Prevalence of Second Victims, Risk Factors, and Support Strategies among German Nurses (SeViD-II Survey)

International Journal of Environmental Research and Public Health

Peter Koch¹  Matthias Raspe²  Stefan Bushuven³  Johannes C. Fendel⁴  Max Zilezinski⁵  Hannah Roesner⁶  Reinhard Strametz⁶ 

[1] Centre of Excellence for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany;Department of Internal Medicine, Infectious Diseases and Respiratory Medicine, Charité—Universitätsmedizin Berlin, 10117 Berlin, Germany;Institute for Hospital Hygiene und Infection Prevention and Hegau-Jugendwerk Hospital Gailingen, Health Care Association District of Constance, 78315 Radolfzell, Germany;Medical Centre, Department for Psychosomatic Medicine and Psychotherapy, Medical Faculty, University of Freiburg, 79085 Freiburg, Germany;WG Health Services Research

[2] Hospital Care, Department of Internal Medicine, Faculty of Medicine, Martin-Luther-University Halle-Wittenberg, 06120 Halle (Saale), Germany;Wiesbaden Business School, RheinMain University of Applied Sciences, 65183 Wiesbaden, Germany;

关键词: second victim;    traumatisation;    medical error;    risk factors;    support strategies;   

DOI  :  10.3390/ijerph182010594

来源: DOAJ

【 摘 要 】

Background: Second victim phenomena (SVP) are critical to workplace and patient safety, and epidemiological data are limited to investigate the causes and impact on German health care. We investigated SVP in German nurses regarding prevalence, causes, and predisposition compared to a preceding study on German physicians (Second Victims in Deutschland/SeViD-I). Methods: We conducted a nationwide anonymous cross-sectional online study in 2020 using a modified SeViD questionnaire including the BFI-10 (personality traits). Statistical analysis was conducted using chi² tests and binary logistic regression models. Results: Of 332 nurses, 60% reported to experience SVP at least once a working lifetime, with a 12-month prevalence among SVP of 49%. Of the nurses, 24% reported recovery times of more than 1 year. In contrast to physicians from SeViD-I, a main cause for becoming a second victim was aggressive behavior by patients. High neuroticism values, higher age, and medium work life experience, but neither gender nor workplace position, were predisposing for SVP. Like SeViD-I, nurses reported demand for an institutional response in cases of SVP. Conclusions: SVP is common among German nurses and comprises other causes and a different course than in physicians. Further research should concentrate on specific prevention strategies, e.g., profession- and workplace-based educational programs.

【 授权许可】

Unknown