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Promoting the Psychological Well-Being of Healthcare Providers Facing the Burden of Adverse Events: A Systematic Review of Second Victim Support Resources

Author

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  • Isolde Martina Busch

    (Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Policlinico G.B. Rossi Piazzale L.A. Scuro 10, 37134 Verona, Italy)

  • Francesca Moretti

    (Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Policlinico G.B. Rossi Piazzale L.A. Scuro 10, 37134 Verona, Italy)

  • Irene Campagna

    (Department of Diagnostics and Public Health, University of Verona, 37134 Verona, Italy)

  • Roberto Benoni

    (Department of Diagnostics and Public Health, University of Verona, 37134 Verona, Italy)

  • Stefano Tardivo

    (Department of Diagnostics and Public Health, University of Verona, 37134 Verona, Italy)

  • Albert W. Wu

    (Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA)

  • Michela Rimondini

    (Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Policlinico G.B. Rossi Piazzale L.A. Scuro 10, 37134 Verona, Italy)

Abstract

Given the negative impact of adverse events on the wellbeing of healthcare providers, easy access to psychological support is crucial. We aimed to describe the types of support resources available in healthcare organizations, their benefits for second victims, peer supporters’ experiences, and implementation challenges. We also explored how these resources incorporate aspects of Safety I and Safety II. We searched six databases up to 19 December 2019 and additional literature, including weekly search alerts until 21 January 2021. Two reviewers independently performed all methodological steps (search, selection, quality assessment, data extraction, formal narrative synthesis). The 16 included studies described 12 second victim support resources, implemented between 2006 and 2017. Preliminary data indicated beneficial effects not only for the affected staff but also for the peer responders who considered their role to be challenging but gratifying. Challenges during program implementation included persistent blame culture, limited awareness of program availability, and lack of financial resources. Common goals of the support programs (e.g., fostering coping strategies, promoting individual resilience) are consistent with Safety II and may promote system resilience. Investing in second victim support structures should be a top priority for healthcare institutions adopting a systemic approach to safety and striving for just culture.

Suggested Citation

  • Isolde Martina Busch & Francesca Moretti & Irene Campagna & Roberto Benoni & Stefano Tardivo & Albert W. Wu & Michela Rimondini, 2021. "Promoting the Psychological Well-Being of Healthcare Providers Facing the Burden of Adverse Events: A Systematic Review of Second Victim Support Resources," IJERPH, MDPI, vol. 18(10), pages 1-17, May.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5080-:d:552393
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    Cited by:

    1. Adriana López-Pineda & Irene Carrillo & Aurora Mula & Sofia Guerra-Paiva & Reinhard Strametz & Susanna Tella & Kris Vanhaecht & Massimiliano Panella & Bojana Knezevic & Marius-Ionut Ungureanu & Einav , 2022. "Strategies for the Psychological Support of the Healthcare Workforce during the COVID-19 Pandemic: The ERNST Study," IJERPH, MDPI, vol. 19(9), pages 1-17, May.
    2. Angel Cobos-Vargas & Pastora Pérez-Pérez & María Núñez-Núñez & Eloísa Casado-Fernández & Aurora Bueno-Cavanillas, 2022. "Second Victim Support at the Core of Severe Adverse Event Investigation," IJERPH, MDPI, vol. 19(24), pages 1-9, December.
    3. Milena Trifunovic-Koenig & Reinhard Strametz & Bianka Gerber & Sneha Mantri & Stefan Bushuven, 2022. "Validation of the German Version of the Moral Injury Symptom and Support Scale for Health Professionals (G-MISS-HP) and Its Correlation to the Second Victim Phenomenon," IJERPH, MDPI, vol. 19(8), pages 1-19, April.
    4. Isolde Martina Busch & Michela Rimondini, 2021. "Empowering Patients and Supporting Health Care Providers—New Avenues for High Quality Care and Safety," IJERPH, MDPI, vol. 18(18), pages 1-5, September.
    5. Hartwig Marung & Reinhard Strametz & Hannah Roesner & Florian Reifferscheid & Rainer Petzina & Victoria Klemm & Milena Trifunovic-Koenig & Stefan Bushuven, 2023. "Second Victims among German Emergency Medical Services Physicians (SeViD-III-Study)," IJERPH, MDPI, vol. 20(5), pages 1-11, February.
    6. Katja Schrøder & Elisabeth Assing Hvidt, 2023. "Emotional Responses and Support Needs of Healthcare Professionals after Adverse or Traumatic Experiences in Healthcare—Evidence from Seminars on Peer Support," IJERPH, MDPI, vol. 20(9), pages 1-9, May.
    7. Lea Simms & Katherine E. Ottman & James L. Griffith & Michael G. Knight & Lorenzo Norris & Viktoriya Karakcheyeva & Brandon A. Kohrt, 2023. "Psychosocial Peer Support to Address Mental Health and Burnout of Health Care Workers Affected by COVID-19: A Qualitative Evaluation," IJERPH, MDPI, vol. 20(5), pages 1-18, March.
    8. Maike Riegel & Victoria Klemm & Stefan Bushuven & Reinhard Strametz, 2022. "Self-Stigmatization of Healthcare Workers in Intensive Care, Acute, and Emergency Medicine," IJERPH, MDPI, vol. 19(21), pages 1-9, October.

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