From organisational support to second victim-related distress: Role of patient safety culture.
AIM
This cross-sectional correlation study aimed to explore the associations among patient safety culture, organisational support, second victim-related distress, absenteeism and turnover intentions in the registered nurses (RNs) by using structural equation modelling.


BACKGROUND
Medical errors could cause RNs' second victim-related distress, which may either positively or negatively impact patient safety culture.


METHOD
The Hospital Survey on Patient Safety Culture (HSOPSC) and Second Victim Experience and Support Tool (SVEST) were used to investigate 267 RNs who were involved in direct patient care and medical errors within the previous year in China.


RESULTS
About half (45.3%) of nurses experienced psychological distress, and 26.6% of the nurses intended to leave. The model showed that 6 dimensions of patient safety culture have contributed to decreasing absenteeism and turnover intention via increased organisational supports and decreased second victim-related distress.


CONCLUSION
The second victim-related distress may be relieved, and organisational support may be enhanced through improvements in patient safety culture.


IMPLICATIONS FOR NURSING MANAGEMENT
Strategies are needed to establish an environment where cooperation/cooperative relationships between the supervisor and the staff nurse can be ensured.
['Zhang|Xin|X|https://orcid.org/0000-0003-4243-8396', 'Li|Qiuyang|Q|', 'Guo|Yushuai|Y|', 'Lee|Shih-Yu|SY|']
D000041:Absenteeism D000328:Adult D002681:China D000078331:Correlation of Data D003430:Cross-Sectional Studies D005260:Female D006801:Humans D008297:Male D019300:Medical Errors D008875:Middle Aged D015279:Organizational Culture D061214:Patient Safety D010563:Personnel Turnover D017751:Safety Management D011795:Surveys and Questionnaires D017132:Workplace
organisational support second victim-related distress patient safety culture absenteeism turnover intentions structure equation modelling second victim