Implementing a peer-support programme for surgeons following adverse events

Despite the known impact of adverse events (AEs) for surgeons, and the potential for AE peer-support models, little is known about usefulness of AE peer-support initiatives in UK surgical settings. This study evaluated: (1) surgeons' perceptions of current AE support, and (2) the usefulness of a novel peer-support improvement collaborative initiative (SUPPORT) for surgeons.

Part 1 surveyed 151 surgeons from 12 hospital trusts/groups in the UK and Ireland. Perceived organisational compassion, attitudes towards support-seeking and vulnerability stigma were assessed. Part 2 surveyed 17 surgical team members pre and post participating in SUPPORT. Surveys measured perceived organisational compassion, confidence in fostering a caring culture, peer-support skills, understanding of barriers to support-seeking and recognition of common responses to AEs.

Some 88.1% of respondents endorsed the need for surgeon-specific peer support following AEs, while only 24.5% perceived existing support as adequate. In addition, 58.5% reported that there was stigma towards showing vulnerability as a surgeon and only 43.9% of respondents agreed that colleagues would respond compassionately following an AE. Participation in SUPPORT led to improved perceived organisational compassion and increased confidence in fostering a caring culture, peer-support skills, understanding of barriers to support-seeking and recognition of common psychological responses to AEs (p = 0.028 to <0.001). No improvements were observed in vulnerability-related stigma.

This study highlighted the mismatch between the perceived need for, and provision of, peer support for surgeons following AEs. Despite cultural barriers, the SUPPORT collaborative showed promise in enhancing compassion and key peer-support skills.