From organisational support to second victim‐related distress: Role of patient safety culture

Zhang, Xin; Li, Qiuyang; Guo, Yushuai; Lee, Shih‐Yu

doi:10.1111/jonm.12881

Cited by 46 publications

(88 citation statements)

References 29 publications

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“…This study also aligns with some research highlighting the importance of increasing support networks for second victims (Kim et al, 2018; Quillivan et al, 2016; Zhang et al, 2019). Expressing concern for nursing students, discussion of PSIs they have experienced and helping them learn from their mistakes can be expected to decrease the negative influence on them (Coughlan et al, 2017).…”

Section: Discussionsupporting

confidence: 91%

“…In addition, assistance for second victims is of great significance, and discussing the event with colleagues, feeling respect and empathy from others and being supported by institution are helpful in coping with the emotional impact (Dukhanin et al, 2018; Edrees et al, 2016; Mira, Carrillo, et al, 2017; Mira, Lorenzo, et al, 2017). However, the literature has also emphasized that thus far, such support is limited in health systems due to the failure to identify potential second victims, insufficient support interventions and the lack of a patient safety culture (Quillivan et al, 2016; Stewart et al, 2015; Tsao & Browne, 2015; Zhang et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Experiences and responses of nursing students as second victims of patient safety incidents in a clinical setting: A mixed‐methods study

et al. 2020

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Aim To investigate the degree of second victim syndrome among nursing students in clinical practice and determine the rehabilitation process. Background Empirical evidence suggests that health care providers who are considered second victims suffer from various difficulties. Nursing students in a clinical setting could be potential second victims, but few studies have quantitatively investigated the experiences and explored their response processes. Methods A mixed‐methods design was used. A questionnaire was sent to nursing students via a link to an electronic survey, and a semi‐structured interview was conducted to explore their response process as second victims. Results The quantitative results showed that nursing students in the clinical setting suffered second victim‐related distress and that the most significant influences were psychological distress and professional efficacy. Four stages of rehabilitation experiences emerged from the qualitative data. Conclusion Being a second victim for nursing students in a clinical setting is psychological suffering, and although they can be expected to recover, an impact on professional efficacy is inevitable. Implications for Nursing Management Nursing managers must be aware that nursing students in a clinical setting might experience difficult situations after patient safety incidents and that developing appropriate programmes to support at‐risk students is important.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Experiences and responses of nursing students as second victims of patient safety incidents in a clinical setting: A mixed‐methods study

et al. 2020

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“…A consequence of the insecurity and distress of making errors is increasing occupational stress among RNs (Kakemam et al., 2019). Altogether, nursing care that is not carried out and performing nonprofessional tasks can result in decreased patient safety (Zhang, Li, Guo, & Lee, 2019). In terms of reducing stress levels, developing social support and teamwork has been shown to be an effective strategy (Kakemam et al., 2019; Sturm et al., 2019).…”

Section: Discussionmentioning

confidence: 99%

Insufficiently supported in handling responsibility and demands: Findings from a qualitative study of newly graduated nurses

Willman

Bjuresäter

Nilsson

2020

Journal of Clinical Nursing

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Aims and objectives To explore newly graduated registered nurses' experiences and how they manage complex patient situations. Background Newly graduated registered nurses' working in acute care hospital settings are challenged by managing complex patient situations in rapidly changing clinical contexts involving increased patient acuity, comorbidities and staffing shortages. Design Qualitative study design. Methods Data were collected using focus groups interviews of a total of 16 newly graduated registered nurses with clinical work experience of 6 months of direct patient care in an acute care hospital setting. Analyses were conducted using qualitative content analysis. COREQ reporting guidelines were used. Results The analysis resulted in the overarching theme “Not being sufficiently prepared and supported to meet responsibilities and demands.” The theme included three categories: “Responsibility is not in proportion to competence,” “Lack of medical competence and experience complicates patient safety” and “Strives for control to manage and organise nursing care.” Conclusion The results show that newly graduated registered nurses' are not sufficiently supported for the level of responsibility and the demands placed on them when providing nursing in complex patient situations in acute care hospital settings. If they are given sole responsibility for multiple complex patient situations, patient safety may be compromised. Relevance to practice Special attention need to be paid to NGRNs support to medical competence in the areas of assessing, planning, prioritizing, leading, and distributing nursing care in daily clinical settings for at least their first year of professional work.

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“…In other words, through cultivating safety culture, SVE may be diminished (Zhang, Li, Guo, & Lee, 2019).…”

mentioning

confidence: 99%

Relationship between patient safety culture and job burnout in Iranian nurses: Assessing the mediating role of second victim experience using structural equation modelling

2020

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Aim The study examined the mediating effect of the second victim experience between safety culture and burnout in Iranian nurses. Methods A convenience sample of 298 nurses from five teaching hospitals of Urmia participated in the study. Hospital Survey on Patient Safety Culture, Maslach Burnout Inventory and The Second Victim Experience and Support Tool were used to measure the major variables. We adopted structural equation modelling to examine the hypotheses. Results Safety culture was significantly associated with second victim experience and burnout (p < .01). Second victim experience had a partial mediating role on the relationship between safety culture and burnout (p < .01). The mediating model including major variables showed satisfactory fitness (χ2/df = 2.11, p < .01, Comparative Fit Index = 0.94, root‐mean‐square error of approximation = 0.062). Conclusions Establishing a safety culture is crucial for decreasing job burnout, and second victim experience has an intervening role clarifying how high level of safety culture reduces burnout. Implications for Nursing Management Managers should plan to promote safety culture and provide sufficient support to staff involved in the patient safety incident, which could reduce staff burnout.

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From organisational support to second victim‐related distress: Role of patient safety culture

Cited by 46 publications

References 29 publications

Experiences and responses of nursing students as second victims of patient safety incidents in a clinical setting: A mixed‐methods study

Experiences and responses of nursing students as second victims of patient safety incidents in a clinical setting: A mixed‐methods study

Insufficiently supported in handling responsibility and demands: Findings from a qualitative study of newly graduated nurses

Relationship between patient safety culture and job burnout in Iranian nurses: Assessing the mediating role of second victim experience using structural equation modelling

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