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Published on: February 16, 2011
Perceptions of Nurses Who Are Second Victims in a Hospital Setting.
Catherine Draus1, Therese B Mianecki, Hannah Musgrove
1Center for Nursing Research and Evidence-Based Practice (Drs Draus and Mianecki), Surgical Intensive Care Unit (Ms Musgrove), B4/F1 (Ms Greggs), Medical Intensive Care Unit (Ms Halash), Labor and Delivery, High Risk Antepartum (Dr Bellany), and Labor and Delivery/I3 High Risk Antenatal (Ms Mackenzie), Henry Ford Hospital, Detroit, Michigan; Henry Ford Health System, Detroit, Michigan (Dr Bastien); and Henry Ford Health System, West Bloomfield, Michigan (Ms Lewis).
Nearly half of nurses surveyed identified as second victims (SVs), healthcare workers affected by patient adverse events. Many SVs reported inadequate support, highlighting the need for better resources and administrative awareness.
Area of Science:
- Healthcare worker well-being
- Patient safety and adverse events
- Nursing professional development
Background:
- Second victims (SVs) are healthcare professionals experiencing emotional trauma following unanticipated adverse patient events.
- These events can lead to significant personal and professional repercussions for SVs.
- Existing research indicates a gap in adequate support systems for SVs post-adverse events.
Purpose of the Study:
- To ascertain the prevalence of nurses identifying as second victims.
- To evaluate nurses' awareness and utilization of available support resources.
- To understand the specific needs of second victims within the nursing profession.
Main Methods:
- A survey was conducted using a convenience sample of nurses.
- Responses from nurses identifying as SVs were compared to those who did not.
- Nonparametric statistical methods were employed for data analysis.
Main Results:
- Out of 359 participants, 159 (44.3%) identified as second victims.
- A statistically significant correlation was observed between work tenure and SV status (P = .009).
- A relationship was identified between being an SV and the awareness/use of support resources, with debriefing being the most preferred support method.
Conclusions:
- Adverse patient events can inflict significant emotional trauma on second victims.
- Administrative awareness, robust support systems, and consistent follow-up are crucial for mitigating psychological distress in clinical nurses.
- Addressing the needs of second victims is essential for maintaining nurse well-being and optimizing patient care.
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