Impact of adverse event exposure on PA and APRN well-being
Samantha Saggese1, Alexander Hembrey, Dorothy Shapiro
1Samantha Saggese practices in the Division of Nephrology and Hypertension at Northwestern Memorial Hospital and is system advanced practice provider liaison to the Office of Well-being at Northwestern Medicine, both in Chicago, IL. Alexander Hembrey practices orthopedic surgery and is APP program manager at Northwestern Medicine Health Network, as well as network advanced practice provider liaison to the Office of Well-being at Northwestern Medicine. Dorothy Shapiro practices pulmonary medicine at Northwestern Medicine Lake Forest Hospital in Lake Forest, IL, and serves as adjunct faculty for Rosalind Franklin University of Medicine and Science in North Chicago, IL. Tina Murphy practices gynecology at Northwestern Medicine Regional Medical Group in Orland Park, IL, and Mokena, IL. Tiffani Darling is director of the Office of Well-being at Northwestern Medicine. Gaurava Agarwal is vice president and chief wellness executive at Northwestern Medicine. S. Saggese discloses receipt of honorarium from the American Medical Association (AMA) for editing the AMA Steps Forward webpage titled "Scholars of Wellness: Train Physicians to Advance Well-Being With Effective Pilot Interventions." The authors have disclosed no other potential conflicts of interest, financial or otherwise.
Objective:
This study aimed to measure the impact of adverse events (AEs) on advanced practice provider (APP) well-being and to describe symptoms of second victim syndrome (SVS) among this group of healthcare professionals.
Methods:
A survey was designed to measure the incidence of AEs among APPs employed at a large healthcare system and AE impact on emotional, physical, and professional well-being. It also measured burnout, callousness, and the desire for peer support among APPs who had experienced AEs and those who had not.
Results:
Of the 350 APPs who completed the survey, 55.4% had experienced an AE. APPs exposed to an AE had a higher rate of burnout ( p = .027) than those who had not. Following an AE, 97% of APPs experienced one or more symptoms of SVS; additionally, 87% sought peer support after an AE, with 96% finding it helpful.
Conclusion:
Findings demonstrate that AEs have a negative emotional impact on APP well-being and are associated with burnout and callousness. Peer support is desired by APPs after AEs and may enhance recovery.
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