Experiences of Singapore nurses as second victims: A qualitative study

Chan, Shi Teng; Khong, Peck Chui Betty; Tan, Louis C.S.; He, Hong; Wang, Wenru

doi:10.1111/nhs.12397

Cited by 39 publications

(76 citation statements)

References 30 publications

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“…In addition, nurses who cause unintended errors or adverse events to patients during their medication work are second victims of errors. As harmful effects of adverse events on nurses are long lasting (Chan, Khong, Pei Lin Tan, He, & Wang, ), they need support for limiting possible career breaks or mental burden.…”

Section: Discussionmentioning

confidence: 99%

Focus group discussions of registered nurses’ perceptions of challenges in the medication administration process

Härkänen

Blignaut

Vehviläinen‐Julkunen

2018

Nursing & Health Sciences

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Medication administration (MA) holds a great threat to patient safety, as MA errors remain a global problem. Nurses are key role players in the MA process and can give valuable information from the grassroots level. The aim of the present study was to describe registered nurses' perceptions related to challenges in the MA process. Focus group interviews with registered nurses (n = 20) in two central hospitals in Finland were conducted in 2015. Inductive content analysis was performed. Nurses described multiple challenges during MA, which made the process demanding. These were organized under five themes: (i) medications; (ii) collaboration between health-care professionals; (iii) resources and work environment; (iv) skills and education; and (v) patient-related factors. The MA process is prone to errors, and registered nurses described many challenges related to MA. While nurses are responsible for their various work-related tasks and the maintenance of patient safety through applicable procedures and effective collaboration, health systems and hospital management should be stewards of patient safety by ensuring adequate staffing levels and providing educational resources related to the MA process.

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Section: Discussionmentioning

confidence: 99%

Focus group discussions of registered nurses’ perceptions of challenges in the medication administration process

Härkänen

Blignaut

Vehviläinen‐Julkunen

2018

Nursing & Health Sciences

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“…Currently, most of the studies on second victims are conducted in the Western context. As far as we know, there is merely one local qualitative study that explored the second victim experience among nurses (Chan, Khong, Pei, He, & Wang, ). Due to the paucity of studies in this aspect in Singapore, the extent of second victim experience is therefore unknown.…”

Section: Introductionmentioning

confidence: 99%

A cross‐sectional survey on nurses’ second victim experience and quality of support resources in Singapore

et al. 2020

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Aim The study aimed to investigate nurses’ second victim experience and quality of support resources in Singapore. Background The second victim phenomenon, broadly described as the suffering of providers including nurses in the face of a clinical error, is often overlooked. Methods A cross‐sectional questionnaire survey was adopted. A total of 1,163 nurses from an acute public hospital in Singapore took part in the study. The Second Victim Experience and Support Tool (SVEST) was employed to assess experience of second victims and the quality of support resources. Results The study results showed that nurses experienced second victim‐related physical, psychological and professional distress. About 31.8% of the participants had turnover intentions, while 9.3% had absenteeism following an error. Nurses who are younger and less experienced were more likely to experience greater second victim response. Among the support options, peer support was rated as the most desirable. Conclusion Nurses, being at the forefront of care delivery, are especially susceptible to being a casualty of the second victim phenomenon. Implications for Nursing Management Acknowledging the second victim phenomenon, together with a strong organizational support, is essential in alleviating the trauma and assisting nurses with reconciliation in the aftermath of an unanticipated error.

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“…After the patient safety incident, second victims may emerge negative feelings, such as anxiety, fear, guilt, anger, self‐blame and suffer from sleep disorder, loss of appetite, stressful behaviours, they often do not actively seek support, nor know where to get it, resulting in the second victim did not receive adequate and effective support (Chan, Khong, Pei Lin Tan, He, & Wang, ; Harrison, Lawton, & Stewart, ; Mira et al, ; Ullstrom, Andreen Sachs, Hansson, Ovretveit, & Brommels, ). Loss or invalid support tends to aggravate emotional burdens, reduce the quality of care, which in turn jeopardizes patient safety (West et al, ).…”

Section: Introductionmentioning

confidence: 99%

Psychometric validation of the Chinese version of the Second Victim Experience and Support Tool (C‐SVEST)

et al. 2019

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Aim To translate and assess the reliability and validity of the C‐SVEST scale. Background Nurses in patient safety incidents, the second victim, may also be traumatized in Western studies, but there is a lack of relevant researches and validated scales in China. Methods A cross‐sectional study of 1,442 nurses in China was conducted with the C‐SVEST questionnaire. Raw data were randomly divided into two parts for exploratory factor analysis and confirmatory factor analysis, to evaluate the construct validity. Content validity and reliability were tested by content validity index and Cronbach's α coefficients, respectively. Results Six‐factor structure was emerged, and it explained 68.62% of the total variance. The good fit of the six‐factor model was acceptable, and standardized factor loading ranged from 0.62 to 0.89. Cronbach's α coefficient of the scale was 0.866, and each dimension ranged from 0.713 to 0.896. Content validity index at the scale level was 0.99, and content validity index at the item level was 0.89–1. Conclusions The C‐SVEST scale has excellent psychometric properties, which can be applied to measure second victims experience and support level in patient safety incidents. Implications for nursing management A reliable and valid instrument is available for leaders to identify the impact of patient safety incidents in nurses, and promote their health through effective interventions.

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Experiences of Singapore nurses as second victims: A qualitative study

Cited by 39 publications

References 30 publications

Focus group discussions of registered nurses’ perceptions of challenges in the medication administration process

Focus group discussions of registered nurses’ perceptions of challenges in the medication administration process

A cross‐sectional survey on nurses’ second victim experience and quality of support resources in Singapore

Psychometric validation of the Chinese version of the Second Victim Experience and Support Tool (C‐SVEST)

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