成为第二个受害者的NHS医生 - 一项探索性研究
Donna M Willis1, Joanna M Yarker1, Rachel Lewis1
1Faculty of Business and Social Sciences, Kingston University, London, UK.
Journal of health organization and management
|May 19, 2025
概括
经历了第二个受害者现象的英国医生需要更好的支持. 医疗领导层必须培养从不良事件中学习的文化,并通过痛苦支持医生.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 第二个受害者现象影响医疗保健专业人员在不良事件后.
- 了解这些医生的生活经验对于改善支持系统至关重要.
- 医学领导层在缓解这种现象中的作用尚未得到充分理解.
研究的目的:
- 探索英国国家卫生服务 (NHS) 医生遇到第二个受害者现象的实践经验.
- 调查医疗领导对医生经验和不良事件后恢复的影响.
主要方法:
- 与八名NHS医生进行了半结构面试.
- 解释性现象学分析 (IPA) 用于分析采访数据.
主要成果:
- 三个超级主题出现了:对医生的影响,同事的看法和获得的领导支持.
- 医生的福祉和患者的安全受到未解决的困境的影响.
- 糟糕的组织和团队文化可能会加剧医生的痛苦.
结论:
- 国家卫生服务机构应实施同行支持计划,并公开讨论第二受害者现象的流行情况.
- 医疗领导者必须主动支持陷入困境的医生,并培养学习和支持的文化.
- 需要进一步的研究,包括纵向研究,以了解心理社会差异和长期影响.
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