Use of the Second Victim Experience and Support Tool (SVEST) to Assess the Impact of a Departmental Peer Support Program on Anesthesia Professionals' Second Victim Experiences (SVEs) and Perceptions of Support Two Years After Implementation.
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引用次数: 0
Abstract
Anesthesia professionals experience events resulting in psychological and physiologic implications, known as second victim experiences (SVEs). This study evaluated the impact of a peer support program on anesthesia providers' SVEs. In July 2018, a departmental peer support program was implemented. All anesthesia professionals were invited to participate in a survey, including the Second Victim Experience and Support Tool (SVEST), which evaluated SVEs and desired support, preimplementation of the program. The survey was repeated two years after program implementation. A total of 57.9% (348/601) completed the preimplementation survey; 37.6% (231/614) completed the postimplementation survey. The median SVEST scores for psychological distress (3.0 vs 2.8, P = .04) and institutional support (3.0 vs 2.3, P < .001) were significantly lower on the postimplementation survey, indicating more favorable responses. For both assessments, the most desired support option was a 'respected peer to discuss the details of what happened.' Postimplementation, 84.9% (191/225) agreed the program enhanced departmental support, 93.2% (207/222) agreed the program considered professionals' well-being, and 81.7% (183/224) agreed the program contributed to a culture of safety. A total of 99.1% (213/215) would recommend the peer support program to others. Implementation of a peer support program significantly influenced anesthesia professionals' SVE-related psychologic distress and perception of adequate institutional support.
麻醉专业人员经历导致心理和生理影响的事件,称为第二受害者经历(SVE)。本研究评估了同伴支持计划对麻醉提供者SVE的影响。2018年7月,实施了一项部门同行支持计划。所有麻醉专业人员都被邀请参加一项调查,包括第二受害者体验和支持工具(SVEST),该工具评估了SVE和所需的支持,以及该计划的实施前。该调查在项目实施两年后再次进行。共有57.9%(348/601)完成了实施前调查;37.6%(231/614)完成了实施后调查。在实施后调查中,心理困扰(3.0 vs 2.8,P=0.04)和机构支持(3.0 vs 2.3,P<.001)的SVEST得分中位数显著较低,表明反应更有利。对于这两项评估,最希望的支持选择是“一位受人尊敬的同行来讨论所发生的事情的细节”实施后,84.9%(191/225)的人同意该计划加强了部门支持,93.2%(207/222)的人赞成该计划考虑了专业人员的福祉,81.7%(183/224)的人赞同该计划有助于安全文化。共有99.1%(213/215)的人会向其他人推荐同行支持计划。同伴支持计划的实施显著影响了麻醉专业人员与SVE相关的心理困扰和对充分机构支持的感知。
期刊介绍:
Founded in 1931 and located in Park Ridge, Ill., the AANA is the professional organization for more than 90 percent of the nation’s nurse anesthetists. As advanced practice nurses, CRNAs administer approximately 32 million anesthetics in the United States each year. CRNAs practice in every setting where anesthesia is available and are the sole anesthesia providers in more than two-thirds of all rural hospitals. They administer every type of anesthetic, and provide care for every type of surgery or procedure, from open heart to cataract to pain management.