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NHS doctors who become second victims - an exploratory study.

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UK doctors experiencing the second victim phenomenon need better support. Medical leadership must foster cultures that learn from adverse events and support doctors through distress.

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Area of Science:

  • Medical Education
  • Patient Safety
  • Healthcare Management

Background:

  • The second victim phenomenon affects healthcare professionals after adverse events.
  • Understanding the lived experiences of these doctors is crucial for improving support systems.
  • The role of medical leadership in mitigating this phenomenon is not fully understood.

Purpose of the Study:

  • To explore the lived experiences of UK National Health Service (NHS) doctors who encountered the second victim phenomenon.
  • To investigate the influence of medical leadership on doctors' experiences and recovery following adverse events.

Main Methods:

  • Semi-structured interviews were conducted with eight NHS doctors.
  • Interpretative Phenomenological Analysis (IPA) was used to analyze the interview data.

Main Results:

  • Three superordinate themes emerged: the impact on the doctor, perceptions of colleagues, and leadership support received.
  • Doctors' well-being and patient safety are compromised by unaddressed distress.
  • Poor organizational and team cultures can worsen distress for doctors.

Conclusions:

  • NHS organizations should implement peer support programs and openly discuss the prevalence of the second victim phenomenon.
  • Medical leaders must proactively support distressed doctors and foster a culture of learning and support.
  • Further research, including longitudinal studies, is needed to understand psychosocial differences and long-term impacts.