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The Second Victim Experiences and its Relation to the Safety Culture Among Nurses in Critical Care Units: A Cross-Sectional Study
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Ayoub Ostovar   , Salam Vatandost , Abbas Aghaei , Kamal Salehi * |
| Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran , salehi5359@gmail.com |
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Abstract: (37 Views) |
Background & aim: Considering the consequences of the second victim experience for nurses, further understanding of this phenomenon and identifying its related factors are essential to develop appropriate strategies for mitigating its negative effects. This study aimed to determine the relationship between the second victim experience among nurses and patient safety culture in the Critical Care Units (CCUs).
Methods: In this cross-sectional study, 250 nurses were recruited via census sampling based on inclusion criteria: willingness to participate, a minimum Bachelor’s degree in nursing, at least one year of ICU work experience, and a history of medical errors in the past year. Data were collected using a demographic form, the "Patient Safety Culture" questionnaire, and the "Second Victim Experience and Support" questionnaire. Data were analyzed using independent t-test, Mann-Whitney U-test, one-way ANOVA, Pearson correlation coefficient, and linear regression. A significance level of less than 0.05 was considered.
Results: The mean score of the second victim experience was 108.16 ± 14.30, indicating a moderate level. Among the dimensions of the second victim experience, "desired supportive measures" and "family support" scored highest (3.48/5 and 3.42/5, respectively), while "colleague support" and "physical strain" scored lowest (2.64/5). The overall patient safety culture score was moderate, with 36.72% reporting high, 30.05% moderate, and 33.21% low safety culture. Linear regression revealed a significant positive correlation between the second victim experience and patient safety culture (r = 0.434, P = 0.000).
Conclusion: Enhancing safety culture may reduce the negative impacts of the second victim experience. Therefore, prioritizing safety culture in organizational planning, fostering a non-punitive safety culture, and improving nurses’ work environments could mitigate the second victim phenomenon. |
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| Keywords: Second Victim Experience, Safety Culture, Critical Care Units, Nurses |
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Full-Text [PDF 1117 kb]
(24 Downloads)
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Type of Study: Research |
Subject:
Special
Received: 2024/09/11 | Accepted: 2025/04/16 | Published: 2025/08/13
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