Evidence map›Paper›PMID 42227318›Full record

ArticleResearch in nursing & health2026

Factors Associated With Second Victim Experiences and Outcomes Among Clinical Nurses in South Korea: A Cross-Sectional Study.

Hyejin Heo, Kihye Han, Hyeonmi Cho

Abstract read
In one paragraph

Article in Research in nursing & health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Hyejin HeoDepartment of Nursing, Chung-Ang University Graduate School, Seoul, South Korea.ORCID https://orcid.org/0009-0002-7849-9609
Kihye HanChung-Ang University College of Nursing, Seoul, South Korea.ORCID https://orcid.org/0000-0003-0128-0369
Hyeonmi ChoCollege of Nursing, Research Institute of AI and Nursing Science, Gachon University, Incheon, South Korea.ORCID https://orcid.org/0000-0001-7296-2581

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to examine the associations of incident-related factors (severity, reporting, disclosure), individual factors (grit), and organizational factors (speaking-up climate) with second victim experiences and outcomes among clinical nurses. A cross-sectional online survey was conducted as part of the SAFETY project. Data were analyzed from 518 clinical nurses who had directly experienced patient safety incidents within the preceding 6 months. Linear regression analyses were performed to identify factors associated with second victim experiences and outcomes. Second victim experiences and outcomes were associated with incident-related, individual, and organizational factors. Second victim distress increased with greater incident severity and higher patient-oriented intrinsic motivation, and decreased with higher levels of psychological safety. Negative job-related outcomes increased with resignation toward speaking up and decreased with sustained professional interest and psychological safety. Incident disclosure was associated with reduced psychological distress, whereas the effects of incident reporting varied across outcome groups. To mitigate second victim distress and negative job-related outcomes, the findings underscore the importance of establishing structured institutional frameworks that promote supportive organizational cultures and system-level interventions, alongside strategies to strengthen individual self-care capacity.

Indexed as

Nursing Staff, HospitalPatient SafetyAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedOrganizational CulturePsychological SafetyRepublic of KoreaSurveys and QuestionnairesWorking Conditionsclinical nursespatient safety incidentsecond victimSouth Korea

Identifiers

PMID42227318
PMCPMC13539659

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.