Deng3Qiong Wu4Wenxia Lu5Xiaohong Zhang6Department of Neurology, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi HospitalEmergency Department, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi HospitalCentral Operating Department, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi HospitalEmergency Department, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi HospitalDepartment of Neurology, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi HospitalDepartment of Neurology, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi HospitalNursing Department, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi HospitalAbstract Background Global efforts are being made to develop support programs and strategies for second victims of patient safety incident to alleviate the painful experience of health care workers involved. However, the second victims may be influenced by a variety of factors in the process of actively seeking support. This study aims to identify and explore barriers and facilitators for second victims to seek support from a nurse’s perspective. Methods Nurses who had experienced a patient safety incident in a tertiary hospital were recruited. Face-to-face semi-structured interviews were conducted from May to October 2024 using the interview outline developed by the theoretical domain framework, and the data were analyzed using the inductive content analysis method. Results Based on the interview data, a total of 5 categories and 13 sub-categories were extracted. The barriers for second victims to seek support included personal factors, managerial role conflicts, and organizational support dilemmas. The facilitating factors included easily accessible support systems and need for diverse support. Conclusion The barriers to support-seeking among second victims are multifaceted. Therefore, relevant authorities should implement comprehensive interventions, prioritize attention to nurses’ support-seeking behaviors as second victims, and address obstacles in the support-seeking process to facilitate desired behavioral changes. Clinical trial number Not applicable.https://doi.org/10.1186/s12912-025-03499-7Patient safetyNursesSecond victimsQualitative research |
| spellingShingle | Qianfei Li Ya’nan Zhang Zhiheng Gao Zhuoqing Deng Qiong Wu Wenxia Lu Xiaohong Zhang Barriers and facilitators of nurse second victim of patient safety incident actively to seek support: a qualitative study Patient safety Nurses Second victims Qualitative research |
| title | Barriers and facilitators of nurse second victim of patient safety incident actively to seek support: a qualitative study |
| title_full | Barriers and facilitators of nurse second victim of patient safety incident actively to seek support: a qualitative study |
| title_fullStr | Barriers and facilitators of nurse second victim of patient safety incident actively to seek support: a qualitative study |
| title_full_unstemmed | Barriers and facilitators of nurse second victim of patient safety incident actively to seek support: a qualitative study |
| title_short | Barriers and facilitators of nurse second victim of patient safety incident actively to seek support: a qualitative study |
| title_sort | barriers and facilitators of nurse second victim of patient safety incident actively to seek support a qualitative study |
| topic | Patient safety Nurses Second victims Qualitative research |
| url | https://doi.org/10.1186/s12912-025-03499-7 |
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