Second victim syndrome in ophthalmology: Contributory factors and insights from the first study

Chaimae Khodriss , Hicham El Bouri , Reda Benmerak , Rachid Tahiri , Jaafar Bendali , Yassine Benhaddouch , Adil El Ammouri , Adil Najdi , Meriem El Bahloul
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Abstract

Purpose

Second Victim Syndrome (SVS) refers to the psychological, physical, and professional impact experienced by healthcare providers following involvement in an adverse patient event. This study aimed to assess the prevalence of SVS among Moroccan ophthalmologists and to identify the contributory factors associated with its occurrence.

Design

Cross-sectional survey

Methods

A 58-item web-based questionnaire was distributed via WhatsApp and e-mail to 764 registered members of the Moroccan Society of Ophthalmology, including trainees. The questionnaire was structured into three sections: demographic and practice characteristics, personal experience of intraoperative adverse events (IAEs), and assessment with the Second Victim Experience and Support Tool (SVEST). A two-step statistical analysis was performed. The first step was a descriptive analysis to calculate means and standard deviations for quantitative variables and proportions for qualitative variables. The second step was an analytical approach to compare means via ANOVA.

Results

In total, 217 complete responses were obtained, corresponding to a response rate of 28.4 %. The respondents were specialists (62.2 %) residents (26.3 %) and professors of medicine (11.5 %), and 51.6 % worked independently in the private sector. At least one IAE was reported by 94.5 % of the participants, 92.7 % of whom felt uncomfortable with these events. The mental burden of IAEs was described as exhausting by 70.7 % of respondents, and 44.9 % reported doubting their own professional skills after an IAE. Colleagues were identified as the most effective source of support, with 75.1 % of respondents considering peer interactions helpful. Vulnerability to second victim syndrome was highest among female practitioners (p = 0.027), private sector physicians (p = 0.005), and those with less than five years of surgical experience (p = 0.002).

Conclusion

This study highlights a concerning prevalence of second victim syndrome among Moroccan ophthalmologists. Prioritizing the establishment of preventive programs, peer support groups, and dedicated psychological support structures is crucial to safeguard the mental well-being of ophthalmologists and, by extension, to ensure a high quality of patient care.
眼科的第二受害者综合征:第一项研究的影响因素和见解
第二受害者综合征(SVS)是指医疗保健提供者在参与不良患者事件后所经历的心理、身体和专业影响。本研究旨在评估摩洛哥眼科医生中SVS的患病率,并确定其发生的相关因素。设计横断面调查方法通过WhatsApp和电子邮件向764名摩洛哥眼科学会注册会员(包括实习生)分发58项网络问卷。问卷分为三个部分:人口统计学和实践特征,术中不良事件(iae)的个人经历,以及使用第二受害者经验和支持工具(SVEST)进行评估。采用两步统计分析。第一步是描述性分析,计算定量变量的均值和标准差,以及定性变量的比例。第二步是分析方法,通过方差分析比较均值。结果共获得完整应答217份,应答率为28.4%。受访者是专家(62.2%)、住院医生(26.3%)和医学教授(11.5%),51.6%在私营部门独立工作。94.5%的参与者报告至少有一次IAE,其中92.7%的人对这些事件感到不舒服。70.7%的受访者认为IAE的精神负担令人筋疲力尽,44.9%的受访者表示在IAE后怀疑自己的专业技能。同事被认为是最有效的支持来源,75.1%的受访者认为同事之间的互动有帮助。女性从业者(p = 0.027)、私营部门医生(p = 0.005)和外科经验不足5年的医生(p = 0.002)易患第二受害者综合征的比例最高。结论:本研究突出了摩洛哥眼科医生中第二受害者综合征的患病率。优先建立预防项目、同伴支持小组和专门的心理支持结构,对于保障眼科医生的心理健康至关重要,进而确保高质量的患者护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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