Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Research Unit of Gynecology and Obstetrics, Institute of Clinical Research, University of Southern Denmark, Odense, Denmark.
Int J Qual Health Care. 2019 Oct 31;31(8):583-589. doi: 10.1093/intqhc/mzy219.
To describe midwives' and obstetricians' experiences on the level of support from colleagues and managers in Danish labor wards following adverse events.
DESIGN, SETTING AND PARTICIPANTS: A 2012 National survey of Danish obstetricians and midwives was conducted to assess the level of support received in the workplace.
Scales on social community at work, social support from colleagues and immediate superiors, and use of support mechanisms on labor wards after serious adverse events were assessed.
2098 midwives and obstetricians were invited to complete the survey (response rate 59%), and the analyses were carried out on the 593 respondents who had been involved in at least one traumatic childbirth at their current place of work. Respondents experienced high levels of social support from colleagues and social community at work, midwives significantly higher than obstetricians, and 95% of respondents had talked to colleagues about an adverse event. Respondents generally experienced low levels of social support and feedback from immediate superiors, and only 49% had talked to their immediate superior about an adverse event. Fifty% believed that the hospital had a clear process through which they could report adverse events, and 44% knew how to access the necessary confidential emotional support at work.
Midwives and obstetricians experienced high levels of social support and feedback from colleagues who are the most frequent individuals to consult after adverse events. We strongly suggest developing second victim support programmes with a focus on offering peer support from qualified and trained peers.
描述丹麦产房助产士和产科医生在经历不良事件后，从同事和管理人员那里获得支持的程度。
设计、地点和参与者：2012 年对丹麦产科医生和助产士进行了一项全国性调查，以评估他们在工作场所获得的支持程度。
评估了工作场所中的社会社区、同事和直接上级的社会支持以及在严重不良事件后使用支持机制的情况。
共邀请了 2098 名助产士和产科医生参加调查（回应率为 59%），对在当前工作场所经历过至少一次创伤性分娩的 593 名受访者进行了分析。受访者经历了来自同事的高度社会支持和工作中的社会社区，助产士明显高于产科医生，95%的受访者曾就不良事件与同事交谈过。受访者普遍经历来自直接上级的低水平社会支持和反馈，只有 49%的受访者曾就不良事件与直接上级交谈过。50%的人认为医院有一个明确的报告不良事件的流程，44%的人知道如何在工作中获得必要的保密情感支持。
助产士和产科医生经历了来自同事的高水平社会支持和反馈，他们是在不良事件后最常咨询的人。我们强烈建议制定第二受害者支持计划，重点是提供由合格和培训有素的同行提供的同行支持。
