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已发表论文
护士在患者安全事件中的压力体验和支持需求：一项现象学定性研究
Authors Zeng W , Yang Y , Zhang L, Wei H , Jiang L, Li Q
Received 1 November 2025
Accepted for publication 7 February 2026
Published 20 February 2026 Volume 2026:19 578411
DOI https://doi.org/10.2147/RMHP.S578411
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Keon-Hyung Lee
Wei Zeng,1 Yuxin Yang,1 Li Zhang,1,2 Hang Wei,1 Lijun Jiang,1 Qingyun Li2
1School of Nursing, Nanjing University of Chinese Medicine, Nanjing, People’s Republic of China; 2Department of Nursing, The Second Hospital of Nanjing, Affiliated to Nanjing University of Chinese Medicine, Nanjing, People’s Republic of China
Correspondence: Li Zhang, Department of Nursing, The Second Hospital of Nanjing, Affiliated to Nanjing University of Chinese Medicine, Nanjing, People’s Republic of China, Email li_zhang2047@njucm.edu.cn
Purpose: To explore nurses’ stress experiences, sources of stress, and support needs during patient safety incidents, and to propose tailored management strategies.
Methods: Guided by Perceived Organizational Support Theory and the Dynamic Model of Work Stress, a phenomenological qualitative design was used in this study. Using purposive sampling, we recruited nurses who had directly experienced patient safety incidents (as second victims) from a tertiary hospital in Jiangsu Province, China, between June 10 and July 15, 2025. Data were collected through semi-structured interviews and analyzed with Colaizzi’s seven-step method.
Results: Four core themes and twelve subthemes were identified: (1) multidimensional experiences triggered by incidents; (2) multiple sources of stress; (3) diverse pathways of support; and (4) reflections and suggestions for organizational mechanisms. Nurses described a substantial emotional and bodily burden as second victims. Stressors arose from the interplay of individual psychological conflict, interpersonal pressures, and organizational burdens. Perceived organizational support—such as managers’ protective communication, colleagues’ empathy, and interprofessional collaboration—buffered distress and facilitated recovery; when support was absent or unsystematic, nurses often relied on self-regulation and time to cope.
Conclusion: Nurses’ experiences during patient safety incidents were multidimensional, involving psychological, physiological, and occupational stress shaped by individual, organizational, and social factors. Findings emphasize the need for support interventions tailored to stress sources and nurses’ actual needs to reduce stress and enhance care quality and patient safety.
Keywords: patient safety, nurses, second victim, organizational support, qualitative research
1School of Nursing, Nanjing University of Chinese Medicine, Nanjing, People’s Republic of China; 2Department of Nursing, The Second Hospital of Nanjing, Affiliated to Nanjing University of Chinese Medicine, Nanjing, People’s Republic of China
Correspondence: Li Zhang, Department of Nursing, The Second Hospital of Nanjing, Affiliated to Nanjing University of Chinese Medicine, Nanjing, People’s Republic of China, Email li_zhang2047@njucm.edu.cn
Purpose: To explore nurses’ stress experiences, sources of stress, and support needs during patient safety incidents, and to propose tailored management strategies.
Methods: Guided by Perceived Organizational Support Theory and the Dynamic Model of Work Stress, a phenomenological qualitative design was used in this study. Using purposive sampling, we recruited nurses who had directly experienced patient safety incidents (as second victims) from a tertiary hospital in Jiangsu Province, China, between June 10 and July 15, 2025. Data were collected through semi-structured interviews and analyzed with Colaizzi’s seven-step method.
Results: Four core themes and twelve subthemes were identified: (1) multidimensional experiences triggered by incidents; (2) multiple sources of stress; (3) diverse pathways of support; and (4) reflections and suggestions for organizational mechanisms. Nurses described a substantial emotional and bodily burden as second victims. Stressors arose from the interplay of individual psychological conflict, interpersonal pressures, and organizational burdens. Perceived organizational support—such as managers’ protective communication, colleagues’ empathy, and interprofessional collaboration—buffered distress and facilitated recovery; when support was absent or unsystematic, nurses often relied on self-regulation and time to cope.
Conclusion: Nurses’ experiences during patient safety incidents were multidimensional, involving psychological, physiological, and occupational stress shaped by individual, organizational, and social factors. Findings emphasize the need for support interventions tailored to stress sources and nurses’ actual needs to reduce stress and enhance care quality and patient safety.
Keywords: patient safety, nurses, second victim, organizational support, qualitative research