The Effect of Second-Victim-Related Distress and Support on Work-Related Outcomes in Tertiary Care Hospitals in Kelantan, Malaysia

After a patient safety incident, the involved healthcare providers may experience sustained second-victim distress and reduced professional efficacy, with subsequent negative work-related outcomes and the cultivation of resilience. This study aims to investigate the factors affecting negative work-r...

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Bibliographic Details
Published in:International journal of environmental research and public health 2022-05, Vol.19 (11), p.6454
Main Authors: Mohd Kamaruzaman, Ahmad Zulfahmi, Ibrahim, Mohd Ismail, Mokhtar, Ariffin Marzuki, Mohd Zain, Maizun, Satiman, Saiful Nazri, Yaacob, Najib Majdi
Format: Article
Language:English
Subjects:
Absenteeism
Data analysis
Health care
Hospitals
Patient safety
Patients
Peer tutoring
Questionnaires
Regression analysis
Resilience
Sociodemographics
Stress
Supervisors
Variables
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Summary:After a patient safety incident, the involved healthcare providers may experience sustained second-victim distress and reduced professional efficacy, with subsequent negative work-related outcomes and the cultivation of resilience. This study aims to investigate the factors affecting negative work-related outcomes and resilience with a hypothetical triad of support as the mediators: colleague, supervisor, and institutional support. This cross-sectional study recruited 733 healthcare providers from three tertiary care hospitals in Kelantan, Malaysia. Three steps of hierarchical linear regression were developed for both outcomes (negative work-related outcomes and resilience). Four multiple mediator models of the support triad were analyzed. Second-victim distress, professional efficacy, and the support triad contributed significantly in all the regression models. Colleague support partially mediated the relationship defining the effects of professional efficacy on negative work-related outcomes and resilience, whereas colleague and supervisor support partially mediated the effects of second-victim distress on negative work-related outcomes. Similar results were found regarding resilience, with all support triads producing similar results. As mediators, the support triads ameliorated the effect of second-victim distress on negative work-related outcomes and resilience, suggesting an important role of having good support, especially after encountering patient safety incidents.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph19116454