The second victim requires more than Medice Cura Te Ipsum

Koyle, Martin A.; Chua, Michael; Kherani, Tamizan; Pereira, Nichole; Heiss, Kurt F.

doi:10.5489/cuaj.7229

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…This study suggests that surgical trainees in Ireland do not feel ready to manage the emotional impact of AEs or complications and that their training could prepare them more effectively. This has been mirrored in international surveys with recommendations that healthcare organisations and training bodies take steps to introduce support systems and training for healthcare workers [6,11,12,29,32].…”

Section: Preparedness For Eventmentioning

confidence: 98%

“…Despite this, our respondents still have symptoms suggestive of emotional distress and felt unprepared to manage it. Potential solutions include confidential peer support programmes as described above, emotional first aid, prompt debriefing and the opportunity for a break from professional activities [6,11,12,21,28,29,32]. There will also be a requirement for a larger cultural shift to a 'no blame' open culture, and normalisation of engagement with support services [15,28].…”

Section: Preparedness For Eventmentioning

confidence: 99%

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The psychological impact of adverse events on urology trainees

et al. 2022

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Introduction Adverse events (AE) are an inevitable reality in healthcare, with an incidence of 7.5-14.1% worldwide. AEs are recognised to cause psychological and emotional distress in healthcare workers, with surgeons being particularly susceptible. We report the first data on the emotional impact in relation to adverse events in surgeons in the Republic of Ireland (ROI). Methods We distributed a web-based survey to all urology trainees in the ROI. The questionnaire focused on trainees' personal account of AEs, their emotional response, perceived contributing factors and perceived benefit of support systems. The primary care PTSD screen (PC-PTSD-V) assessed for PTSD. Results A total of 16 responses were received from 12 (75%) registrars and 4 (25%) SHOs. Of the AEs reported, 12 (75%) were ≥ Clavien-Dindo 3b. Contributing factors identified included lapse of judgement (n = 6, 37.5%), risk of procedure (n = 7, 43%), lack of experience (n = 4, 25%). Anxiety (n = 8, 50%), guilt (n = 7, 44%) and sleep problems (n = 4, 25%) were the most reported emotional responses. Physical symptoms were reported in 2 (12%) trainees. A PC-PTSD-V score ≥ 3 was reported in 2 (12%) trainees. Most trainees (n = 13, 81%) reported talking to someone following the event with most (n = 12, 93%) talking to a consultant or NCHD colleague. Most respondents (n = 14, 87%) agreed that their training could better prepare them for the personal impact of AEs. Conclusion Surgical trainees report negative psychological and emotional responses that are consistent with second victim symptoms. Those surveyed felt that their training could better prepare them for the personal impact of such events.

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Section: Preparedness For Eventmentioning

confidence: 98%

Section: Preparedness For Eventmentioning

confidence: 99%

The psychological impact of adverse events on urology trainees

et al. 2022

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“…As Dr. Koyle puts it, "Our calling in healthcare is to help others, and that also means one another, not just patients… don't let your colleagues suffer in silence and alone." 3…”

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confidence: 99%

The value of peer support in curbing moral injury: A resident’s perspective

Jain

2023

CUAJ

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O n a dark winter's night, snowflakes trickled from above and settled onto my windowsill. I stared at the snowflakes melt into nothingness until I drifted asleep. The following morning, before the sun rose (and still decaffeinated), I crossed the street to enter the sacred space of the hospital. Throughout the day (now caffeinated), I wondered if the sun had ever rose, how our patients and their loved ones were healing, and why we were fighting so many barriers to give our patients the best possible care. When I returned home from the seemingly divine house of care for the sick, I felt exhausted. For many days, I spiralled down this vicious cycle of lack of selfcare. Ultimately, with the support of my peers, I reframed my thoughts, rediscovered pure joy in my work, and relearned how to maintain balance in a surgical career. In retrospect, I was wounded by the lack of humaneness that I showed myself, which led to feeling burnout.My story is not unique. Many medical students, residents, fellows, and staff have similar experiences. We have surpassed countless obstacles to reach where we are; a badge we wear with honour. We work grueling 24-, 48-, or even 72-hour shifts, contort our backs to complete our job, and barely eat or drink during the day. We are not weak nor soft, but rather, we are dedicated to greatness in our pursuits and altruistic with our energy, despite increased demands on us -complex patient care, academic excellence, and research productivity -all while trying to master the art of surgery. However, letting one's work define them catalyzes burnout. Unfortunately, we often ignore ourselves and self-inflict moral injury to exhaustion. Acknowledging this cultural phenomenon

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“…Therefore, healthcare organisations should consider lessons learnt from these services with excellent institutionalized care for their workers. 8 Scott et al identified a predictable pattern of recovery for second victims (Table 1). 9 The first three stages can happen concurrently, or in quick succession.…”

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confidence: 99%

Health Care Professional Mental Health and Supporting the Second Victim – Can Organizations Across the World Do Better?

Kuris

Kleuver

Alsoof

et al. 2022

The American Journal of Medicine

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The second victim requires more than Medice Cura Te Ipsum

Cited by 4 publications

References 15 publications

The psychological impact of adverse events on urology trainees

The psychological impact of adverse events on urology trainees

The value of peer support in curbing moral injury: A resident’s perspective

Health Care Professional Mental Health and Supporting the Second Victim – Can Organizations Across the World Do Better?

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