Intensive Care Unit Nurses as Second Victims of Adverse Events: A Multinational Study in 4 Latin American Countries.

IF 2.6 3区医学 Q2 CRITICAL CARE MEDICINE

American Journal of Critical Care Pub Date : 2026-03-01 DOI:10.4037/ajcc2026681

Maria Kappes, Silvina Estrada, Gladys Gaviria, Aida Maidana de Zarza, Diego Jara, Ivan Guglielmi, Maria Victoria Brunelli

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引用次数: 0

Abstract

Background: Health care professionals, especially intensive care unit (ICU) nurses, are at high risk of experiencing the second victim phenomenon following adverse events, which can lead to significant psychological distress.

Objectives: To describe the second victim phenomenon among ICU nurses in Argentina, Chile, Colombia, and Paraguay and to assess the support provided by their organizations.

Methods: A multicenter, descriptive, cross-sectional study was conducted with ICU nurses from 4 Latin American countries. Data were collected electronically between January and December 2023 using the Spanish-adapted version of the Second Victim Experience and Support Tool.

Results: A total of 762 ICU nurses participated. The psychological dimension was the most significantly affected (mean score on a Likert scale of 1-5, 3.7), with sadness being the most frequently reported emotion (mean score, 3.8). Longer professional experience was associated with increased professional disengagement, absenteeism, and self-doubt. Lower peer support correlated strongly with greater psychological distress and higher absenteeism and turnover intention. Chile reported the highest perception of institutional support.

Conclusions: The second victim phenomenon significantly affects ICU nurses in Latin America, predominantly through psychological effects. Implementing structured support programs is essential to mitigate absenteeism and turnover intention.

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重症监护室护士是不良事件的第二受害者：一项在4个拉丁美洲国家的跨国研究。

背景：卫生保健专业人员，特别是重症监护病房（ICU）护士，在不良事件发生后经历第二受害者现象的风险很高，这可能导致严重的心理困扰。目的：描述阿根廷、智利、哥伦比亚和巴拉圭ICU护士中的第二受害者现象，并评估其组织提供的支持。方法：对来自拉丁美洲4个国家的ICU护士进行多中心、描述性、横断面研究。数据是在2023年1月至12月期间使用西班牙语改编版的第二次受害者经验和支持工具以电子方式收集的。结果：共有762名ICU护士参与。心理维度受到的影响最为显著（李克特量表的平均得分为1-5分，3.7分），其中悲伤是最常被报告的情绪（平均得分为3.8分）。较长的职业经验与越来越多的职业脱离、缺勤和自我怀疑有关。同伴支持越低，心理压力越大，缺勤率和离职倾向越高。智利报告的机构支持程度最高。结论：拉美ICU护士的二次受害现象显著，主要表现为心理影响。实施结构化的支持计划对于减少缺勤和离职意图至关重要。

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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来源期刊

American Journal of Critical Care 医学-护理

CiteScore

4.30

自引率

3.70%

发文量

103

审稿时长

6-12 weeks

期刊介绍： The editors of the American Journal of Critical Care (AJCC) invite authors to submit original manuscripts describing investigations, advances, or observations from all specialties related to the care of critically and acutely ill patients. Papers promoting collaborative practice and research are encouraged. Manuscripts will be considered on the understanding that they have not been published elsewhere and have been submitted solely to AJCC.