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

2021 ◽  
Vol 18 (10) ◽  
pp. 5080
Author(s):  
Isolde Martina Busch ◽  
Francesca Moretti ◽  
Irene Campagna ◽  
Roberto Benoni ◽  
Stefano Tardivo ◽  
...  
Keyword(s):  
Adverse Events ◽  
Program Implementation ◽  
Negative Impact ◽  
Data Extraction ◽  
Healthcare Providers ◽  
Well Being ◽  
Easy Access ◽  
Support Resources ◽  
Victim Support ◽  
Second Victim

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.

scholarly journals Action after Adverse Events in Healthcare: An Integrative Literature Review

2020 ◽  
Vol 17 (13) ◽  
pp. 4717
Author(s):  
Mari Liukka ◽  
Alison Steven ◽  
M Flores Vizcaya Moreno ◽  
Arja M Sara-aho ◽  
Jayden Khakurel ◽  
...  
Keyword(s):  
Adverse Event ◽  
Literature Review ◽  
Adverse Events ◽  
Healthcare Professionals ◽  
Open Communication ◽  
The Third ◽  
Knowledge Theory ◽  
Victim Support ◽  
Second Victim ◽  
And Training

Adverse events are common in healthcare. Three types of victims of patient-related adverse events can be identified. The first type includes patients and their families, the second type includes healthcare professionals involved in an adverse event and the third type includes healthcare organisations in which an adverse event occurs. The purpose of this integrative review is to synthesise knowledge, theory and evidence regarding action after adverse events, based on literature published in the last ten years (2009–2018). In the studies critically evaluated (n = 25), key themes emerged relating to the first, second and third victim elements. The first victim elements comprise attention to revealing an adverse event, communication after an event, first victim support and complete apology. The second victim elements include second victim support types and services, coping strategies, professional changes after adverse events and learning about adverse event phenomena. The third victim elements consist of organisational action after adverse events, strategy, infrastructure and training and open communication about adverse events. There is a lack of comprehensive models for action after adverse events. This requires understanding of the phenomenon along with ambition to manage adverse events as a whole. When an adverse event is identified and a concern expressed, systematic damage preventing and ameliorating actions should be immediately launched. System-wide development is needed.

Validation of the Danish version of the Second Victim Experience and Support Tool

2021 ◽  
pp. 140349482110048
Author(s):  
Tine Knudsen ◽  
Charlotte Abrahamsen ◽  
Jan S. Jørgensen ◽  
Katja Schrøder
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Turnover Intentions ◽  
Well Being ◽  
World Health ◽  
Measurement Scale ◽  
Support Tool ◽  
Danish Version ◽  
Victim Support ◽  
Second Victim

Objective: Health-care professionals (HCPs) who are involved in an unanticipated adverse patient event, a medical error or a patient-related injury can become second victims. Being a second victim can lead to various symptoms, affecting the well-being of HCPs and possible turnover intentions or absenteeism. An increasing number of hospitals have implemented a second-victim support programme. To achieve unique insights into what works and what does not work in second-victim support programmes, HCPs’ perceptions are needed. The aim of this study was to translate the Second Victim Experience and Support Tool (SVEST) into Danish and test the psychometric properties of the Danish version (D-SVEST). Methods: The SVEST self-administered questionnaire was translated into Danish following the World Health Organization’s guidelines. Assessments of the content validity, construct validity and internal consistency were performed based on 171 participants. Results: The study demonstrated that the D-SVEST is content valid and fits the a priori defined structure. Yet, four items revealed unacceptable factor loadings (<0.4) and item-rest correlations <0.3. All Cronbach’s alpha estimates for these five dimensions exceeded 0.70. The dimensions on colleague and institutional support did not contribute to the validity. Conclusions: In conclusion, the D-SVEST is considered relevant and valid for measuring second-victim experiences and the adequacy of support resources. However, we recommend a modification of items 9 and 25 to enhance the measurement scale in a Danish context. The D-SVEST can be used by health-care management at Danish hospitals.

scholarly journals Experience on Prenatal Gentle Yoga Exercise during Pregnancy: A Scoping Review

2020 ◽  
Author(s):  
Migita Vidia Amita ◽  
◽  
Sri Ratnaningsih ◽  
Keyword(s):  
Scoping Review ◽  
English Language ◽  
Critical Appraisal ◽  
Negative Impact ◽  
Data Extraction ◽  
Well Being ◽  
Free Access ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Exercise During Pregnancy

ABSTRACT Background: The accelerated pace of physical and psychological changes during pregnancy can cause discomfort for pregnant women. Several studies claimed that maternal stress, depression, and anxiety level have a negative impact on birth outcomes. Yoga is a well-known exercise for emotional relaxation therapy. This study aimed to investigate the benefits of prenatal yoga exercise during pregnancy. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selec­tion; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The search included Willey Online library, PubMed, and ScienceDirect databases. The inclusion criteria were English-language, full-text, and free access articles published between 2009 and 2019. The selected articles were appraised by Joanna Briggs Institute Critical Appraisal tools. The data were reported by the PRISMA flow chart. Results: A total of 2,232 articles obtained from the search database, in which 2,093 articles were irrelevant, 95 duplicates, and 24 articles unmet inclusion criteria were excluded. Based on the selected 20 articles, eleven articles obtained A grade, and nine articles obtained B grade with quantitative (RCT, quasi-experiment, cross-sectional) and qualitative (focus group discussion) study designs. For main thematic findings reviewed were physical, psychological, labor process, and fetal benefits of prenatal gentle yoga exercise during pregnancy. Conclusion: Prenatal gentle yoga exercise has benefits for both mother and fetus, especially the psychological well-being of mothers by reducing stress and anxiety. Active participation of husbands is required to enhance the effectiveness of prenatal yoga. Keywords: prenatal gentle yoga, pregnancy, benefit Correspondence: Migita Vidia Amita. Faculty of Public Health, Universitas ‘Aisyiyah Yogyakarta. Jl. Siliwangi (Ring Road Barat) No. 63 Mlangi, Nogotirto, Gamping, Sleman, Yogyakarta, 55292. Email: [email protected]. Mobile: +6281466841970. DOI: https://doi.org/10.26911/the7thicph.03.74

An exploration of recreational therapy students’ attitudes toward adults with developmental disabilities

2017 ◽  
Vol 15 (3) ◽  
pp. 40
Author(s):  
Cara M. Prinzo, MS, CTRS ◽  
Gretchen Snethen, PhD, CTRS
Keyword(s):  
Developmental Disabilities ◽  
Undergraduate Students ◽  
Negative Impact ◽  
Community Integration ◽  
Healthcare Providers ◽  
Well Being ◽  
Recreational Therapy ◽  
Negative Attitudes ◽  
Students Attitudes ◽  
Adults With Developmental Disabilities

While more adults with developmental disabilities are living in the community, negative attitudes and stigma remain a barrier to independence and community integration. Both community members and healthcare providers harbor these attitudes, and thus may discriminate against this population. The adverse consequences of stigma particularly within the healthcare system have a negative impact on the health and well-being of adults with developmental disabilities. Because recreational therapists provide services that often promote independence and community integration, it is important to have an understanding of underlying attitudes toward this population. This article reports on the attitudes of recreational therapy undergraduate students toward adults with developmental disabilities and factors that may be associated with these attitudes. Based on correlational analyses, recommendations are made for recreational therapy curriculum to reduce stigmatizing attitudes.

scholarly journals What do parents of children with dysphagia think about their MDT? A qualitative study

BMJ Open ◽  
2014 ◽  
Vol 4 (10) ◽  
pp. e005934 ◽  
Author(s):  
Emma Cowpe (Jebson) ◽  
Ben Hanson ◽  
Christina H Smith
Keyword(s):  
Negative Impact ◽  
Healthcare Providers ◽  
Well Being ◽  
Symptomatic Treatment ◽  
Phenomenological Approach ◽  
Community Settings ◽  
Facilitators And Barriers ◽  
The Uk ◽  
Barriers To Collaboration

ObjectivesTo seek the experiences and perspectives of parents caring for children with dysphagia, with emphasis on their experiences of working within their child's multidisciplinary team (MDT).SettingThis research was completed in community settings, within families’ homes across the UK.Participants14 families self-selected to participate in the study. Criteria specified that participants must care for a child under the age of 18 and to decrease ambiguity the term ‘diagnosis of dysphagia’ was defined as the need for modified (thickened) fluids. Exclusion criteria: caring for an adult over the age of 18; diet and fluid modifications for reasons other than dysphagia (eg, for symptomatic treatment of gastro-oesophageal reflux disease. Participants were interviewed within their homes using a semistructured questionnaire and data was analysed using a descriptive phenomenological approach through use of thematic coding and constant comparison. Themes and relationships were inductively generated from the data.ResultsParticipants universally expressed a desire to be involved with their child's MDT; this study identified the following facilitators and barriers to collaboration: accessing services, professional knowledge and professional skillset. Participants described three means of responding to these barriers: reacting emotionally, seeking solutions and making decisions.ConclusionsThis study recorded in-depth reports of participants’ experiences of working with healthcare providers. Despite government-driven efforts towards person-centred healthcare and social care, participants shared accounts of times when this has not occurred, describing a negative impact on the well-being and quality of life of their child and family.

scholarly journals EMR Access and Confidentiality Based on Patient and Hospital Staff Perspectives

2018 ◽  
Vol 11 (1) ◽  
pp. 533-545
Author(s):  
Dhillon K ◽  
Tan E ◽  
Akseer R ◽  
Alhosani MS ◽  
Ho GF ◽  
...  
Keyword(s):  
Medical Information ◽  
Healthcare Providers ◽  
Healthcare Setting ◽  
Electronic Record ◽  
Well Being ◽  
Hospital Staff ◽  
Healthcare Services ◽  
Global Perspective ◽  
Easy Access ◽  
Bibliographic Databases

Introductions: The Electronic Medical Records (EMR) system is a longitudinal electronic record consisting of all the information relevant to a patients’ health and well-being, generated by at least one encounter in a healthcare setting. It can be accessed within an institution with multi-level accessibility based on authentication customized to the type of user. Since the EMR system potentiates an organised and holistic medical history specific to a patient, it enables medical professionals to deliver a higher quality of healthcare services. Aims: The aims of this study were to understand the global perspective of EMR and its implementation as well as to locate the gaps of knowledge that still existed in the understanding and definition of EMR amongst patients and hospital staff. Methods: All major bibliographic databases such as PubMed and Google Scholar and several specialist datasets such as PsycINFO, MEDLINE and EBSCOhost from the previous 10 years (2007-2017) were employed in our search. Paper citations which utilised a reference standard were incorporated for quality assessment. An initial search found 2700 articles however after factoring in the inclusion and exclusion criteria, only 78 articles were included in this review. Results: Our findings indicated a discrepancy between the expectation of patients and what was actually practiced. Patient concerns mainly involved easy access of healthcare professionals other than doctors to their EMR in addition to non-medical information. The assumption of confidentiality was expected to be maintained by indifference; however, a good face-to-face explanation cannot be substituted with control over content and access to EMR. In the event of a breach in patient confidentiality, lawsuits against healthcare providers will rise exponentially as patients are now well-informed and more empowered to ask questions regarding the care they are receiving and information being disclosed to other parties. Conclusion: Security of information can be attained with better modelling protocols, end-user training and refresher courses done on a regular basis. Finally, controls of access will need to be implemented via passwords and digital signatures.

scholarly journals Impact of the COVID-19 Pandemic on Oncologists: Results of an International Study

2021 ◽  
pp. 242-252
Author(s):  
Abdul Rahman Jazieh ◽  
Anelisa K. Coutinho ◽  
Assia A. Bensalem ◽  
Abdullah A. Alsharm ◽  
Hassan Errihani ◽  
...  
Keyword(s):  
Odds Ratio ◽  
Negative Impact ◽  
Healthcare Providers ◽  
Well Being ◽  
The Philippines ◽  
African Countries ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Validated Questionnaire ◽  
Knowledge Attitude And Practice

PURPOSE As frontline workers facing the COVID-19 pandemic, healthcare providers should be well-prepared to fight the disease and prevent harm to their patients and themselves. Our study aimed to evaluate the knowledge, attitude, and practice of oncologists in response to the COVID-19 pandemic and its impact on them. METHODS A cross-sectional study was conducted using a validated questionnaire disseminated to oncologists by SurveyMonkey. The tool had 42 questions that captured participants’ knowledge, attitude, and practice; their experiences; and the pandemic’s impact on various aspects of their lives. Participants from Middle East and North African countries, Brazil, and the Philippines completed the electronic survey between April 24 and May 15, 2020. RESULTS Of the 1,010 physicians who participated in the study, 54.75% were male and 64.95% were medical or clinical oncologists. The level of knowledge regarding the prevention and transmission of the virus was good in 52% of participants. The majority (92%) were worried about contracting the virus either extremely (30%) or mildly (62%), and 84.85% were worried about transmitting the virus to their families. Approximately 76.93% reported they would take the COVID 19 vaccine once available, with oncologists practicing in Brazil having the highest odds ratio of intention to receive the COVID-19 vaccine (odds ratio, 11.8, 95% CI, 5.96 to 23.38, P < .001). Participants reported a negative impact of the pandemic on relations with coworkers (15.84%), relations with family (27.84%), their emotional and mental well-being (48.51%), research productivity (34.26%), and financial income (52.28%). CONCLUSION The COVID-19 pandemic has adverse effects on various personal and professional aspects of oncologists’ lives. Interventions should be implemented to mitigate the negative impact and prepare oncologists to manage future crises with more efficiency and resilience.

Clinical trials — the personal perspective of the research physician?

2020 ◽  
Vol 75 (3) ◽  
pp. 256-263
Author(s):  
Maria Y. Egorova ◽  
Irina A. Shuvalova ◽  
Olga I. Zvonareva ◽  
Igor D. Pimenov ◽  
Olga S. Kobyakova ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Medical Care ◽  
New Technologies ◽  
Healthcare Providers ◽  
Study Drug ◽  
Well Being ◽  
Personal Perspective ◽  
Public And Private ◽  
Factors Affecting ◽  
To Receive

Background. The organization of clinical trials (CTs) requires the participation and coordination of healthcare providers, patients, public and private parties. Obstacles to the participation of any of these groups pose a risk of lowering the potential for the implementation of CTs. Researchers are a key human resource in conducting of CT. Their motivation for participation can have a significant impact on the recruitment and retention of patients, on the quality of the data collected, which determines the overall outcome of the study. Aims to assess the factors affecting the inclusion of Russian physicians-researchers in CT, and to determine their role in relations with patients-participants. Materials and methods. The study was organized as a part of the Russian multicenter face-to-face study. A survey was conducted of researchers from 10 cities of Russia (20172018). The participation in the survey for doctors was anonymous and voluntary. Results. The study involved 78 respondents. Most research doctors highly value the importance of research for science (4,84 0,39), society (4,67 0,46) and slightly lower for participating patients (4,44 0,61). The expectations of medical researchers are related to improving their financial situation and attaining new experience (n = 14; 18,18%). However, the opportunity to work with new technologies of treatment and diagnosis (n = 41; 52,56%) acted as a motivating factor. According to the questionnaire, the vast majority of research doctors (n = 29; 37,18%) believe that the main reason for patients to participate in CT is to receive quality and free medical care. The most significant obstacle to the inclusion of participants in CT was the side effects of the study drug (n = 38; 48,71%). Conclusions. The potential of clinical researchers in Russia is very high. The patient-participant acts for the research doctor as the subject of the study, and not the object, so the well-being of the patient is not indifferent to the doctor. However, the features of the functioning of our health care system form the motivation of doctors-researchers (additional earnings, professional self-development) and the way they perceive the motivation of patients (CT as an opportunity to receive quality medical care).

The role of production and non-production factors in the formation of male mortality (on the example of two Arctic single-industry towns)

2020 ◽  
Vol 60 (11) ◽  
pp. 738-741
Author(s):  
Maria S. Bryleva
Keyword(s):  
Negative Impact ◽  
Well Being ◽  
Malignant Neoplasms ◽  
Male Mortality ◽  
Occupational Factors ◽  
Copper Nickel ◽  
Production Factors ◽  
Single Industry ◽  
Working Age ◽  
Quality Of Medical Care

Introduction. One of the priority socio-economic and medical-demographic problems in Russia is the high mortality. The study aim is to identify the most significant factors that determine the mortality on the example of two single-industry towns. Materials and methods. Mortality in two single-industry towns specializing in copper-nickel production, differenced in climate, environmental, and socio-economic indicators, was studied using age-standardized indicators averaged over 8 years (2010-2017). Results. In Monchegorsk, compared to Russia, with similar non-production characteristics, working-age mortality from cardiovascular diseases (CVD) was higher by 49.0%, from malignant neoplasms (MN) by 34.7%, from diseases of the digestive system by 35.5%, which confirms the negative impact of occupational factors on the mortality of the population of a single-industry city. In Norilsk city, with the worst characteristics of the environment and climate, compared to Monchegorsk, mortality from CVD was lower in working age by 40.6%, in post-working age by 41.4%; from MN - in working age lower by 37.2% that shows the compensating influence of socio-economic factors on mortality. Conclusion. Risk factors for increased mortality rates in single-industry towns with copper-nickel enterprises are the influence of harmful occupational factors, as well as environmental pollution. Along with primary prevention, an effective mechanism for reducing mortality is to improve socio-economic well-being, and the quality of medical care.

The impact of the COVID-19 pandemic on the psychosocial condition of students in Poland and Ukraine

2020 ◽  
Author(s):  
Piotr Długosz ◽  
Yana
Keyword(s):  
Distance Learning ◽  
Negative Impact ◽  
Well Being ◽  
Survey Method ◽  
Psychosocial Condition ◽  
On Line ◽  
Line Survey ◽  
The Impact ◽  
Emotional Condition ◽  
Double Measurement

The article presents the results of research on psychosocial condition among Polish and Ukrainian students during the quarantine. The aim of the research was to verify the impact of the pandemic and its accompanying phenomena on the well-being of youth. In order to achieve this goal, the CAWI on-line survey method with double measurement was used. The first measurement carried out at the beginning of the quarantine resulted in 3659 filled out surveys in Poland and 739 in Ukraine. The second measurement conducted at the end of distance learning brought 1978 filled out surveys in Poland and 411 in Ukraine. The results of research indicate that the quarantine had a negative impact on the psychosocial condition of youth. The deterioration of emotional condition and the increase in mental disorders has been observed. Due to the pandemic and distance learning, the mental health of youth deteriorated significantly. Polish youth were negatively influenced by the pandemic to a greater extent than young Ukrainians.

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