Department of Translational Medicine (DiMeT), Università del Piemonte Orientale, 28100 Novara, Italy.
Learning and Research Area, AOU Maggiore della Carità, 28100 Novara, Italy.
Int J Environ Res Public Health. 2022 Sep 26;19(19):12218. doi: 10.3390/ijerph191912218.
The term second victim (SV) describes healthcare professionals who remain traumatized after being involved in a patient safety incident (PSI). They can experience various emotional, psychological, and physical symptoms. The phenomenon is quite common; it has been estimated that half of hospital workers will be an SV at least once in their career. Because recent literature has reported high prevalence (>30%) among nursing students, we studied the phenomenon among the whole population of healthcare students.
We conducted a cross-sectional study with an online questionnaire among nursing students, medical students, and resident physicians at the teaching hospital of the University of the Piemonte Orientale located in Novara, Italy. The study included 387 individuals: 128 nursing students, 174 medical students, and 85 residents.
We observed an overall PSI prevalence rate of 25.58% (lowest in medical students, 14.37%; highest in residents, 43.53%). Of these, 62.63% experienced symptoms typical of an SV. The most common temporary symptom was the feeling of working badly (51.52%), whereas the most common lasting symptom was hypervigilance (51.52%). Notably, none of the resident physicians involved in a PSI spoke to the patient or the patient's relatives.
Our findings highlighted the risk incurred by healthcare students of becoming an SV, with a possible significant impact on their future professional and personal lives. Therefore, we suggest that academic institutions should play a more proactive role in providing support to those involved in a PSI.
第二受害者（SV）一词描述的是在患者安全事件（PSI）中受到创伤的医疗保健专业人员。他们可能会经历各种情绪、心理和身体症状。这种现象相当普遍；据估计，有一半的医院工作人员在职业生涯中至少会成为一次 SV。由于最近的文献报道称护理学生的患病率较高（>30%），我们研究了整个医疗保健学生群体中的这种现象。
我们在意大利诺瓦拉的皮埃蒙特东方大学教学医院进行了一项横断面研究，采用在线问卷对护理学生、医学生和住院医师进行了调查。研究共纳入 387 人：128 名护理学生、174 名医学生和 85 名住院医师。
我们观察到总体 PSI 患病率为 25.58%（医学生最低，为 14.37%；住院医师最高，为 43.53%）。其中，62.63%的人出现了 SV 典型症状。最常见的临时症状是工作表现不佳的感觉（51.52%），而最常见的持续症状是过度警惕（51.52%）。值得注意的是，没有一名参与 PSI 的住院医师与患者或患者家属交谈过。
我们的研究结果突出了医疗保健学生成为 SV 的风险，这可能对他们未来的职业和个人生活产生重大影响。因此，我们建议学术机构应在为 PSI 事件相关人员提供支持方面发挥更积极的作用。
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