Department of Anesthesiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
School of Nursing, University of South China, Hunan, China.
Perspect Psychiatr Care. 2022 Apr;58(2):733-743. doi: 10.1111/ppc.12843. Epub 2021 May 16.
To describe the experience and support of Chinese healthcare professionals as second victims of PSIs.
A cross-sectional study with anonymous online self-report questionnaires was adopted. A total of 1357 Chinese healthcare professionals participated in this study. The Chinese version of the Second Victim Experience and Support Tool (C-SVEST) was used to evaluate the experience of second victims and the quality of support resources. Descriptive and inferential statistics were employed to analyze the data.
This study showed that 350 participants (25.8%) had been involved in PSIs during their careers. The majority of respondents who had experienced PSIs agreed they suffered more from psychological distress, followed by professional self-efficacy distress, and physical distress. Besides, they regarded colleague support and management support as the most desirable support. Statistically significant differences were reported in some items. First, compared with medical staff without professional titles, staff with professional titles suffered more from psychological distress but gained more support from colleagues.
The second victim phenomenon deserves further attention. The programs focusing on training qualified colleagues to provide emotional support should be developed, implemented, and evaluated. Moreover, it is necessary to build a better patient safety culture with nonpunitive responses and encourage the disclosure and reporting of PSIs.
描述中国医疗保健专业人员作为 PSI 的第二受害者的经历和支持。
采用横断面研究,采用匿名在线自我报告问卷。共有 1357 名中国医疗保健专业人员参与了这项研究。使用中文版第二受害者体验和支持工具(C-SVEST)评估第二受害者的体验和支持资源的质量。采用描述性和推断性统计方法分析数据。
本研究表明,350 名参与者(25.8%)在职业生涯中曾经历过 PSI。大多数经历过 PSI 的受访者表示,他们更多地遭受心理困扰,其次是职业自我效能困扰和身体困扰。此外,他们认为同事支持和管理支持是最理想的支持。在某些项目中报告了统计学上的显著差异。首先,与没有职称的医务人员相比,有职称的医务人员遭受更多的心理困扰,但从同事那里获得更多的支持。
第二受害者现象值得进一步关注。应制定、实施和评估专注于培训合格同事提供情感支持的计划。此外,有必要建立一个更好的患者安全文化,采取非惩罚性反应,并鼓励披露和报告 PSI。