is a staff CRNA and assistant professor in anesthesiology at the Mayo Clinic College of Medicine and Science at Mayo Clinic in Rochester, Minnesota. Email:
is a consultant and associate professor of anesthesiology at the Mayo Clinic College of Medicine and Science at Mayo Clinic in Rochester.
AANA J. 2021 Jun;89(3):235-244.
The second victim phenomenon occurs when healthcare providers experience emotional or physical distress as a result of traumatic clinical events. Few hospitals have formalized peer support programs for second victims to navigate the postevent experience and offload associated emotional labor. This article describes the implementation of a second victim peer support program in a large academic anesthesiology practice, with the goal of augmenting emotional support for anesthesia providers. Program activations were tracked in a shared mailbox. Following peer support, second victims completed an evaluation assessing support received; trained peer supporters completed 2 evaluations assessing their comfort level and peer support encounters. From July 2018 to June 2020, ninety-one program activations (179 affected individuals) were made. A total of 130 peer support encounters were documented. Trained peer supporters were able to provide helpful support to affected colleagues nearly all (98.8%) of the time. Nearly 97% of second victims (25 of 31 evaluation respondents) reported the support as extremely or very beneficial, and 96.8% would recommend the program to colleagues. A second victim peer support program was successfully deployed in a large anesthesia department. This program was effective at a departmental level, fostering providers' well-being.
第二受害者现象是指医疗保健提供者在经历创伤性临床事件后，会出现情绪或身体上的困扰。很少有医院为第二受害者制定正式的同行支持计划，以帮助他们应对事件后的经历并减轻相关的情感劳动。本文描述了在一家大型学术麻醉科实践中实施第二受害者同行支持计划的情况，该计划旨在为麻醉师提供额外的情感支持。在共享邮箱中跟踪了计划的启动情况。在接受同行支持后，第二受害者会完成一份评估，评估他们所获得的支持；经过培训的同行支持者会完成两份评估，评估他们的舒适程度和同行支持的经历。从 2018 年 7 月到 2020 年 6 月，共发起了 91 次计划活动（涉及 179 名受影响者）。共记录了 130 次同行支持的经历。培训有素的同行支持者几乎总能（98.8%）为受影响的同事提供有益的支持。近 97%的第二受害者（31 名评估回复者中的 25 名）表示支持非常有益或很有益，96.8%的人会向同事推荐该计划。一个第二受害者同行支持计划在一个大型麻醉科成功实施。该计划在部门层面上非常有效，促进了提供者的幸福感。
