Relationship between patient safety culture and job burnout in Iranian nurses: Assessing the mediating role of second victim experience using structural equation modelling
Relationship between patient safety culture and job burnout in Iranian nurses: Assessing the mediating role of second victim experience using structural equation modelling
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DOI：
10.1111/jonm.13102
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发表时间：
2020-08-02
影响因子：
5.5
通讯作者：
Ajoudani, Fardin
中科院分区：
文献类型：
--
作者：
Habibzadeh, Hossein;Baghaei, Rahim;Ajoudani, Fardin
目的探讨第二受害者体验在伊朗护士安全文化与职业倦怠之间的中介作用。方法采用方便抽样的方法，对乌尔米亚5所教学医院的298名护士进行问卷调查。采用《患者安全文化医院调查》、《马斯拉赫职业倦怠量表》和《第二受害者体验与支持工具》对主要变量进行测量。我们采用结构方程模型来检验假设。结果安全文化与二次受害者体验和职业倦怠显著相关(p<；.01)。第二，受害者经历在安全文化和职业倦怠之间的关系中起到了部分中介作用(p<；.01)。包含主要变量的中介模型具有令人满意的拟合度(X(2)/df=2.11，p<；.01，比较拟合度指数=0.94，逼近均方误差=0.062)。结论建立安全文化是降低工作倦怠的关键，二次受害者体验对高水平的安全文化如何降低工作倦怠起到了中介作用。护理管理经理应计划促进安全文化，并为参与患者安全事件的员工提供足够的支持，这可能会减少员工的职业倦怠。
Aim The study examined the mediating effect of the second victim experience between safety culture and burnout in Iranian nurses. Methods A convenience sample of 298 nurses from five teaching hospitals of Urmia participated in the study. Hospital Survey on Patient Safety Culture, Maslach Burnout Inventory and The Second Victim Experience and Support Tool were used to measure the major variables. We adopted structural equation modelling to examine the hypotheses. Results Safety culture was significantly associated with second victim experience and burnout (p < .01). Second victim experience had a partial mediating role on the relationship between safety culture and burnout (p < .01). The mediating model including major variables showed satisfactory fitness (chi(2)/df = 2.11,p < .01, Comparative Fit Index = 0.94, root-mean-square error of approximation = 0.062). Conclusions Establishing a safety culture is crucial for decreasing job burnout, and second victim experience has an intervening role clarifying how high level of safety culture reduces burnout. Implications for Nursing Management Managers should plan to promote safety culture and provide sufficient support to staff involved in the patient safety incident, which could reduce staff burnout.