Second Victim Experiences of Health Care Learners and the Influence of the Training Environment on Postevent Adaptation.

Autor:	Huang L; Department of Quantitative Health Sciences, Mayo Clinic, Jacksonville, FL., Riggan KA; Biomedical Ethics Research Program, Mayo, q1Clinic, Rochester, MN., Torbenson VE; Department of Obstetrics & Gynecology, Mayo Clinic, Rochester, MN., Osborne AK; Division of Community and Employee Engagement, Mayo Clinic Health System-Southwest Minnesota region, Mankato, MN., Chesak SS; Department of Nursing, Mayo Clinic, Rochester, MN., Finney RE; Department of Anesthesiology and Perioperative Medicine and Healing the Emotional Lives of Peers Program, Mayo Clinic, Rochester, MN., Allyse MA; Biomedical Ethics Research Program, Mayo, q1Clinic, Rochester, MN.; Department of Obstetrics & Gynecology, Mayo Clinic, Rochester, MN., Rivera-Chiauzzi EY; Department of Obstetrics & Gynecology, Mayo Clinic, Rochester, MN.
Jazyk:	angličtina
Zdroj:	Mayo Clinic proceedings. Innovations, quality & outcomes [Mayo Clin Proc Innov Qual Outcomes] 2024 Apr 24; Vol. 8 (3), pp. 232-240. Date of Electronic Publication: 2024 Apr 24 (Print Publication: 2024).
DOI:	10.1016/j.mayocpiqo.2024.03.004
Abstrakt:	Objective: To investigate the experience of medical and graduate learners with second victim experience (SVE) after medical errors or adverse patient outcomes, including impact on training and identification of factors that shape their postevent recovery. Patients and Methods: The validated Second Victim Experience and Support Tool-Revised (SVEST-R), Physician Well-Being Index, and supplemental open-ended questions were administered to multidisciplinary health care learners between April 8, 2022, and May 30, 2022, across a large academic health institution. Open-ended responses were qualitatively analyzed for iterative themes related to impact of SVE on the training experience. Results: Of the 206 survey respondents, 144 answered at least 1 open-ended question, with 62.1% (n=91) reporting at least 1 SVE. Participants discussed a wide range of SVEs and indicated that their postevent response was influenced by their training environment. Lack of support from supervisors and staff exacerbated high stress situations. Some trainees felt blamed and unsupported after a traumatic experience. Others emphasized that positive training experiences and supportive supervisors helped them grow and regain confidence. Learners described postevent processing strategies helpful to their recovery. Some, however, felt disincentivized from seeking support. Conclusion: This multidisciplinary study of learners found that the training environment was influential in postevent recovery. Our findings support the need for the inclusion of education on SVEs and adaptive coping mechanisms as part of health care professional educational curriculums. Educators and health care staff may benefit from enhanced education on best practices to support trainees after stressful or traumatic patient events. Competing Interests: The authors declare no conflicts of interest. (© 2024 The Authors.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu