{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T17:38:44Z","timestamp":1776879524110,"version":"3.51.2"},"reference-count":45,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"vor","delay-in-days":111,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The impact of patient safety incidents on healthcare professionals has drawn increasing attention. As key managerial forces on the clinical frontline, nurse managers not only bear important responsibilities in incident response but may also become \u201csecond victims.\u201d The pressure they experience and their need for support warrant systematic investigation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore the multidimensional stress experiences and support needs of nurse managers during patient safety incidents, providing a theoretical basis and practical guidance for building scientific management and support systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A phenomenological qualitative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using purposive sampling, 14 nurse managers from a tertiary hospital in Nanjing, China, were recruited for semistructured interviews. Data were analyzed using Colaizzi\u2019s seven\u2010step method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four core themes emerged: (1) complex coping situations under multiple stressors; (2) systemic support deficiencies and dilemmas; (3) growth within the managerial role; and (4) pathways for individual\u2013organizational synergy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nurse managers are important yet often overlooked \u201csecond victims\u201d in patient safety incidents. Their support needs present distinct institutional and structural characteristics. Healthcare organizations should establish systematic support systems, strengthen psychological follow\u2010up and collaboration mechanisms, and enhance coping efficacy and organizational resilience among nurse managers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/4243800","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T16:40:53Z","timestamp":1776876053000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Stress Experiences and Support Needs of Nursing Managers in Patient Safety Incidents: A Phenomenological Qualitative Study"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4199-7968","authenticated-orcid":false,"given":"Wei","family":"Zeng","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0699-7987","authenticated-orcid":false,"given":"Yuxin","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7114-9572","authenticated-orcid":false,"given":"Li","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0281-9697","authenticated-orcid":false,"given":"Hang","family":"Wei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-3096-7771","authenticated-orcid":false,"given":"Lijun","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qingyun","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"key":"e_1_2_9_1_2","unstructured":"World Health Organization Patient Safety [Fact Sheet] 2023 https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/patient-safety."},{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzn055"},{"key":"e_1_2_9_3_2","volume-title":"Global Patient Safety Action Plan 2021\u20132030: Towards Eliminating Avoidable Harm in Health Care","author":"World Health Organization","year":"2021"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(84)90280-6"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7237.726"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2009.032870"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192416869"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmir.2018.07.004"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2020.151319"},{"key":"e_1_2_9_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12995-021-00300-8"},{"key":"e_1_2_9_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13490"},{"key":"e_1_2_9_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001341"},{"key":"e_1_2_9_13_2","doi-asserted-by":"publisher","DOI":"10.3870\/j.issn.1001-4152.2019.14.073"},{"key":"e_1_2_9_14_2","volume-title":"ICN Puts Wellbeing of Nurses at Centre of International Nurses Day 2025","author":"International Council of Nurses","year":"2025"},{"key":"e_1_2_9_15_2","first-page":"174","article-title":"Opinions of the General Office of the State Council on promoting high-quality development of public hospitals [Government bulletin]","volume":"2021","author":"General Office of the State Council of the People\u2019s Republic of China","year":"2021","journal-title":"State Council Gazette of the People\u2019s Republic of China"},{"key":"e_1_2_9_16_2","doi-asserted-by":"publisher","DOI":"10.3969\/j.issn.1672-1756.2025.04.021"},{"key":"e_1_2_9_17_2","doi-asserted-by":"publisher","DOI":"10.3761\/j.issn.2096-7446.2025.02.017"},{"key":"e_1_2_9_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12967"},{"key":"e_1_2_9_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2017.05.007"},{"key":"e_1_2_9_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.1875"},{"key":"e_1_2_9_21_2","doi-asserted-by":"publisher","DOI":"10.1155\/jonm\/9906205"},{"key":"e_1_2_9_22_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.55.090902.141456"},{"key":"e_1_2_9_23_2","doi-asserted-by":"publisher","DOI":"10.1037\/0021-9010.87.4.698"},{"key":"e_1_2_9_24_2","doi-asserted-by":"publisher","DOI":"10.15958\/j.cnki.gdxbshb.2024.05.01"},{"key":"e_1_2_9_25_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_9_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11135-017-0574-8"},{"key":"e_1_2_9_27_2","volume-title":"Psychological Research as the Phenomenologist Views It","author":"Colaizzi P. 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