Bernadette Johnson is assistant professor, assistant program director, and clinical director of the Medical University of South Carolina (MUSC) Nurse Anesthesia Program, Charleston, SC. Luci New is assistant professor and associate director of clinical education in the Department of Academic Nursing, Wake Forest University School of Medicine, Winston-Salem, NC. Michele Ballister is a staff certified registered nurse anesthetist (CRNA) at the MUSC, Charleston, SC. Courtney Brown is a staff CRNA III at Novant Health Forsyth Medical Center, Winston-Salem, NC. Susan Scott is adjunct associate professor at the University of Missouri-St Louis, Columbia, MO. Contact author: Bernadette Johnson,
Am J Nurs. 2024 Sep 1;124(9):44-52. doi: 10.1097/01.NAJ.0001050816.14247.78. Epub 2024 Aug 22.
The second victim phenomenon describes the distress frequently experienced by health care providers after an unintentional medical error or unexpected adverse event. However, few health care institutions have initiatives that proactively address this phenomenon. The pilot project discussed in this article aimed to create a peer support program for health care providers experiencing the second victim phenomenon. The project team validated the need for such a program among health care providers in the perioperative departments of two facilities within a large health care organization in the southeastern United States. To do this, they used a survey, the Second Victim Experience and Support Tool. Among survey respondents in the two departments, 80% and 87.6% indicated a strong desire to discuss their emotional challenges with a respected peer colleague after a traumatic event. The project team then developed and implemented a peer support program in three phases to 1) educate staff across the facility on second victimization, 2) recruit and train volunteer peer supporters, and 3) launch the pilot program by embedding these peer supporters in the two perioperative departments. A survey completed by participants in the pilot program showed that 80% of respondents found the peer support extremely beneficial, 20% found it very beneficial, and 100% would recommend peer support to a colleague. This successful pilot project could inform the establishment of peer support programs at other institutions to assist health care providers experiencing the second victim phenomenon.
“第二受害者现象”描述了医护人员在遭遇非故意的医疗差错或意外不良事件后，经常经历的困扰。然而，很少有医疗机构主动采取措施来应对这一现象。本文讨论的试点项目旨在为遭遇“第二受害者现象”的医护人员创建一个同行支持计划。项目团队通过问卷调查——《第二受害者经历和支持工具》，验证了在东南地区一家大型医疗机构的两个设施的围手术期科室中，医护人员对该项目的需求。在这两个科室中，80%和 87.6%的调查对象表示，在经历创伤性事件后，他们非常希望与一位受尊敬的同行同事讨论自己的情绪挑战。然后，项目团队分三个阶段开发并实施了同行支持计划：1）在整个机构对第二受害者现象进行教育；2）招募和培训志愿者同行支持者；3）将这些同行支持者嵌入两个围手术期科室，启动试点计划。参与试点计划的参与者完成的一项调查显示，80%的受访者认为同行支持非常有益，20%的受访者认为非常有益，100%的受访者会向同事推荐同行支持。这一成功的试点项目可以为其他医疗机构建立同行支持计划提供信息，以帮助遭遇“第二受害者现象”的医护人员。
