PMID- 38360471
OWN - NLM
STAT- Publisher
LR  - 20240215
IS  - 1036-7314 (Print)
IS  - 1036-7314 (Linking)
DP  - 2024 Feb 14
TI  - Coping trajectories of intensive care nurses as second victims: A grounded 
      theory.
LID - S1036-7314(24)00006-7 [pii]
LID - 10.1016/j.aucc.2024.01.001 [doi]
AB  - A qualitative study that provides evidence of the institutional support required 
      by intensive care unit (ICU) nurses as second victims of adverse events (AEs). 
      BACKGROUND: The phenomenon of second victims of AE in healthcare professionals 
      can seriously impact professional confidence and contribute to the ongoing 
      occurrence of AEs in hospitals. OBJECTIVES: The objective of this study was to 
      describe the coping trajectories of second victims among nurses working in ICUs 
      in public hospitals in Chile. METHODS: Conducting qualitative research through 
      the grounded theory method, this study focused on high-complexity hospitals in 
      Chile, using theoretical sampling. The participants consisted of 11 nurses 
      working in ICUs. Techniques used included in-depth interviews conducted between 
      March and May 2023, as well as a focus group interview. Analysis, following the 
      grounded theory approach proposed by Strauss and Corbin, involved constant 
      comparison of data. Open, axial, and selective coding were applied until 
      theoretical data saturation was achieved. The study adhered to reliability and 
      authenticity criteria, incorporating a reflexive process throughout the research. 
      Ethical approval was obtained from the ethics committee, and the study adhered to 
      the consolidated criteria for reporting qualitative research. RESULTS: From the 
      interviews, 29 codes were identified, forming six categories: perception of 
      support when facing an AE, perception of helplessness when facing an AE, 
      initiators of AE, responses when facing an AE, professional responsibility, and 
      perception of AE. The perception of support when facing an AE emerged as the main 
      category, determining whether the outcome was stagnation or overcoming of the 
      phenomenon after the AE. CONCLUSIONS: For the coping process of ICU nurses 
      following an AE, the most crucial factor is the support from colleagues and 
      supervisors.
CI  - Copyright (c) 2024 Australian College of Critical Care Nurses Ltd. Published by 
      Elsevier Ltd. All rights reserved.
FAU - Kappes, Maria
AU  - Kappes M
AD  - Faculty of Health Care Sciences, Universidad San Sebastian, Puerto Montt, Chile. 
      Electronic address: maria.kappes@uss.cl.
FAU - Romero-Garcia, Marta
AU  - Romero-Garcia M
AD  - Fundamental and Clinical Nursing Department, Faculty of Nursing, University of 
      Barcelona, Barcelona, Spain; IDIBELL, Bellvitge Biomedical Research Institute, 
      Avinguda de la Granvia, L'Hospitalet de Llobregat, Spain; International Research 
      Project: HU-CI Project, Collado Villalba, Spain. Electronic address: 
      martaromero@ub.edu.
FAU - Sanchez, Maria
AU  - Sanchez M
AD  - Faculty of Health Care Sciences, Universidad San Sebastian, Puerto Montt, Chile. 
      Electronic address: mariapaz.sanchez@uss.cl.
FAU - Delgado-Hito, Pilar
AU  - Delgado-Hito P
AD  - Fundamental and Clinical Nursing Department, Faculty of Nursing, University of 
      Barcelona, Barcelona, Spain; IDIBELL, Bellvitge Biomedical Research Institute, 
      Avinguda de la Granvia, L'Hospitalet de Llobregat, Spain; International Research 
      Project: HU-CI Project, Collado Villalba, Spain. Electronic address: 
      pdelgado@ub.edu.
LA  - eng
PT  - Journal Article
DEP - 20240214
PL  - Australia
TA  - Aust Crit Care
JT  - Australian critical care : official journal of the Confederation of Australian 
      Critical Care Nurses
JID - 9207852
OTO - NOTNLM
OT  - Grounded theory
OT  - Intensive care unit
OT  - Patient safety
OT  - Second victims
EDAT- 2024/02/16 00:42
MHDA- 2024/02/16 00:42
CRDT- 2024/02/15 21:55
PHST- 2023/11/21 00:00 [received]
PHST- 2023/12/27 00:00 [revised]
PHST- 2024/01/03 00:00 [accepted]
PHST- 2024/02/16 00:42 [medline]
PHST- 2024/02/16 00:42 [pubmed]
PHST- 2024/02/15 21:55 [entrez]
AID - S1036-7314(24)00006-7 [pii]
AID - 10.1016/j.aucc.2024.01.001 [doi]
PST - aheadofprint
SO  - Aust Crit Care. 2024 Feb 14:S1036-7314(24)00006-7. doi: 
      10.1016/j.aucc.2024.01.001.