Assessment of support structures for second victims in veterinary anaesthesia: building on insights from an international survey - Part 2.

Objective: To evaluate the availability, quality, and desired forms of support structures for veterinary anaesthesia professionals following patient safety incidents (PSIs).

Study design: This cross-sectional online survey invited veterinary anaesthetists, anaesthetists in training and veterinary nurses/technicians to participate between June and September 2023. Colleague, supervisor, institutional, and non-work-related support responses were assessed using validated subscales adapted from the Second Victim Experience and Support Tool.

Results: A total of 303 participants from 31 countries completed the survey. Overall, one-quarter of respondents (25.3%) admitted that they never discuss PSIs in their department, with 35.3% perceiving the culture during morbidity and mortality meetings as negative. Nearly half of respondents (48%) perceived the level of support within the anaesthesia department negatively. Immediate critical incident debriefing ('hot debrief') was utilised by 37.7% of respondents, with 53.6% of those discussing only the facts of the incidents. About 67.5% of respondents agreed or strongly agreed finding relief in discussing incidents with colleagues, and an equal proportion felt supported by these colleagues in maintaining their professional self-esteem. A significant concern was raised about how supervisors respond to incidents, with 26.5% of respondents feeling that supervisors tended to blame individuals after PSIs. Furthermore, 55.9% agreed or strongly agreed feeling that their organisation offers inadequate resources for recovery and 52% perceived a lack of concern for well-being in their organisation. Collegial and organisational support were regarded as poor by 7% and 34.2% of the respondents, respectively. Desired forms of support included: a respected peer for discussion (86.3%) and a peaceful location for recovery (70.5%).

Conclusions and clinical relevance: This study identified gaps in support structures for veterinary anaesthesia professionals, particularly in organisational resources for recovery following PSIs. While some support elements were perceived positively, areas for improvement include enhancing accessible and timely support measures to promote well-being and professional self-esteem.