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Second victim experience: cross-sectional survey at the Department of Maternal-Child Health in Udine

Abstract Introduction Healthcare workers (HCWs) can experience psychological distress if involved in adverse patient events, becoming second victims. The aim of this study is to determine the extension of the second victim phenomenon and the preference of the support resources of the HCWs working in...

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Published in:European journal of public health 2020-09, Vol.30 (Supplement_5)
Main Authors: Scarpis, E, Ruscio, E, Bianchet, B, Doimo, A, Moretti, V, Cocconi, R, Farneti, F, Castriotta, L, Quattrin, R
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container_issue Supplement_5
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container_title European journal of public health
container_volume 30
creator Scarpis, E
Ruscio, E
Bianchet, B
Doimo, A
Moretti, V
Cocconi, R
Farneti, F
Castriotta, L
Quattrin, R
description Abstract Introduction Healthcare workers (HCWs) can experience psychological distress if involved in adverse patient events, becoming second victims. The aim of this study is to determine the extension of the second victim phenomenon and the preference of the support resources of the HCWs working in the Department of Maternal and Child Health (DMC) at the Academic Hospital of Udine. Methods A cross-sectional survey was carried out from June to November 2019. All HCWs involved in direct patient care working in the three units of DMC [Obstetrics and Gynaecology (OG), Neonatology (Neo), Pediatrics (Ped)] were included. A validated version in Italian language of the Second Victim Experience and Support Tool (SVEST) was used to assess the experience of second victim and the support resources preferred by the HCWs (Likert-scale: 1-5). Agreement of the support options were considered with an overall mean subscale score of ≥ 4.0. The Wilcoxon signed rank sum test was used to calculate the statistically significant differences (p 
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The aim of this study is to determine the extension of the second victim phenomenon and the preference of the support resources of the HCWs working in the Department of Maternal and Child Health (DMC) at the Academic Hospital of Udine. Methods A cross-sectional survey was carried out from June to November 2019. All HCWs involved in direct patient care working in the three units of DMC [Obstetrics and Gynaecology (OG), Neonatology (Neo), Pediatrics (Ped)] were included. A validated version in Italian language of the Second Victim Experience and Support Tool (SVEST) was used to assess the experience of second victim and the support resources preferred by the HCWs (Likert-scale: 1-5). Agreement of the support options were considered with an overall mean subscale score of ≥ 4.0. The Wilcoxon signed rank sum test was used to calculate the statistically significant differences (p &lt; 0.01). Results The response rate was 44,9% (120/267). Women were 95.8%. Mean age was 38.7±9.7; HCWs from OG were 48.3%, 26.7% from Neo and 25% from Ped. Nurses were 34.2%, 32.5% were obstetrics, 15.8% were doctors and 8.3% were residents. HCWs who experienced adverse patient events were 80 (66.7%). Out of these, 63 (52.5%) were near-miss events. The overall mean score of the first two dimensions of SVEST (”Psychological distress” and “Physical distress”, as representative of the trauma experience) was respectively 3.3±1.0 and 2.3±1.1. The difference between their scores was statistically significant (p &lt; 0.01). The most preferred support option was: “a respected peer to discuss the details of what happened” with the 80.0%. Conclusions The study highlights that HCWs of the DMC are frequently involved in adverse patient events. Psychological distress was significative more impactful than physical distress. The majority of HCWs preferred a peer for colleagues support. Key messages SVEST is an instrument that helps to determine the support resources preferred by HCWs in order to develop a support program for second victim. A peer for colleagues support is the support resource preferred by the HCWs working in the Department of Maternal and Child Health.</description><identifier>ISSN: 1101-1262</identifier><identifier>EISSN: 1464-360X</identifier><identifier>DOI: 10.1093/eurpub/ckaa166.647</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Childrens health ; Cross-sectional studies ; Italian language ; Maternal &amp; child health ; Medical personnel ; Mental health ; Nurses ; Obstetrics ; Patients ; Pediatrics ; Physicians ; Polls &amp; surveys ; Psychological stress ; Public health ; Residents ; Statistical analysis ; Trauma ; Victims</subject><ispartof>European journal of public health, 2020-09, Vol.30 (Supplement_5)</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved. 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27866,27924,27925</link.rule.ids></links><search><creatorcontrib>Scarpis, E</creatorcontrib><creatorcontrib>Ruscio, E</creatorcontrib><creatorcontrib>Bianchet, B</creatorcontrib><creatorcontrib>Doimo, A</creatorcontrib><creatorcontrib>Moretti, V</creatorcontrib><creatorcontrib>Cocconi, R</creatorcontrib><creatorcontrib>Farneti, F</creatorcontrib><creatorcontrib>Castriotta, L</creatorcontrib><creatorcontrib>Quattrin, R</creatorcontrib><title>Second victim experience: cross-sectional survey at the Department of Maternal-Child Health in Udine</title><title>European journal of public health</title><description>Abstract Introduction Healthcare workers (HCWs) can experience psychological distress if involved in adverse patient events, becoming second victims. The aim of this study is to determine the extension of the second victim phenomenon and the preference of the support resources of the HCWs working in the Department of Maternal and Child Health (DMC) at the Academic Hospital of Udine. Methods A cross-sectional survey was carried out from June to November 2019. All HCWs involved in direct patient care working in the three units of DMC [Obstetrics and Gynaecology (OG), Neonatology (Neo), Pediatrics (Ped)] were included. A validated version in Italian language of the Second Victim Experience and Support Tool (SVEST) was used to assess the experience of second victim and the support resources preferred by the HCWs (Likert-scale: 1-5). Agreement of the support options were considered with an overall mean subscale score of ≥ 4.0. The Wilcoxon signed rank sum test was used to calculate the statistically significant differences (p &lt; 0.01). Results The response rate was 44,9% (120/267). Women were 95.8%. Mean age was 38.7±9.7; HCWs from OG were 48.3%, 26.7% from Neo and 25% from Ped. Nurses were 34.2%, 32.5% were obstetrics, 15.8% were doctors and 8.3% were residents. HCWs who experienced adverse patient events were 80 (66.7%). Out of these, 63 (52.5%) were near-miss events. The overall mean score of the first two dimensions of SVEST (”Psychological distress” and “Physical distress”, as representative of the trauma experience) was respectively 3.3±1.0 and 2.3±1.1. The difference between their scores was statistically significant (p &lt; 0.01). The most preferred support option was: “a respected peer to discuss the details of what happened” with the 80.0%. Conclusions The study highlights that HCWs of the DMC are frequently involved in adverse patient events. Psychological distress was significative more impactful than physical distress. The majority of HCWs preferred a peer for colleagues support. Key messages SVEST is an instrument that helps to determine the support resources preferred by HCWs in order to develop a support program for second victim. A peer for colleagues support is the support resource preferred by the HCWs working in the Department of Maternal and Child Health.</description><subject>Childrens health</subject><subject>Cross-sectional studies</subject><subject>Italian language</subject><subject>Maternal &amp; child health</subject><subject>Medical personnel</subject><subject>Mental health</subject><subject>Nurses</subject><subject>Obstetrics</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Physicians</subject><subject>Polls &amp; surveys</subject><subject>Psychological stress</subject><subject>Public health</subject><subject>Residents</subject><subject>Statistical analysis</subject><subject>Trauma</subject><subject>Victims</subject><issn>1101-1262</issn><issn>1464-360X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>7TQ</sourceid><recordid>eNqNkE1OwzAQRi0EEqVwAVaWWLu148R22KHyUyQQC6jEznLiiZqSxsF2Knp7UtIDsJqR5n2jmYfQNaMzRnM-h953fTEvv4xhQsxEKk_QhKUiJVzQz9OhZ5QRlojkHF2EsKGUZlIlE2TfoXStxbu6jPUWw08Hvoa2hFtcehcCCTAMXGsaHHq_gz02Ecc14HvojI9baCN2FX41EfwAkcW6bixegmniGtctXtm6hUt0VpkmwNWxTtHq8eFjsSQvb0_Pi7sXUrKMSyINLfJCsjxnFRVGcSOtVULxLAdlS2lMpXghc8FtJZWySnLBgOYmSUFSyPgU3Yx7O---ewhRb1x_OCvoJJWCCapkOlDJSP096KHSna-3xu81o_pgU4829dGmHmwOITKGXN_9h_8FDrZ6ng</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>Scarpis, E</creator><creator>Ruscio, E</creator><creator>Bianchet, B</creator><creator>Doimo, A</creator><creator>Moretti, V</creator><creator>Cocconi, R</creator><creator>Farneti, F</creator><creator>Castriotta, L</creator><creator>Quattrin, R</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20200901</creationdate><title>Second victim experience: cross-sectional survey at the Department of Maternal-Child Health in Udine</title><author>Scarpis, E ; Ruscio, E ; Bianchet, B ; Doimo, A ; Moretti, V ; Cocconi, R ; Farneti, F ; Castriotta, L ; Quattrin, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1537-7a0b9b71991f06a83a7dd868359e8dc7aaf83b7963df788d87361e09a24e70e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Childrens health</topic><topic>Cross-sectional studies</topic><topic>Italian language</topic><topic>Maternal &amp; child health</topic><topic>Medical personnel</topic><topic>Mental health</topic><topic>Nurses</topic><topic>Obstetrics</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Physicians</topic><topic>Polls &amp; surveys</topic><topic>Psychological stress</topic><topic>Public health</topic><topic>Residents</topic><topic>Statistical analysis</topic><topic>Trauma</topic><topic>Victims</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Scarpis, E</creatorcontrib><creatorcontrib>Ruscio, E</creatorcontrib><creatorcontrib>Bianchet, B</creatorcontrib><creatorcontrib>Doimo, A</creatorcontrib><creatorcontrib>Moretti, V</creatorcontrib><creatorcontrib>Cocconi, R</creatorcontrib><creatorcontrib>Farneti, F</creatorcontrib><creatorcontrib>Castriotta, L</creatorcontrib><creatorcontrib>Quattrin, R</creatorcontrib><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><jtitle>European journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Scarpis, E</au><au>Ruscio, E</au><au>Bianchet, B</au><au>Doimo, A</au><au>Moretti, V</au><au>Cocconi, R</au><au>Farneti, F</au><au>Castriotta, L</au><au>Quattrin, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Second victim experience: cross-sectional survey at the Department of Maternal-Child Health in Udine</atitle><jtitle>European journal of public health</jtitle><date>2020-09-01</date><risdate>2020</risdate><volume>30</volume><issue>Supplement_5</issue><issn>1101-1262</issn><eissn>1464-360X</eissn><abstract>Abstract Introduction Healthcare workers (HCWs) can experience psychological distress if involved in adverse patient events, becoming second victims. The aim of this study is to determine the extension of the second victim phenomenon and the preference of the support resources of the HCWs working in the Department of Maternal and Child Health (DMC) at the Academic Hospital of Udine. Methods A cross-sectional survey was carried out from June to November 2019. All HCWs involved in direct patient care working in the three units of DMC [Obstetrics and Gynaecology (OG), Neonatology (Neo), Pediatrics (Ped)] were included. A validated version in Italian language of the Second Victim Experience and Support Tool (SVEST) was used to assess the experience of second victim and the support resources preferred by the HCWs (Likert-scale: 1-5). Agreement of the support options were considered with an overall mean subscale score of ≥ 4.0. The Wilcoxon signed rank sum test was used to calculate the statistically significant differences (p &lt; 0.01). Results The response rate was 44,9% (120/267). Women were 95.8%. Mean age was 38.7±9.7; HCWs from OG were 48.3%, 26.7% from Neo and 25% from Ped. Nurses were 34.2%, 32.5% were obstetrics, 15.8% were doctors and 8.3% were residents. HCWs who experienced adverse patient events were 80 (66.7%). Out of these, 63 (52.5%) were near-miss events. The overall mean score of the first two dimensions of SVEST (”Psychological distress” and “Physical distress”, as representative of the trauma experience) was respectively 3.3±1.0 and 2.3±1.1. The difference between their scores was statistically significant (p &lt; 0.01). The most preferred support option was: “a respected peer to discuss the details of what happened” with the 80.0%. Conclusions The study highlights that HCWs of the DMC are frequently involved in adverse patient events. Psychological distress was significative more impactful than physical distress. The majority of HCWs preferred a peer for colleagues support. Key messages SVEST is an instrument that helps to determine the support resources preferred by HCWs in order to develop a support program for second victim. A peer for colleagues support is the support resource preferred by the HCWs working in the Department of Maternal and Child Health.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><doi>10.1093/eurpub/ckaa166.647</doi><oa>free_for_read</oa></addata></record>
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source PAIS Index; Oxford Open; PubMed Central
subjects Childrens health
Cross-sectional studies
Italian language
Maternal & child health
Medical personnel
Mental health
Nurses
Obstetrics
Patients
Pediatrics
Physicians
Polls & surveys
Psychological stress
Public health
Residents
Statistical analysis
Trauma
Victims
title Second victim experience: cross-sectional survey at the Department of Maternal-Child Health in Udine
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