Experiences of Nurses Affected by Adverse Events and Support Needs in a Tertiary Hospital
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Abstract
BACKGROUND: Adverse events in healthcare systems affect both patients and medical personnel, particularly nurses who face experiences both as direct victims (first victims) and as those involved in adverse events (second victims). These events impact physical and mental health, as well as work efficiency.
OBJECTIVE: To study the types of adverse events, their impacts, support needs, and the relationship between types of adverse events and support needs in a tertiary hospital.
METHODS: This descriptive research utilized general information questionnaires, adverse event impact questionnaires, and support needs questionnaires. Data were collected from 318 nurses. Data analysis employed descriptive statistics and chi-square tests.
RESULTS: The study found that 74.84% of nurses had experienced first victim and/or second victim incidents. Most adverse events were classified as both first and second victim incidents (49.58%), followed by second victim incidents (48.32%) and first victim incidents (2.10%). The majority of participants had encountered 1–2 adverse events, with the most recent occurrence being more than 12 months prior. These events had moderate to severe impacts on psychological stress (37.81%), physical stress (15.97%), work confidence (14.71%), thoughts of resignation (12.18%), and absenteeism/leave (3.36%). Nurses who experienced all three types of adverse events showed no significant differences in their support needs.
CONCLUSIONS AND RECOMMENDATIONS: Adverse events significantly impact nurses both psychologically and physically. Therefore, appropriate support and prevention systems should be developed to help reduce nurses' stress and impact.
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