Opportunities to strengthen resilience of health care workers regarding patient safety
Abstract Background The COVID-19 pandemic endangered the quality of health care and the safety of patients and health care workers (HCWs). This provided challenges for HCWs’ resilience and for hospital management and probably increased risks for patient safety incidents (PSI). HCWs may also have exp...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-023-10054-0 |
| _version_ | 1797577278232723456 |
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| author | Veronika Pacutova Andrea Madarasova Geckova Andrea F. de Winter Sijmen A. Reijneveld |
| author_facet | Veronika Pacutova Andrea Madarasova Geckova Andrea F. de Winter Sijmen A. Reijneveld |
| author_sort | Veronika Pacutova |
| collection | DOAJ |
| description | Abstract Background The COVID-19 pandemic endangered the quality of health care and the safety of patients and health care workers (HCWs). This provided challenges for HCWs’ resilience and for hospital management and probably increased risks for patient safety incidents (PSI). HCWs may also have experienced psychological consequences as second victims of PSI, but evidence on this is lacking. Therefore, we mapped HCWs’ experiences with PSI during the second wave of COVID-19, the associations of these experiences with the hospital management of patient safety culture and HCWs’ interests in receiving further training. Methods We obtained data from 193 HCWs working at the COVID-related departments of one large hospital in eastern Slovakia via a questionnaire developed in direct collaboration with them. We measured PSI experiences as various HCWs’ experiences with near miss and adverse events and the hospital management of patient safety culture using indicators such as risk of recurrence, open disclosure and second victim experiences. For analysis, we used logistic regression models adjusted for age and gender of the HCWs. Results One-third of the hospital HCWs had experienced PSI; these were more likely to expect adverse events to recur (odds ratio, OR = 2.7–3.5). Regarding the hospital management of patient safety culture, the HCWs’ experiencing openly disclosed PSI was associated with one negative outcome, i.e. conflicts among colleagues (OR = 2.8), and one positive outcome, i.e. patients’ acceptance of their explanation and apologies (OR = 2.3). We found no associations for any other essential domains after disclosure. PSI experiences were strongly associated with psychological indicators of second victimhood, such as sadness, irritability, anxiety and depression (OR = 2.2–4.3), while providing support was not. The majority of the HCWs would like to participate in the suggested trainings (83.4%). Conclusion HCWs with PSI experiences reported poor hospital management of the patient safety culture, which might reflect they missed the opportunities to strengthen their resilience, especially during the COVID-19 pandemic. |
| first_indexed | 2024-03-10T22:05:58Z |
| format | Article |
| id | doaj.art-f942f2824f27444190d2c8a7dfa4d547 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-10T22:05:58Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-f942f2824f27444190d2c8a7dfa4d5472023-11-19T12:48:09ZengBMCBMC Health Services Research1472-69632023-10-012311810.1186/s12913-023-10054-0Opportunities to strengthen resilience of health care workers regarding patient safetyVeronika Pacutova0Andrea Madarasova Geckova1Andrea F. de Winter2Sijmen A. Reijneveld3Department of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik UniversityDepartment of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik UniversityDepartment of Community & Occupational Medicine, University Medical Center Groningen, University of GroningenDepartment of Community & Occupational Medicine, University Medical Center Groningen, University of GroningenAbstract Background The COVID-19 pandemic endangered the quality of health care and the safety of patients and health care workers (HCWs). This provided challenges for HCWs’ resilience and for hospital management and probably increased risks for patient safety incidents (PSI). HCWs may also have experienced psychological consequences as second victims of PSI, but evidence on this is lacking. Therefore, we mapped HCWs’ experiences with PSI during the second wave of COVID-19, the associations of these experiences with the hospital management of patient safety culture and HCWs’ interests in receiving further training. Methods We obtained data from 193 HCWs working at the COVID-related departments of one large hospital in eastern Slovakia via a questionnaire developed in direct collaboration with them. We measured PSI experiences as various HCWs’ experiences with near miss and adverse events and the hospital management of patient safety culture using indicators such as risk of recurrence, open disclosure and second victim experiences. For analysis, we used logistic regression models adjusted for age and gender of the HCWs. Results One-third of the hospital HCWs had experienced PSI; these were more likely to expect adverse events to recur (odds ratio, OR = 2.7–3.5). Regarding the hospital management of patient safety culture, the HCWs’ experiencing openly disclosed PSI was associated with one negative outcome, i.e. conflicts among colleagues (OR = 2.8), and one positive outcome, i.e. patients’ acceptance of their explanation and apologies (OR = 2.3). We found no associations for any other essential domains after disclosure. PSI experiences were strongly associated with psychological indicators of second victimhood, such as sadness, irritability, anxiety and depression (OR = 2.2–4.3), while providing support was not. The majority of the HCWs would like to participate in the suggested trainings (83.4%). Conclusion HCWs with PSI experiences reported poor hospital management of the patient safety culture, which might reflect they missed the opportunities to strengthen their resilience, especially during the COVID-19 pandemic.https://doi.org/10.1186/s12913-023-10054-0Health care workersPatient safetyHospital managementCOVID-19Second victim |
| spellingShingle | Veronika Pacutova Andrea Madarasova Geckova Andrea F. de Winter Sijmen A. Reijneveld Opportunities to strengthen resilience of health care workers regarding patient safety BMC Health Services Research Health care workers Patient safety Hospital management COVID-19 Second victim |
| title | Opportunities to strengthen resilience of health care workers regarding patient safety |
| title_full | Opportunities to strengthen resilience of health care workers regarding patient safety |
| title_fullStr | Opportunities to strengthen resilience of health care workers regarding patient safety |
| title_full_unstemmed | Opportunities to strengthen resilience of health care workers regarding patient safety |
| title_short | Opportunities to strengthen resilience of health care workers regarding patient safety |
| title_sort | opportunities to strengthen resilience of health care workers regarding patient safety |
| topic | Health care workers Patient safety Hospital management COVID-19 Second victim |
| url | https://doi.org/10.1186/s12913-023-10054-0 |
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