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Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis.
BMJ Open. 2016 08 31; 6(8):e011403.BO

Abstract

OBJECTIVE

To examine individual, situational and organisational aspects that influence psychological impact and recovery of a patient safety incident on physicians, nurses and midwives.

DESIGN

Cross-sectional, retrospective surveys of physicians, midwives and nurses.

SETTING

33 Belgian hospitals.

PARTICIPANTS

913 clinicians (186 physicians, 682 nurses, 45 midwives) involved in a patient safety incident.

MAIN OUTCOME MEASURES

The Impact of Event Scale was used to retrospectively measure psychological impact of the safety incident at the time of the event and compare it with psychological impact at the time of the survey.

RESULTS

Individual, situational as well as organisational aspects influenced psychological impact and recovery of a patient safety incident. Psychological impact is higher when the degree of harm for the patient is more severe, when healthcare professionals feel responsible for the incident and among female healthcare professionals. Impact of degree of harm differed across clinicians. Psychological impact is lower among more optimistic professionals. Overall, impact decreased significantly over time. This effect was more pronounced for women and for those who feel responsible for the incident. The longer ago the incident took place, the stronger impact had decreased. Also, higher psychological impact is related with the use of a more active coping and planning coping strategy, and is unrelated to support seeking coping strategies. Rendered support and a support culture reduce psychological impact, whereas a blame culture increases psychological impact. No associations were found with job experience and resilience of the health professional, the presence of a second victim support team or guideline and working in a learning culture.

CONCLUSIONS

Healthcare organisations should anticipate on providing their staff appropriate and timely support structures that are tailored to the healthcare professional involved in the incident and to the specific situation of the incident.

Authors+Show Affiliations

KU Leuven-University of Leuven Institute for Healthcare Policy, Leuven, Belgium.KU Leuven-University of Leuven Institute for Healthcare Policy, Leuven, Belgium.Faculty of Medicine, University of Eastern Piedmont Amedeo Avogadro, Vercelli, Italy.KU Leuven-University of Leuven Occupational & Organizational Psychology and Professional Learning, Leuven, Belgium.KU Leuven-University of Leuven Institute for Healthcare Policy, Leuven, Belgium.KU Leuven-University of Leuven Institute for Healthcare Policy, Leuven, Belgium.

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

27580830

Citation

Van Gerven, Eva, et al. "Psychological Impact and Recovery After Involvement in a Patient Safety Incident: a Repeated Measures Analysis." BMJ Open, vol. 6, no. 8, 2016, pp. e011403.
Van Gerven E, Bruyneel L, Panella M, et al. Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis. BMJ Open. 2016;6(8):e011403.
Van Gerven, E., Bruyneel, L., Panella, M., Euwema, M., Sermeus, W., & Vanhaecht, K. (2016). Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis. BMJ Open, 6(8), e011403. https://doi.org/10.1136/bmjopen-2016-011403
Van Gerven E, et al. Psychological Impact and Recovery After Involvement in a Patient Safety Incident: a Repeated Measures Analysis. BMJ Open. 2016 08 31;6(8):e011403. PubMed PMID: 27580830.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis. AU - Van Gerven,Eva, AU - Bruyneel,Luk, AU - Panella,Massimiliano, AU - Euwema,Martin, AU - Sermeus,Walter, AU - Vanhaecht,Kris, Y1 - 2016/08/31/ PY - 2016/9/2/entrez PY - 2016/9/2/pubmed PY - 2017/12/26/medline SP - e011403 EP - e011403 JF - BMJ open JO - BMJ Open VL - 6 IS - 8 N2 - OBJECTIVE: To examine individual, situational and organisational aspects that influence psychological impact and recovery of a patient safety incident on physicians, nurses and midwives. DESIGN: Cross-sectional, retrospective surveys of physicians, midwives and nurses. SETTING: 33 Belgian hospitals. PARTICIPANTS: 913 clinicians (186 physicians, 682 nurses, 45 midwives) involved in a patient safety incident. MAIN OUTCOME MEASURES: The Impact of Event Scale was used to retrospectively measure psychological impact of the safety incident at the time of the event and compare it with psychological impact at the time of the survey. RESULTS: Individual, situational as well as organisational aspects influenced psychological impact and recovery of a patient safety incident. Psychological impact is higher when the degree of harm for the patient is more severe, when healthcare professionals feel responsible for the incident and among female healthcare professionals. Impact of degree of harm differed across clinicians. Psychological impact is lower among more optimistic professionals. Overall, impact decreased significantly over time. This effect was more pronounced for women and for those who feel responsible for the incident. The longer ago the incident took place, the stronger impact had decreased. Also, higher psychological impact is related with the use of a more active coping and planning coping strategy, and is unrelated to support seeking coping strategies. Rendered support and a support culture reduce psychological impact, whereas a blame culture increases psychological impact. No associations were found with job experience and resilience of the health professional, the presence of a second victim support team or guideline and working in a learning culture. CONCLUSIONS: Healthcare organisations should anticipate on providing their staff appropriate and timely support structures that are tailored to the healthcare professional involved in the incident and to the specific situation of the incident. SN - 2044-6055 UR - https://www.unboundmedicine.com/medline/citation/27580830/Psychological_impact_and_recovery_after_involvement_in_a_patient_safety_incident:_a_repeated_measures_analysis_ L2 - http://bmjopen.bmj.com/cgi/pmidlookup?view=long&pmid=27580830 DB - PRIME DP - Unbound Medicine ER -