Ayvat Pinar, Ayvat Ali Galip, Bilek Gunal, Oner Ozlem, Sehitoglu Alpagut Gulsah, Sonmez Omer Faruk
Anesthesiology and Reanimation Department, Faculty of Medicine, Izmir Democracy University, Izmir, Turkey.
Project Management Department, Izmir Project Agency, Izmir, Turkey.
Medicine (Baltimore). 2025 Jul 25;104(30):e43375. doi: 10.1097/MD.0000000000043375.
Healthcare professionals involved in the management of adverse events often experience psychological and physical distress, known as the "second victim experience." Anesthesia and intensive care settings are particularly vulnerable to such occurrences due to the high-stakes, and highly stressful work being performed by healthcare professionals. This study aimed to assess the prevalence and dimensions of second-victim experiences among anesthesia and intensive care professionals in Türkiye, while also identifying support preferences and organizational deficiencies. A cross-sectional study was conducted with 175 healthcare professionals working in anesthesia and intensive care units in Türkiye. The Turkish adaptation of the second-victim experience and support tool (T-SVEST) was used to assess psychological distress, physical distress, professional self-efficacy, perceived support mechanisms, and outcome variables such as turnover intentions and absenteeism. Psychometric analyses, confirmatory factor analysis, and correlation/regression tests were performed to evaluate the scale's validity and to explore correlations among key variables. The T-SVEST demonstrated strong internal consistency (Cronbach α = 0.86) and an improved factor structure following the removal of low-performing items. High levels of psychological and physical distress significantly associated with professional self-efficacy, absenteeism, and turnover intentions were reported. Supervisor and institutional support were perceived as insufficient, particularly among less experienced staff. Age and work experience were positively correlated with colleague support, while married participants reported significantly lower physical distress. Peer support and professional counseling emerged as the most desired support mechanisms. Second-victim experiences are common and consequential among anesthesia and intensive care professionals in Türkiye. The findings have highlighted substantial gaps in organizational support structures and a strong demand for evidence-based peer support systems. Institutional efforts must focus on building a culture of safety and compassion through structured interventions, supervisor training, and proactive debriefing practices to mitigate the impact of adverse events on healthcare providers.
参与不良事件管理的医护人员经常会经历心理和身体上的困扰，即所谓的“二次受害者经历”。由于医护人员从事的工作风险高、压力大，麻醉和重症监护环境尤其容易出现此类情况。本研究旨在评估土耳其麻醉和重症监护专业人员中二次受害者经历的患病率及维度，同时确定支持偏好和组织缺陷。对土耳其麻醉和重症监护病房工作的175名医护人员进行了一项横断面研究。采用土耳其语改编的二次受害者经历与支持工具（T-SVEST）来评估心理困扰、身体困扰、职业自我效能感、感知到的支持机制以及离职意图和旷工等结果变量。进行了心理测量分析、验证性因素分析以及相关性/回归测试，以评估该量表的有效性并探索关键变量之间的相关性。T-SVEST显示出很强的内部一致性（克朗巴哈α系数=0.86），在剔除表现不佳的项目后，因素结构得到了改善。报告显示，高水平的心理和身体困扰与职业自我效能感、旷工和离职意图显著相关。主管和机构的支持被认为不足，尤其是在经验较少的员工中。年龄和工作经验与同事支持呈正相关，而已婚参与者报告的身体困扰明显较低。同伴支持和专业咨询成为最需要的支持机制。在土耳其，二次受害者经历在麻醉和重症监护专业人员中很常见且后果严重。研究结果突出了组织支持结构中的重大差距以及对循证同伴支持系统的强烈需求。机构必须通过结构化干预、主管培训和积极的汇报实践，专注于营造安全和关爱的文化，以减轻不良事件对医疗服务提供者的影响。
