Melanie Buhlmann, Amineh Rashidi, Jennifer Hamilton, Pauline Murray-Parahi, Beverley Ewens
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引用次数: 0
Abstract
Aim: To systematically identify and synthesise the existing literature on the effectiveness of organisational support for healthcare professionals after clinical incidents.
Methods: Quantitative data were 'qualitised' as text descriptions and pooled with qualitative extracts for thematic synthesis to categorise findings by similarity in meaning and develop analytical themes.
Data sources: CINAHL Ultimate, MEDLINE (PubMed) and Web of Science were searched. Primary quantitative, qualitative and mixed methods studies written in English and published within 2013-2026 met the eligibility criteria. Thirty-six quality appraised studies were included: 16 quantitative, 10 qualitative and 10 mixed methods.
Results: The most prevalent support approaches included peer support programmes, leadership support, debriefings and employee assistance programmes. Strong support, especially from healthcare leaders, mitigated the emotional and professional disruption which was linked to enhanced job satisfaction, reduced staff turnover and positive workplace cultures. A lack of support or punitive approaches exacerbated distress, hindered recovery and increased intentions to leave the professions.
Conclusions: The establishment of robust systems and proactive engagement from healthcare leaders contributed to reducing psychological, physical and professional distress. Yet, when organisations failed to provide adequate support, trust eroded and intentions to leave the profession increased.
Implication for the profession: Improved organisational support has the potential to counteract attrition in healthcare professionals and impact on projected international workforce shortages.
Impact: Healthcare professionals may feel traumatised following clinical incidents. Healthcare leaders can mitigate emotional and professional disruption. Organisations, healthcare leaders and policy makers can strengthen the provision of workplace support.
Reporting method: Updated Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines.
No patient or public involvement: No patient or public contribution.
Registration: https://www.crd.york.ac.uk/prospero/CRD42023460099, registered 17 December 2023.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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