设计有效的第二次受害者支持干预措施的关键要素:欧洲临床环境中的焦点小组研究
José Joaquín Mira1,2,3, Irene Carrillo4, Eva Gil-Hernández3
1Health Psychology, Miguel Hernandez University of Elche, Elche, Spain jose.mira@umh.es.
BMJ open
|January 6, 2025
概括
在第二次受害者 (SV) 事件发生后,支持医疗保健工作者至关重要. 有效的同行支持干预,根据当地需求量身定制,并得到领导的支持,增强性和患者安全.
科学领域:
- 医疗保健工作者的福祉
- 患者安全 患者安全
- 职业健康心理学 职业健康心理学
背景情况:
- 第二个受害者 (SV) 现象对医疗保健工作人员的表现和患者安全产生负面影响.
- 同行支持是一种公认的,有效的干预措施,用于减轻SV的影响.
研究的目的:
- 确定在欧洲医疗保健机构设计 SV 支持干预措施的关键成功因素.
- 为经历SV事件的医疗保健专业人员建立有效的同行支持计划的框架.
主要方法:
- 国际定性研究涉及五个欧洲国家的43名专业人士的重点小组.
- 对共同要素的分析对于成功的同行支持干预至关重要.
- 探索不同的文化,结构和法律背景.
主要成果:
- 关键的成功因素包括职业健康方法,强大的安全文化,心理急救,弹性建设,训练有素的同行支持者,充足的资源和领导力承诺.
- 干预措施必须根据制度和国家背景进行调整,同时考虑社会文化和法律框架.
- 收益包括改善患者护理和降低成本 (员工流动,诉讼).
结论:
- 量身定制,资源充足的SV支持干预措施对于医疗保健工作者的弹性和绩效至关重要.
- 实施有效的同行支持计划可以提高患者的安全性,并减轻SV现象的负面后果.
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