Key elements for designing effective second victim support interventions: a focus group study in European clinical settings

BMJ Open, Год журнала: 2025, Номер 15(1), С. e089923 - e089923

Опубликована: Янв. 1, 2025

The second victim (SV) experience limits the performance of health and care workers places patients at risk. Peer support is recognised as most effective, feasible acceptable intervention to mitigate its impact. To define a set success factors when designing interventions SVs in facilities based on expertise different European countries. International collaboration involving countries with diverse cultures, structures legal frameworks. Qualitative research. Focus groups total 43 participants were conducted five Prominent professionals peer engaged. Analysis common elements considered key these programmes was underscored. Critical for effective SV included need an occupational approach, establishment strong organisational safety culture, immediate psychological first aid, long-term resilience building, engagement training supporters, provision adequate resources ongoing support, importance leadership commitment necessity tailoring specific context needs each institution country considering their sociocultural framework. expected benefits ensuring optimal patient reducing associated costs such staff turnover litigation. Effective are essential enhancing workers, ultimately improving safety. By implementing tailored well-resourced interventions, healthcare institutions can negative impact phenomenon, promoting care.

Язык: Английский

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Assessing safety culture and second victim experience following adverse events among Romanian nurses: a cross-sectional study

BMC Nursing, Год журнала: 2025, Номер 24(1)

Опубликована: Янв. 28, 2025

Healthcare adverse events (AEs) significantly impact professionals, often leading to emotional distress and lasting effects. This study investigates the of AEs on healthcare professionals in Romania, focusing nurses examine their experiences within patient safety culture psychological consequences AEs. With a limited body research safety, events, second victims (SVs) this addresses crucial gap, highlighting need for enhanced support mechanisms SVs. A cross-sectional Romania targeted nurses. Utilizing online onsite surveys facilitated by Order Nurses, Midwives, Medical Assistants data were collected between April June 2022, exploring related experiences. Statistical analysis included chi-square tests, Student's t-tests, one-way ANOVA, logistic regression, using SPSS version 29.0. surveyed 995 primarily aged 31–50 (67.8%). Over half (57.9%) reported near-miss incidents, 30.8% aware serious events. Nurses over 50 scored higher (20.98 vs. 20.45, p = .024) than younger Higher scores associated with reduced negative responses (e.g., guilt, anxiety, insomnia, tiredness) following responses. Additionally, 88.9% showed interest training coping supportive interventions settings. underscores significant professional ongoing challenges environments. The positive perception among suggests basis improvement, while needs underscore areas intervention. Tackling victim phenomenon is maintaining safety.

Язык: Английский

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Development of a Web-Based Intervention for Middle Managers to Enhance Resilience at the Individual, Team, and Organizational Levels in Health Care Systems: Multiphase Study

JMIR Human Factors, Год журнала: 2025, Номер 12, С. e67263 - e67263

Опубликована: Фев. 5, 2025

Background Health care institutions face high systemic risk due to the inherent uncertainty and complexity of their operations. This often leads stressful incidents impacting well-being health professionals, which can compromise effectiveness systems. Enhancing resilience among professionals is essential for maintaining high-quality ensuring patient safety. The role middle managers ensure response capacity individuals teams. Objective study aims develop a web-based intervention aimed at management enhance individual, team, organizational resilience. Methods An observational was conducted in 3 phases: design, validation, pilot study. initiated February 2022 concluded June 2023. Phase 1 involved designing content tool based on comprehensive review critical elements around 2 included validation by an international panel experts who reviewed rated it according structured grid. They were also encouraged highlight strengths areas improvement. piloting with Ecuador refine platform assess its effectiveness. A total 458 people invited participate through Institutional Course Continuous Improvement Care Quality Safety offered Ministry Public Ecuador. Results tool, eResiliencia, into main blocks: individual team It videos, images, PDFs, links dynamic graphics additional texts. Furthermore, 13 (65%) 20 validated rating clarity average 4.5 (SD 0.7) utility 4.7 0.5) out 5. overall satisfaction 9.3 0.6) 10 points, feedback improvements implemented. 362 began intervention, 218 (60.2%) completed preintervention postintervention questionnaires, significant knowledge increases (P<.001). Of 146 (40.3%) questionnaire, where 9.4 1.1) points. Conclusions eResiliencia provides resources teams components, promoting better performance, even under highly events. Future research should focus long-term impacts practical applications diverse clinical settings.

Язык: Английский

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The second victim experience and support tool: a cross-cultural adaptation, validation and psychometric evaluation of the Serbian version for pharmacy professionals (SR-SVEST-R)

International Journal of Clinical Pharmacy, Год журнала: 2025, Номер unknown

Опубликована: Фев. 13, 2025

Язык: Английский

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Association of impostor phenomenon and burnout among Swiss residents and junior anaesthesiologists: results of a cross-sectional survey

BMC Anesthesiology, Год журнала: 2025, Номер 25(1)

Опубликована: Фев. 22, 2025

Imposter phenomenon (IP) can impact professional performance and has been described as a risk factor for burnout within healthcare workers. We hypothesize that IP are prevalent among Swiss anaesthesiology residents junior anaesthesiologists, specific factors significantly associated with these conditions. conducted cross-sectional web-based survey of anaesthesiologists working in regions Switzerland. The included demographic questions, the Clance Impostor Phenomenon Scale (CIPS), Maslach Burnout Inventory Medical Personnel (MBI-HSS-MP). Descriptive statistics logistic regression were used to identify variables predictive examine association between burnout. A total 318 people eligible participate. Of those, 136 (42.8%) participants completed CIPS, 127 (39.9%) MBI-HSS-MP. Among CIPS respondents, 55% (75/136) identified women, 59% (80/136) nationals. prevalence was 56% (76/136) 10.2% (13/127). Women more at (p = 0.037). Independent covariates woman gender 0.015) nationality 0.023). Additionally, presence correlated an increased likelihood 0.04). training. affected than half participants. Two IP: being national. rates its concerning resident needs be addressed. NCT06097325, https://www.clinicaltrials.gov/study/NCT06097325

Язык: Английский

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The organizational well-being of healthcare professionals

Journal of Healthcare Quality Research, Год журнала: 2025, Номер 40(4), С. 101125 - 101125

Опубликована: Апрель 8, 2025

Язык: Английский

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The Second Victim Experience and Support Tool: a cross-cultural adaptation, validation and psychometric evaluation of the Serbian version for pharmacy professionals (SR-SVEST-R)

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Ноя. 15, 2024

Background: The second victim phenomenon, involving emotional and psychological distress after adverse events, is underexplored among pharmacy professionals. validated Second Victim Experience Support Tool measures these experiences support options, with the improved version also assessing resilience. Aim: This study aimed to validate Tool-Revised, measure present results professionals in Serbia. Method: cross-sectional included 350 (MPharm technicians). questionnaire, 9 factors 35 statements, was translated adapted following guidelines, content by five experts. A pre-test 30 participants ensured clarity, followed Confirmatory Factor Analysis for construct validity Cronbach's Alpha reliability. Results: Content confirmed item scores from 0.8 1 an average scale score of 0.83. analysis identified items (Chi-square = 545.571, degrees freedom 366, p < 0.001). model fit supported a Root Mean Square Error Approximation 0.037, Comparative Fit Index 0.958, Tucker-Lewis 0.950, Standardised Residual 0.040. Reliability showed alpha 0.88, factor values 0.60 0.90. Among participants, 49.5% feared future 47.4% felt exhausted, 22.6% considered quitting, 72.6% valued peer support, 28.9% work quality. Conclusion: Serbian resilience measuring effectively evaluates experience options professionals, showing good

Язык: Английский

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Development of a Web-Based Intervention for Middle Managers to Enhance Resilience at the Individual, Team, and Organizational Levels in Health Care Systems: Multiphase Study (Preprint)

Опубликована: Окт. 7, 2024

Health care institutions face high systemic risk due to the inherent uncertainty and complexity of their operations. This often leads stressful incidents impacting well-being health professionals, which can compromise effectiveness systems. Enhancing resilience among professionals is essential for maintaining high-quality ensuring patient safety. The role middle managers ensure response capacity individuals teams. study aims develop a web-based intervention aimed at management enhance individual, team, organizational resilience. An observational was conducted in 3 phases: design, validation, pilot study. initiated February 2022 concluded June 2023. Phase 1 involved designing content tool based on comprehensive review critical elements around 2 included validation by an international panel experts who reviewed rated it according structured grid. They were also encouraged highlight strengths areas improvement. piloting with Ecuador refine platform assess its effectiveness. A total 458 people invited participate through Institutional Course Continuous Improvement Care Quality Safety offered Ministry Public Ecuador. tool, eResiliencia, into main blocks: individual team It videos, images, PDFs, links dynamic graphics additional texts. Furthermore, 13 (65%) 20 validated rating clarity average 4.5 (SD 0.7) utility 4.7 0.5) out 5. overall satisfaction 9.3 0.6) 10 points, feedback improvements implemented. 362 began intervention, 218 (60.2%) completed preintervention postintervention questionnaires, significant knowledge increases (<i>P</i>&lt;.001). Of 146 (40.3%) questionnaire, where 9.4 1.1) points. eResiliencia provides resources teams components, promoting better performance, even under highly events. Future research should focus long-term impacts practical applications diverse clinical settings.

Язык: Английский

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