职业认同在第二受害者支持资源效能和ICU护士安全行为间的中介效应研究

doi:10.3761/j.issn.1672-9234.2025.07.012

摘要/Abstract

摘要：

目的探讨职业认同在第二受害者支持资源效能和ICU护士安全行为间的中介效应。方法采用便利抽样法，于2024年7月—8月，选取浙江省8所三级甲等医院的ICU护士作为调查对象，使用一般资料调查表、中文版第二受害者经历与支持量表、护士职业认同量表、中文版护士安全行为量表对其进行调查。结果 453名ICU护士职业认同、第二受害者支持资源效能、安全行为总得分依次为（105.36±18.37）分、（63.46±11.49）分、（49.19±6.67）分；第二受害者支持资源效能总得分与职业认同、安全行为总得分呈负相关，职业认同总得分与安全行为总得分呈正相关（均P<0.001）。职业认同在第二受害者支持资源效能和ICU护士安全行为间的中介效应值为-0.109（95%CI：-0.139~ -0.080），中介效应占总效应的58.92%。结论职业认同在第二受害者支持资源效能和ICU护士安全行为间起部分中介作用；护理管理者应关注ICU护士第二受害者身心健康，重视高效能支持系统的建设，并通过增强ICU护士职业认同，促进ICU护士安全行为水平的提高。

关键词: ICU护士, 安全行为, 第二受害者, 职业认同, 中介效应

Abstract:

Objective To explore the mediating effect of professional identity between the performance of second victim support resources，and safety behaviors among ICU nurses. Methods Using convenience sampling method，nurses in ICU from eight tertiary grade A hospitals in Zhejiang Province were surveyed from July to August 2024 with general information questionnaire，Second Victim Experience and Support Scale，Nurse Professional Identity Scale，and Nurse Safety Behavior Scale. Results The total scores of the 453 ICU nurses’ performance of second victim support resources，professional identity，and safety behaviors were（63.46±11.49），（105.36±18.37），and（49.19±6.67） respectively. The total score of the performance of second victim support resources showed negative correlations with professional identity and safety behaviors score，while professional identity score was positively correlated with safety behaviors score（all P<0.001）. The mediating effect value of professional identity between the performance of second victim support resources and safety behaviors was -0.109（95%CI：-0.139~-0.080），accounting for 58.92% of the total effect. Conclusion Professional identity plays a partial mediating role between the performance of second victim support resources and safety behaviors in ICU nurses. Nursing administrators should pay attention to ICU nurses’ physical and mental health as second victims，emphasize the construction of support systems，and enhance ICU nurses’ professional identity to promote the improvement of safety behaviors.

Key words: ICU nurses, Safety behavior, Second victim, Professional identity, Mediating effect

罗雪莉, 庄一渝, 魏文静, 董莲莲, 王新安, 周鑫滢, 宫晓艳. 职业认同在第二受害者支持资源效能和ICU护士安全行为间的中介效应研究[J]. 中华护理教育, 2025, 22(7): 842-848.

LUO Xueli, ZHUANG Yiyu, WEI Wenjing, DONG Lianlian, WANG Xin’an, ZHOU Xinying, GONG Xiaoyan. The mediating effect of professional identity between the performance of second victim support resources and safety behavior among ICU nurses[J]. Chinese Journal of Nursing Education, 2025, 22(7): 842-848.

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