Applicability and Validity of Second Victim Assessment Instruments among General Practitioners and Healthcare Assistants (SEVID-IX Study)
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Published:2024-01-30
Issue:3
Volume:12
Page:351
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ISSN:2227-9032
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Container-title:Healthcare
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language:en
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Short-container-title:Healthcare
Author:
Bushuven Stefan123ORCID, Trifunovic-Koenig Milena14ORCID, Bunz Maxie5ORCID, Weinmann-Linne Patrick5ORCID, Klemm Victoria4ORCID, Strametz Reinhard4ORCID, Müller Beate Sigrid5ORCID
Affiliation:
1. Training Center for Emergency Medicine (NOTIS e.V), 78234 Engen, Germany 2. Department of Anesthesiology and Critical Care, Faculty of Medicine, Medical Center—University of Freiburg, University of Freiburg, 79106 Freiburg, Germany 3. Institute for Medical Education, University Hospital, LMU Munich, 80539 Munich, Germany 4. Wiesbaden Institute for Healthcare Economics and Patient Safety (WiHelP), Wiesbaden Business School, RheinMain University of Applied Sciences, 65183 Wiesbaden, Germany 5. Institute of General Practice, University of Cologne, 50937 Cologne, Germany
Abstract
Background: The second victim phenomenon and moral injury are acknowledged entities of psychological harm for healthcare providers. Both pose risks to patients, healthcare workers, and medical institutions, leading to further adverse events, economic burden, and dysfunctionality. Preceding studies in Germany and Austria showed a prevalence of second victim phenomena exceeding 53 percent among physicians, nurses, emergency physicians, and pediatricians. Using two German instruments for assessing moral injury and second victim phenomena, this study aimed to evaluate their feasibility for general practitioners and healthcare assistants. Methods: We conducted a nationwide anonymous online survey in Germany among general practitioners and healthcare assistants utilizing the SeViD (Second Victims in Deutschland) questionnaire, the German version of the Second Victim Experience and Support Tool Revised Version (G-SVESTR), and the German version of the Moral Injury Symptom and Support Scale for Health Professionals (G-MISS-HP). Results: Out of 108 participants, 67 completed the survey. In G-SVESTR, the collegial support items exhibited lower internal consistency than in prior studies, while all other scales showed good-quality properties. Personality traits, especially neuroticism, negatively correlated to age, seem to play a significant role in symptom count and warrant further evaluation. Multiple linear regression indicated that neuroticism, agreeableness, G-SVESTR, and G-MISS-HP were significant predictors of symptom count. Furthermore, moral injury partially mediated the relationship between second victim experience and symptom count. Discussion: The results demonstrate the feasible use of the questionnaires, except for collegial support. With respect to selection bias and the cross-sectional design of the study, moral injury may be subsequent to the second victim phenomenon, strongly influencing symptom count in retrospect. This aspect should be thoroughly evaluated in future studies.
Subject
Health Information Management,Health Informatics,Health Policy,Leadership and Management
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