Organizational Interventions to Support Second Victims in Acute Care Settings: A Scoping Study

Laura Wade, Eleanor Fitzpatrick, Natalie Williams, Robin Parker, Katrina F. Hurley

Résultat de recherche: Articleexamen par les pairs

14 Citations (Scopus)

Résumé

Objectives: Health care providers that experience harm after adverse events have been termed “second victims.” Our objective was to characterize the range and context of interventions to support second victims in acute care settings. Methods: We performed a scoping study using Arksey and O'Malley's process. A library scientist searched PubMed, Cumulative Index of Nursing and Allied Health, EMBASE, and Cochrane Central Register of Controlled Trials in September 2017, and updated the search in November 2018. We sought gray literature (Canadian Electronic Library, Proquest and Scopus) and searched reference lists of included studies. Stakeholder organizations and authors of included studies were contacted. Two reviewers independently reviewed titles and abstracts and extracted data. A qualitative approach was used to categorize the context and characteristics of the 22 identified interventions. Results: After screening 5634 titles and abstracts, 173 articles underwent full-text screening. Twenty-two interventions met the criteria and were categorized as providing peer support (n = 8), proactive education (n = 6), or both (n = 8). Programs came from Canada (n = 2), Spain (n = 2), and the United States (n = 18). A specific traumatic event triggered the development of 5 programs. Some programs used a standard definition of second victims, (n = 6), whereas other programs had a broader scope (n = 12). Confidentiality was explicitly assured in 9 peer support programs. Outcome measures were often not reported. Conclusions: This is a new area of study with little qualitative data from which to determine whether these programs are effective. Many programs had a similar design, based on the structure proposed by the same small group of experts in this new field. Concerns about potential legal proceedings hinder documentation and study of program effectiveness.

Langue d'origineEnglish
Pages (de-à)E61-E72
JournalJournal of Patient Safety
Volume18
Numéro de publication1
DOI
Statut de publicationPublished - janv. 1 2022

Note bibliographique

Funding Information:
Funding for the project was provided through an IWK Health Centre Category A Grant, August 2017.

Publisher Copyright:
© 2020 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

ASJC Scopus Subject Areas

  • Leadership and Management
  • Public Health, Environmental and Occupational Health

PubMed: MeSH publication types

  • Journal Article
  • Research Support, Non-U.S. Gov't
  • Review

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