Evidence map›Paper›PMID 38896051›Full record

ArticleJournal of advanced nursing2025

Impact of second victim distress on healthcare professionals' intent to leave, absenteeism and resilience: A mediation model of organizational support.

Sanu Mahat, Helena Lehmusto, Anne Marie Rafferty, Katri Vehviläinen-Julkunen, Santtu Mikkonen, Marja Härkänen

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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  15. Understanding the Second Victim Phenomenon Among Healthcare Workers in an Italian Hospital.European journal of investigation in health, psychology and education · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sanu MahatDepartment of Nursing Science, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0002-8526-2880
Helena LehmustoJorvi Hospital, Helsinki University Hospital Pharmacy, Espoo, Finland.
Anne Marie RaffertyFlorence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.
Katri Vehviläinen-JulkunenDepartment of Nursing Science, University of Eastern Finland, Kuopio, Finland.
Santtu MikkonenDepartment of Environmental and Biological Sciences, Faculty of Science, Forestry and Technology, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0003-0595-0657
Marja HärkänenDepartment of Nursing Science, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0001-8542-8193

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo examine the relationship between the second victim distress and outcome variables, specifically: 'turnover intentions, absenteeism and resilience'. Furthermore, this study also assessed how organizational support mediates the relationship between second victim distress and outcome variables.

designCross-sectional survey.

methodsA cross-sectional survey study using regression and mediation analysis with bootstrapping was conducted among (n = 149) healthcare professionals in two university hospitals in Finland from September 2022 to April 2023 during different time periods. The Finnish version of the revised Second Victim Experience and Support Tool (FI-SVEST-R) was used to assess second victim distress, level of organizational support and related outcomes.

resultsPsychological distress was the most frequently experienced form of reported second victim distress, and institutional support was the lowest perceived form of support by healthcare professionals. The study found second victim distress to have a significant association with work-related outcomes: turnover intention and absenteeism. However, no significant relationship was found with resilience. Mediation models with organizational support revealed a partially mediated relationship between second victim distress and work-related outcomes.

conclusionsThe findings from this study indicate that second victim experiences if not adequately addressed can lead to negative work-related outcomes such as increased job turnover and absenteeism. Such outcomes not only affect healthcare professionals but can also have a cascading effect on the quality of care. However, the mediating effect of organizational support suggests that if comprehensive support is provided, it is possible to mitigate the negative impact of the second victim phenomenon. IMPACT: Raising awareness regarding the second victim phenomenon, promoting a culture of safety and shifting the paradigm from a blame to just culture helps in identifying the system flaws thus improving both patient and provider safety. REPORTING

methodThe study adheres to the STROBE reporting guidelines. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Indexed as

AbsenteeismHealth PersonnelPersonnel TurnoverPsychological DistressResilience, PsychologicalAdultCross-Sectional StudiesFemaleFinlandHumansIntentionMaleMiddle AgedOrganizational CultureSurveys and Questionnairesabsenteeismdistresshealthcare professionalsmedication errororganizational supportresiliencesecond victimturnover intention

Identifiers

PMID38896051
PMCPMC12371787

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.