The Role of Institution-Based Peer Support for Health Care Workers Emotionally Affected by Workplace Violence

Busch, Isolde Martina; Scott, Susan D.; Connors, Clare; Story, Angela R.; Acharya, Bijay; Wu, Albert W.

doi:10.1016/j.jcjq.2020.11.005

Cited by 11 publications

(19 citation statements)

References 37 publications

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“…Three programs extended their focus over time, including workplace violence incidents (forYOU Team and RISE) [ 39 ], burnout, grief, and domestic abuse (Care of the Caregiver Program).…”

Section: Resultsmentioning

confidence: 99%

“…While there has been little quantitative analysis of the beneficial effects of support programs on the affected staff, the extracted data point to the usefulness and success of the programs. In line with this, several programs applied psychological first aid, which has been described as “acute intervention of choice” [ 56 ], p. 5, in the aftermath of traumatic, stressful events, and is preliminarily shown to be effective [ 39 , 56 , 57 ].…”

Section: Discussionmentioning

confidence: 99%

“…Existing support programs for second victims might also be successfully expanded to other types of clinical events. For instance, the programs RISE and forYOU were successfully extended to workplace violence support after an increase in referrals for exposure to violent events had been identified [ 39 ]. Further, in light of the current pandemic, established second victim support programs should be made available also to healthcare workers experiencing COVID-19-related distress and trauma, a step that could save organizational and financial resources [ 60 , 61 ].…”

Section: Discussionmentioning

confidence: 99%

“…A possible explanation for this observation is that many of the primary papers only aimed to describe the development and implementation of the respective program. This may be also partly explained by the fact that the unique and highly confidential nature of peer support encounters makes a precise measurement of their effectiveness, including also follow-up data, very challenging, as pointed out in the literature [ 25 , 39 ]. Fifth, the included studies were heterogeneous in terms of article type, study design, applied questionnaires, time passed since program inception, and data description and analysis, thus impeding synthesis and detailed subgroup analyses.…”

Section: Discussionmentioning

confidence: 99%

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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

Busch

Moretti

Campagna

et al. 2021

IJERPH

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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.

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“…Three programs extended their focus over time, including workplace violence incidents (forYOU Team and RISE) [ 39 ], burnout, grief, and domestic abuse (Care of the Caregiver Program).…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

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

Busch

Moretti

Campagna

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…33 It may also refer to the struggle faced by HCWs from medical errors, unmanageably long working hours, under-supported medical practices, and lack of psychological support after a patient fatality or major adverse event. 34 , 35 In addition to the primary caregiver, second victims may include colleagues called in to help during an acute event, support personnel, students, and others who may have been involved in the event or the immediate aftermath. 36 …”

Section: Introductionmentioning

confidence: 99%

Well-being in the Intensive Care Unit

Cole

Siddiqui

2022

Anesthesiology Clinics

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Synopsis Burnout among critical care personnel has increased due to the additional psychological and physical demands of caring for critically ill patients with limited resources. Factors that increase the risk of burnout include compassion fatigue, lack of control over the work environment, difficult interpersonal relationships, and constant exposure to end-of-life issues. Organizational commitment to physician wellbeing depends on improving workplace efficiency, recognizing stressors at in the critical care environment and providing resources to help manage staffing shortages. Community building, training in communication, and team-building strategies are important steps in building collaboration and camaraderie in the workplace.

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Mixed methods evaluation of the Caring for Providers to Improve Patient Experience intervention

Afulani,

Getahun,

Okiring

et al. 2023

Intl J Gynecology & Obste

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ObjectiveTo assess the impact of the Caring for Providers to Improve Patient Experience (CPIPE) intervention, which sought to improve person‐centered maternal care (PCMC) by addressing two key drivers: provider stress and bias.MethodsCPIPE was successfully piloted over 6 months in two health facilities in Migori County, Kenya, in 2022. The evaluation employed a mixed‐methods pretest–posttest nonequivalent control group design. Data are from surveys with 80 providers (40 intervention, 40 control) at baseline and endline and in‐depth interviews with 20 intervention providers. We conducted bivariate, multivariate, and difference‐in‐difference analysis of quantitative data and thematic analysis of qualitative data.ResultsIn the intervention group, average knowledge scores increased from 7.8 (SD = 2.4) at baseline to 9.5 (standard deviation [SD] = 1.8) at endline for stress (P = 0.001) and from 8.9 (SD = 1.9) to 10.7 (SD = 1.7) for bias (P = 0.001). In addition, perceived stress scores decreased from 20.9 (SD = 3.9) to 18.6 (SD = 5.3) (P = 0.019) and burnout from 3.6 (SD = 1.0) to 3.0 (SD = 1.0) (P = 0.001), with no significant change in the control group. Qualitative data indicated that CPIPE had an impact at multiple levels. At the individual level, it improved provider knowledge, skills, self‐efficacy, attitudes, behaviors, and experiences. At the interpersonal level, it improved provider–provider and patient–provider relationships, leading to a supportive work environment and improved PCMC. At the institutional level, it created a system of accountability for providing PCMC and nondiscriminatory care, and collective action and advocacy to address sources of stress.ConclusionCPIPE impacted multiple outcomes in the theory of change, leading to improvements in both provider and patient experience, including for the most vulnerable patients. These findings will contribute to global efforts to prevent burnout and promote PCMC and equity.

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The Role of Institution-Based Peer Support for Health Care Workers Emotionally Affected by Workplace Violence

Cited by 11 publications

References 37 publications

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

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

Well-being in the Intensive Care Unit

Mixed methods evaluation of the Caring for Providers to Improve Patient Experience intervention

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