[第二个受害者经历和卫生专业人员的支持]
María Victoria Brunelli1, Silvina Estrada1, Constanza Celano1
1Facultad de Ciencia Biomédicas, Universidad Austral, Buenos Aires, Argentina.
经历医疗错误的医疗保健专业人员,被称为第二受害者,遭受严重的心理痛苦. 他们经常从个人网络获得更多的支持,而不是从他们的机构,强调工作场所支持系统的关键差距.
科学领域:
- 医疗错误的影响
- 医疗保健专业人员的福祉
- 患者安全文化 患者安全文化
背景情况:
- 第二个受害者是医疗保健专业人员,他们因医疗错误而受到创伤,这影响了他们的职业和个人生活.
- 了解他们的经验对于机构来说至关重要,以改善护理安全和支持人员.
- 这项研究旨在描述第二个受害者现象,并评估被认为的支持措施.
研究的目的:
- 描述医疗保健机构中第二个受害者现象.
- 确定第二受害者所感知到的支持类型和来源.
- 探索成为第二个受害者的影响与感知到的支持之间的关系.
主要方法:
- 进行了一项横截面,描述性,观察性,定量研究.
- 来自五个高度复杂的机构的1134名卫生专业人员使用方便抽样参与了调查.
- 第二个受害者经验和支持工具 (SVEST) 用于数据收集.
主要成果:
- 56%的参与专业人士报告说犯了一个错误,认定自己是第二个受害者.
- 主要影响是心理 (平均值=3.4),专业人士报告家庭和朋友的支持更大 (平均值=3.1).
- 发现了显著的反相关性:更大的影响与较低的感知机构支持相关 (Rho: -0.8,p=0.047).
结论:
- 超过一半的医疗保健专业人员经历了成为第二个受害者,并产生了重大的心理影响.
- 尽管有机构的患者安全协议,但支持主要来自与工作无关的环境.
- 对于第二个受害者来说,有必要加强机构支持系统,以减轻心理痛苦并提高专业的性.
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