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Presence and detectability of the second victim phenomenon in German-speaking medical professionals involved in dysphagia and respiratory therapy: cross-sectional survey research (SeViD-V).

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Second Victims among Austrian Pediatricians (SeViD-A1 Study).

Eva Potura1, Victoria Klemm2, Hannah Roesner2

  • 1The Second Victim Association Austria, 11900 Vienna, Austria.

Healthcare (Basel, Switzerland)
|September 28, 2023
PubMed
Summary

The second victim phenomenon (SVP) affects 89% of Austrian pediatricians, with unexpected patient death being a primary cause. Legal counseling is a preferred support measure for these healthcare professionals.

Keywords:
emotional burdenemotional distresshealth care worker safetypatient safetypediatricianspediatricspsychological distresssecond victim

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Area of Science:

  • Medical Education
  • Patient Safety
  • Occupational Health

Background:

  • The second victim phenomenon (SVP) significantly impacts healthcare professionals and patient safety.
  • Limited epidemiological data exists for SVP in German-speaking regions, particularly Austria.
  • Previous studies in Germany provide some insights, but quantitative Austrian data on SVP prevalence, symptom burden, and support needs is lacking.

Purpose of the Study:

  • To investigate the prevalence, symptom load, and preferred support measures for second victims (SVs) among Austrian pediatricians.
  • To address the gap in quantitative epidemiological data regarding SVP in Austria.
  • To identify factors associated with experiencing SVP in this specific healthcare cohort.

Main Methods:

  • A nationwide, cross-sectional, anonymous online survey was administered to Austrian pediatricians.
  • The SeViD questionnaire (Second Victims in Deutschland) and the Big Five Inventory-10 (BFI-10) were utilized.
  • Statistical analyses included binary-logistic and multiple linear regression, employing bootstrapping (BCa method) with 1000 samples.

Main Results:

  • A high prevalence of 89% of Austrian pediatricians self-identified as second victims (SVs).
  • The unexpected death or suicide of a patient was the most frequent cause of becoming an SV.
  • High neuroticism and extraversion scores, along with work in outpatient settings, correlated positively with experiencing SVP.
  • Access to legal counseling was identified as a preferred support strategy.

Conclusions:

  • Austrian pediatricians exhibit the highest SVP prevalence recorded using the SeViD questionnaire.
  • The findings underscore the urgent need for targeted prevention strategies and intervention programs for SVs in this population.
  • Further research should explore tailored support systems and preventative measures to mitigate the impact of SVP on healthcare providers.