Das Second-Victim-Phänomen bei Pflegekräften – ein narratives Review mit einer Analyse der Strukturen eines deutschen Universitätsklinikums
摘要
Critical events during hospital treatments can negatively affect not only patients but also nurses (and other staff). This is referred to as the second victim phenomenon (SVP).
Research questionWhat measures are already being implemented at Charité to support nurses in dealing with the consequences of treatment errors and critical events, and how can these programs be further developed?
MethodsNarrative review on SVP among nursing staff. Iterative multi- and interprofessional analysis of the existing structures at Charité and formulation of recommendations for their further development.
ResultsSecond victim incidents among nurses are common and have significant psychological and physical consequences, as well as effects on their professional practice. Support programs should include a wide range of preventive measures as well as professional psychological support. Charité offers comprehensive interprofessional support programs that have developed independently from three departments. Further development could be achieved through stronger networking of the programs, systematic documentation and evaluation, and the establishment of a peer support program.
ConclusionDue to the current shortage of staff, the prevention and support of nurses in relation to SVPs is of particular relevance. Appropriate programs can help reduce negative consequences, such as the quality of patient care or increased staff turnover.