インドの外科医におけるセカンドビクティム症候群 - 横断的分析研究

Second victim syndrome (SVS) is an entity known to corrode healthcare providers from within. To analyze the interaction of different factors of SVS, an online questionnaire (based on the Second Victim Experience and Support Tool - Revised) was used for a cross-sectional survey.

To know the prevalence and the psychological impact of SVS among Indian surgeons.

This cross-sectional online questionnaire survey-based analytical study collected responses of 200 Indian Surgeons of different types and levels of speciality. Inputs on all dimensions of SVS, namely, psychological distress, physical distress, colleague support, supervisor support, institutional support and professional self-efficacy, and outcome parameters, that is, turnover intentions and absenteeism, were collected and analyzed.

The SVS prevalence in the sample was 18.5%, the highest among specialists at 24.3%. Affected surgeons experienced significant psychological and physical distress and reported less peer and institutional support, lower self-efficacy, more intent to leave, higher absenteeism, and reduced resilience. Regression analyses identified distress as a predictor for turnover intentions and absenteeism, with SVS severity similar across all specialities and levels.

SVS can have significant psychological effects, with its aftermath potentially manifesting as somatic symptoms, self-doubt, insecurity, and both mental and physical disengagement from the workplace. This may contribute to considerations of leaving the profession. There is a clear need for comprehensive institutional support systems to address these challenges and enhance professional outcomes.