[Professional and psychological impact of second victims among hospital healthcare professionals].
Autor: | González-González A; Servicio de Endocrinología y Nutrición, Hospital Universitario Río Hortega, Valladolid, España. Electronic address: abgonzalezgonz@saludcastillayleon.es., Redondo-González O; Servicio de Medicina Preventiva, Hospital Universitario de Guadalajara, Guadalajara, España., Domínguez-Osorio I; Servicio de Medicina Interna, Hospital Santa Bárbara, Puertollano, Ciudad Real, España., Quero Palomino V; Servicio de Psiquiatría, Hospital General Universitario de Ciudad Real, Ciudad Real, España., León Velasco M; Servicio de Psiquiatría, Hospital General Universitario de Ciudad Real, Ciudad Real, España., Polo Montes F; Servicio de Psiquiatría, Hospital General Universitario de Ciudad Real, Ciudad Real, España. |
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Jazyk: | Spanish; Castilian |
Zdroj: | Journal of healthcare quality research [J Healthc Qual Res] 2023 Nov-Dec; Vol. 38 (6), pp. 329-337. Date of Electronic Publication: 2023 Jul 06. |
DOI: | 10.1016/j.jhqr.2023.06.002 |
Abstrakt: | Objective: To analyze the occupational and psychological consequences suffered by healthcare workers who are considered second victims (SV). Material and Methods: Observational, descriptive and cross-sectional study among the healthcare workers of a university hospital. The answers collected in a specifically designed questionnaire about psychological consequences at work and the result of a post-traumatic stress scale, "Impact of Event Scale-Revised (IES-R, spanish version)" were evaluated. The variables between the groups were compared using the Chi square test (or Fisher's exact test) when both were qualitative and with the Student's T (or the Mann-Whitney U test for independent data), when one of them was quantitative. The level of statistical significance was P<.05. Results: 75.5% (148/207) of the participants in the study suffered some adverse event (AE) and, of these, 88.5% (131/148) were considered SV. Physicians had a 2.2 times higher risk of feeling SV than nurses (95% CI: 1.88-2.52). The impact on the patient related to the AE explained why the professionals involved in it felt SV (P=.037). 80.6% (N=104) of the SVs presented post-traumatic stress. Women were 2.4 times more likely to suffer from it (OR: 2.4; 95% CI: 1.5-4.0). Intrusive thoughts in the SV were almost three times more frequent when the damage suffered by the patient was permanent or death (OR: 2.5; 95% CI: 0.2-3.6). Conclusions: Many healthcare workers, especially physicians, considered themselves to be SV, and many of them suffered from post-traumatic stress. The impact on the patient related to the AE was a risk factor for being SV and for suffering psychological consequences. (Copyright © 2023 FECA. Publicado por Elsevier España, S.L.U. All rights reserved.) |
Databáze: | MEDLINE |
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