Current status and influencing factors of the second victim experience and support of operating room nurses.

Background: As the second victim, nurses may suffer severe physical and mental damage. How to reduce the trauma level of operating room nurses after adverse events, enhance career resilience, and stabilize the nursing team has become an urgent concern for operating room nursing managers.

Objective: To investigate the experience of operating room nurses as the Second Victim of adverse events, and analyze the risk factors affecting the psychological status of operating room nurses as the Second Victim.

Methods: From September to October 2023, convenience sampling was used to select 224 operating room nurses from a Class III Grade A hospital in Shandong Province as the research object. The general information questionnaire, Second Victim Experience and Support Scale, Career Resilience Scale and Organizational Support Scale were used to investigate.

Results: The score of second victim experience and support was 94.32 ± 15.54. Correlation analysis showed that the second victim experience and support of operating room nurses were negatively correlated with career resilience ( = -0.383,  < 0.01) and organizational support ( = -0.272,  < 0.01). The results of multiple linear regression analysis showed that responsibility in the occurrence of adverse events, career resilience and organizational support were the influencing factors of victim experience and support of Operating Room nurses ( < 0.05).

Conclusions: Most of the second victim experience of operating room nurses is at a medium or high level. Responsibility in adverse events, career resilience and organizational support have a significant impact on the second victim experience of operating room nurses. As a management level, crisis support and external help should be provided for the second victim, and a support system based on the hospital or department level should be established to provide professional and psychological support for nurses and enhance the professional identity of nurses in the operating room at work, so as to further improve the quality of nursing in the operating room and promote the construction of clinical nursing services.