Supporting Clinicians After Adverse Events: Development of a Clinician Peer Support Program

Lane, Michael A.; Newman, Brianne M.; Taylor, Mary Z; OʼNeill, Meg; Ghetti, Chiara; Woltman, Robin M; Waterman, Amy D.

doi:10.1097/pts.0000000000000508

Cited by 58 publications

(108 citation statements)

References 18 publications

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“…At present, there are a number of efforts underway to develop and apply programs to help second victims overcome their emotional difficulties, especially in the United States [18–22]; and like these programs, it is necessary to introduce a program suited to the Korean situation, such as providing tailored support for the victims’ response. The results of the present study show that it is essential to gain an understanding of the necessary response steps for second victims and provide emotional or administrative support accordingly.…”

Section: Discussionmentioning

confidence: 99%

Experiences and responses of second victims of patient safety incidents in Korea: a qualitative study

Lee

Pyo

Jang

et al. 2019

BMC Health Serv Res

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BackgroundHealthcare professionals who experience trauma due to patient safety incidents can be considered second victims, and they also suffer from various difficulties. In order to support second victims, it is necessary to determine the circumstances of the incidents in question, along with the symptoms that the victims are experiencing and the support they require. A qualitative study on healthcare professionals of various occupations, such as physicians and nurses working in Korea, was conducted, and the experiences and response methods and processes of second victims were examined.MethodsIn-depth interviews were conducted with 16 healthcare professionals (six physicians, eight nurses, and two pharmacists) who had experienced a patient safety incident. All interviews were recorded and transcribed, and the data analysis was conducted in accordance with Strauss and Corbin’s grounded theory. Both open coding and axial coding were performed. Consolidated criteria for reporting qualitative research (COREQ) were applied in this study.ResultsThe results of the open coding demonstrated that the experiences of second victims can be categorized into “the reactions of the first victim and surrounding people after the incident,” “Influence of factors aside from the incident,” “the initial complex responses of the participants to the incident,” “open discussion of the incident,” “the culture in medical institutions regarding early-stage incident response,” “the coping responses of the participants after incidents,” and “living with the incident.” Then, the seven categories in the open coding stage were rearranged according to the paradigm model, and the reaction process of the second victims was analyzed through process analysis, being divided into the “entanglement stage,” “agitating stage,” “struggling stage,” “managing stage,” and “indurating stage.”ConclusionsThis research is significant because it provides a comprehensive understanding of second victims’ experiences in the eastern region of Korea, by obtaining data using a qualitative research method. The findings of the study also highlight the five stages of the second victim response process, and can be used to design a specialized second victim support program in Korea.Electronic supplementary materialThe online version of this article (10.1186/s12913-019-3936-1) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Experiences and responses of second victims of patient safety incidents in Korea: a qualitative study

Lee

Pyo

Jang

et al. 2019

BMC Health Serv Res

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“…[11][12][13] Table 1 (Appendix A) summarizes the key program features reported by the included articles. Three models of peer support delivery were identified: in-person (n = 5), 11,12,[14][15][16] online (n = 2), 13,17 mixed (n = 3), 4,18,19 and not specified (n = 1). 20 Mixed delivery is defined as including combinations of in-person and online models along with online and over the phone sessions.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…20 Mixed delivery is defined as including combinations of in-person and online models along with online and over the phone sessions. These programs originated from the United States of America (USA), 4,11,14,17,18,20 Hong Kong, 13 New Zealand, 21 Canada, 12 and Australia. 15,16 The peer support programs and initiatives described in the included articles were targeted to the fields of medicine 4,[12][13][14][15][16][17]20,21 and nursing 11 or both.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…15,16 The peer support programs and initiatives described in the included articles were targeted to the fields of medicine 4,[12][13][14][15][16][17]20,21 and nursing 11 or both. 18 Programs were delivered to specific populations: six programs were offered to medical students, [13][14][15]17,19,20 three to graduated physicians (fellows, residents, specialized physicians), 4,12,16 one to nurses only, 11 and one was offered to both physicians and nurses. 18 Results of individual studies: George et al 17 made 55 video-narratives which were viewed a total of 369 times.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…18 Programs were delivered to specific populations: six programs were offered to medical students, [13][14][15]17,19,20 three to graduated physicians (fellows, residents, specialized physicians), 4,12,16 one to nurses only, 11 and one was offered to both physicians and nurses. 18 Results of individual studies: George et al 17 made 55 video-narratives which were viewed a total of 369 times. These videos covered topics such as valuable advice, orientations, and stories of success and failure.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Peer support programs in the fields of medicine and nursing: a systematic search and narrative review

2021

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Peer-provided services exist in many different domains and professions. However, there is a knowledge gap in the existing programs’ descriptions and grouping that hinders creating new high-quality peer support programs. The objectives of this article are two-fold in describing existing peer support programs published in the literature in the medical field and evaluating their descriptive quality. Six electronic databases, grey literature, and reference lists were systematically searched. Studies reporting the existence of a support program delivered by peers and its description or methodology were included. Studies targeting patients and children were excluded. 11 articles were included in the qualitative synthesis and explored in detail. A total of 2155 peers participated in support programs in the fields of medicine, nursing, or both. Programs in other professional fields were not found. Programs were described in five different countries. Three methods of peer support delivery were found: in person, online, and mixed varying in their goals, duration, peer training supervision and participant demographics and number. Program descriptions were rated as good, fair, or poor using a verified rating scale. There are numerous well-described programs varying in their methodology and type of delivery. Thus, the emergence of new programs can be based on such models that have been well-described in the literature.

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“Everybody in this room can understand”: A qualitative exploration of peer support during residency training

Jain

Tabatabai

Schreiber

et al. 2022

AEM Education and Training

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Objectives Though peer support groups are often utilized during residency training, the dynamics, content, and impact of social support offered through peer support are poorly understood. We explored trainee perceptions of the benefits, drawbacks, and optimal membership and facilitation of peer support groups. Methods After engaging in a peer support program at an emergency medicine residency program, 15 residents and 4 group facilitators participated in four focus groups in 2018. Interview questions explored the dynamics of group interactions, types of support offered, and psychological impacts of participation. The authors conducted a reflexive thematic analysis of data, performing iterative coding and organization of interview transcripts. Results Discussions with experienced senior residents and alumni normalized residents’ workplace struggles and provided them with insights into the trajectory of their residency experiences. Vulnerable group dialogue was enhanced by the use of “insider” participants; however, residents acknowledged the potential contributions of mental health professionals. Though groups occasionally utilized maladaptive coping strategies and lacked actual solutions, they also enhanced residents’ sense of belonging, willingness to share personal struggles, and ability to “reset” in the clinical environment. Conclusions Participants offered insights into the benefits and drawbacks of peer support as well as optimal peer group composition and facilitation. Support groups may be more effective if they engage a complementary model of alumni and pre‐briefed psychologist facilitators, avoid fatalism, and aim to foster intimate connections among residents. These findings can inform the development of future initiatives aiming to create a safe space for trainees to discuss workplace stressors.

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Supporting Clinicians After Adverse Events: Development of a Clinician Peer Support Program

Abstract: We describe the multiple steps necessary to create a successful PSP focused on physicians and midlevel providers. There is an unmet need to provide support to this group of healthcare providers after medical errors and adverse events.

Cited by 58 publications

References 18 publications

Experiences and responses of second victims of patient safety incidents in Korea: a qualitative study

Experiences and responses of second victims of patient safety incidents in Korea: a qualitative study

Peer support programs in the fields of medicine and nursing: a systematic search and narrative review

“Everybody in this room can understand”: A qualitative exploration of peer support during residency training

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