一项关于马来西亚婆罗洲岛一家三级公立医院——砂拉越综合医院“二次受害者”经历与支持的横断面研究。

A cross-sectional study on the second victim experience and support at Sarawak General Hospital: A tertiary public hospital in Borneo Island, Malaysia.

作者信息

Kim A R J, Hon Y K, Guan C A, Lai W H, Bujang M A, Peter S, Zulkifli Z, Mohd Arif N A A, Tan S H, Khoo S Y, Bartholomew P, Senok J

机构信息

Sarawak General Hospital, Ministry of Health Malaysia, Kuching, Sarawak, Malaysia.

Institute for Clinical Research, National Institutes of Health (NIH), Ministry of Health Malaysia, Shah Alam, Selangor Darul Ehsan, Malaysia.

出版信息

Med J Malaysia. 2025 Jan;80(1):81-87.

PMID:39812433

Abstract

INTRODUCTION

Second victim experience (SVE) refers to the emotional and psychological impact experienced by healthcare providers who are involved in patient safety incidents (PSIs). Despite growing awareness of patient safety in healthcare organizations, remedial actions often focus only on the first victim, the patient. Therefore, it is important to recognize and address the emotional and physical toll that PSIs to ensure the well-being of and to promote a culture of safety in healthcare settings. Hence, this study was initiated to determine the prevalence of SVE, assess symptoms related to SVE and evaluate the level of support needed by healthcare providers.

MATERIALS AND METHODS

The Second Victim Experience and Support Tool for Recovery (SVEST-R) questionnaire was utilized to conduct an anonymous survey on the healthcare providers in Sarawak General Hospital (SGH) from August to October 2018.

RESULTS

A total of 482 respondents participated in the survey and 46.1% of the respondents reported SVE following their involvement in PSIs. Notably, symptoms such as flashbacks, fear, and stress tend to persist for longer durations compared to other symptoms. It is worth noting that non-work-related support received the highest mean (medical doctors = 3.83; nurses = 3.70), indicating that respondents preferred to seek emotional support from their friends and families. Furthermore, nurses reported a significantly higher experience of absenteeism following PSIs than doctors (p=0.003). In addition, most respondents expressed a desire for discussion or counselling with a respected peer or supervisor following their involvement in PSIs.

CONCLUSION

Present study reported a relatively high prevalence of SVE among healthcare providers at SGH. Hence, proactive measures, including non-work related and supervisor support, are essential in facilitating their overall well-being and successful recovery.

摘要

引言

“二次受害者经历”（SVE）是指参与患者安全事件（PSI）的医护人员所经历的情感和心理影响。尽管医疗机构对患者安全的认识不断提高，但补救措施往往只关注首位受害者，即患者。因此，认识并应对患者安全事件对医护人员造成的身心伤害，对于确保医护人员的福祉以及在医疗机构中促进安全文化至关重要。因此，启动了本研究，以确定“二次受害者经历”的患病率，评估与“二次受害者经历”相关的症状，并评估医护人员所需的支持水平。

材料与方法

使用“二次受害者经历与康复支持工具”（SVEST-R）问卷，于2018年8月至10月对砂拉越总医院（SGH）的医护人员进行匿名调查。

结果

共有482名受访者参与了调查，46.1%的受访者表示在参与患者安全事件后经历了“二次受害者经历”。值得注意的是，与其他症状相比，诸如闪回、恐惧和压力等症状往往持续时间更长。值得注意的是，非工作相关支持的平均得分最高（医生=3.83；护士=3.70），这表明受访者更倾向于从朋友和家人那里寻求情感支持。此外，护士报告称，在发生患者安全事件后旷工的经历明显高于医生（p=0.003）。此外，大多数受访者表示，在参与患者安全事件后，希望与受尊敬的同事或上级进行讨论或咨询。