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

Author

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  • Ahmad Zulfahmi Mohd Kamaruzaman

    (Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kota Bharu 16150, Kelantan, Malaysia)

  • Mohd Ismail Ibrahim

    (Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kota Bharu 16150, Kelantan, Malaysia)

  • Ariffin Marzuki Mokhtar

    (Department of Anesthesiology and Intensive Care, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kota Bharu 16150, Kelantan, Malaysia)

  • Maizun Mohd Zain

    (Public Health Unit, Hospital Raja Perempuan Zainab II, Kota Bharu 16150, Kelantan, Malaysia)

  • Saiful Nazri Satiman

    (Medical Division, Kelantan State Health Department, Kota Bharu 16150, Kelantan, Malaysia)

  • Najib Majdi Yaacob

    (Unit of Biostatistics and Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kota Bharu 16150, Kelantan, Malaysia)

Abstract

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.

Suggested Citation

  • Ahmad Zulfahmi Mohd Kamaruzaman & Mohd Ismail Ibrahim & Ariffin Marzuki Mokhtar & Maizun Mohd Zain & Saiful Nazri Satiman & Najib Majdi Yaacob, 2022. "The Effect of Second-Victim-Related Distress and Support on Work-Related Outcomes in Tertiary Care Hospitals in Kelantan, Malaysia," IJERPH, MDPI, vol. 19(11), pages 1-17, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:11:p:6454-:d:824473
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    References listed on IDEAS

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    1. Shi Teng Chan & Betty Peck Chui Khong & Lynnette Pei Lin Tan & Hong‐Gu He & Wenru Wang, 2018. "Experiences of Singapore nurses as second victims: A qualitative study," Nursing & Health Sciences, John Wiley & Sons, vol. 20(2), pages 165-172, June.
    2. Ahmad Zulfahmi Mohd Kamaruzaman & Mohd Ismail Ibrahim & Ariffin Marzuki Mokhtar & Maizun Mohd Zain & Saiful Nazri Satiman & Najib Majdi Yaacob, 2022. "Translation and Validation of the Malay Revised Second Victim Experience and Support Tool (M-SVEST-R) among Healthcare Workers in Kelantan, Malaysia," IJERPH, MDPI, vol. 19(4), pages 1-16, February.
    3. Sathia Prakash Nadarajan & Sumitra Ropini Karuthan & Jeevitha Rajasingam & Karuthan Chinna, 2020. "Attitudes Toward Patient Safety among Medical Students in Malaysia," IJERPH, MDPI, vol. 17(21), pages 1-9, October.
    4. Mary Karga & Panagiotis Kiekkas & Diamanto Aretha & Chrisoula Lemonidou, 2011. "Changes in nursing practice: associations with responses to and coping with errors," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(21‐22), pages 3246-3255, November.
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