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From organizational 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, organizational support, second victim-related distress, absenteeism, and turnover intentions in the registered nurses (RNs) by using structural equation modeling.


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 organizational supports and decreased second victim-related distress.


CONCLUSION
The second victim-related distress may be relieved and organizational 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 supervisor and the staff nurse can be ensured.