Abstract: Objective To analyze the current status,research hotspots,and development trends of second victim research in the nursing field,both domestically and internationally. Methods The relevant literature on second victims in the nursing field were searched in the Web of Science Core Collection database and the China National Knowledge Infrastructure,from the establishment of the database to November 20,2023. CiteSpace （6.2.R4） analysis software was used to conduct bibliometric analysis. Results A total of 169 foreign-language articles and 74 Chinese articles were included. Several core research teams focusing on second victims in the nursing field have been established internationally,but no unified efforts have been formed domestically. The research on the influencing factors,support needs and intervention models of the second victim in foreign countries were relatively mature,while most of the domestic studies focused on the quantitative research on the experience and support status of the second victim,qualitative research mainly investigated the psychological and emotional experience of nurses after experiencing adverse events,and there was limited research exploring the support needs of nurses and the ways to obtain support. There are few systematic constructions based on support policies and hospital-based intervention projects. Conclusion Cross-regional,cross-institutional,and cross-team collaboration in China needs to be strengthened. The research hotspots in both domestic and international contexts exhibit similarities and diversification. Medical institutions at all levels should further study the needs of the second victims in their own countries and promote the establishment of a non-punitive hospital patient safety culture. Future research can gradually explore the development of a second victim support system suitable for the healthcare situation in China.

Key words: Nursing, Nurse, Second Victim, Bibliometrics, Visualization Analysis, Research Hotspots