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Second Victim Syndrome Among Hispanic Orthopaedic Surgeons.
José P Bibiloni-Lugo1, Norberto J Torres-Lugo, Nelmit Tollinchi-Natali
1From the Department of Orthopaedic Surgery, Ponce Health Sciences University, Ponce, Puerto Rico (Dr. Bibiloni-Lugo, Dr. Fernandez-Soltero, and Dr. Ramirez); the Department of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico (Dr. Torres-Lugo and Dr. Ramirez); the School of Dental Medicine, Ponce Health Sciences University, Ponce, Puerto Rico (Dr. Tollinchi-Natali); and the Department of Clinical Psychology (Dr. Tollinchi-Natali) and the Department of Orthopaedic Surgery (Dr. Ramirez), Mayagüez Medical Center, Mayagüez, Puerto Rico.
Hispanic orthopaedic surgeons experience moderate psychological distress following adverse events, with inadequate support systems. Implementing targeted interventions is crucial to enhance resilience and well-being in this demographic.
Area of Science:
- Orthopaedic Surgery
- Healthcare Provider Well-being
- Medical Error Impact
Background:
- Second victim syndrome (SVS) affects healthcare providers after adverse events.
- Limited research exists on SVS in orthopaedic surgery, especially among Hispanic surgeons.
- This study addresses SVS prevalence and support needs in Hispanic orthopaedic surgeons.
Purpose of the Study:
- To evaluate the prevalence of second victim syndrome (SVS) among Hispanic orthopaedic surgeons.
- To identify the extent of emotional and psychological distress experienced by these surgeons.
- To assess the adequacy of support systems and identify support disparities.
Main Methods:
- A survey utilizing the Second Victim Experience and Support Tool was distributed to 70 orthopaedic surgeons in Puerto Rico.
- Data were collected electronically between May and September 2024.
- Descriptive statistics and Likert scores were used to analyze SVS dimensions and support preferences.
Main Results:
- Moderate psychological distress was reported (mean: 3.1), with emotional distress being most prominent.
- Colleague and supervisor support were perceived as inadequate (means: 2.2 and 2.4, respectively).
- Institutional support showed moderate gaps (mean: 2.7), while non-work-related support was highly valued.
- Professional self-efficacy declined, leading to increased self-doubt.
Conclusions:
- Hispanic orthopaedic surgeons experience significant distress and inadequate institutional support post-adverse events.
- Findings underscore the need for strategies to mitigate SVS impact and bolster healthcare provider resilience.
- Targeted support systems are essential for addressing the unique challenges faced by this group.
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