Evidence map›Paper›PMID 40672382›Full record

ArticleEuropean journal of midwifery2025

The second victim phenomenon among midwives in Austria (SeViD-A3): A cross-sectional study.

Victoria Klemm, Eva Potura, Sabine Fuerst, Hannah Roesner, Reinhard Strametz

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Article in European journal of midwifery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Victoria KlemmWiesbaden Institute for Healthcare Economics and Patient Safety, RheinMain University of Applied Sciences, Wiesbaden, Germany.
Eva PoturaThe Second Victim Association Austria, Vienna, Austria.
Sabine FuerstThe Second Victim Association Austria, Vienna, Austria.
Hannah RoesnerWiesbaden Institute for Healthcare Economics and Patient Safety, RheinMain University of Applied Sciences, Wiesbaden, Germany.
Reinhard StrametzWiesbaden Institute for Healthcare Economics and Patient Safety, RheinMain University of Applied Sciences, Wiesbaden, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMidwives frequently encounter adverse events, potentially leading to the Second Victim Phenomenon (SVP), a condition marked by emotional distress, self-doubt, and psychological symptoms. This study investigates the prevalence, key triggers, symptom severity, and support needs of midwives in Austria affected by SVP.

methodsA cross-sectional survey was conducted among Austrian midwives (n=487) using the SeViD-questionnaire. Descriptive statistics were applied to assess SVP prevalence, symptoms, and support measures. Binary logistic regression analyses examined predictors of SVP occurrence and symptom severity, while the Mann-Whitney U test compared support preferences between affected and non-affected midwives.

resultsSVP prevalence was 94.3%, with self-doubt (52.5%), guilt (47.0%), and flashbacks (41.8%) as the most pronounced symptoms. Work experience and workload did not predict SVP occurrence. However, events involving patient harm (OR=1.92; 95% CI: 1.11-3.31, p=0.02) and higher neuroticism scores (OR=1.62; 95% CI: 1.24-2.11, p<0.01) significantly predicted high symptom severity. Affected midwives rated professional counseling as less helpful than non-affected peers (p=0.03, r=0.02).

conclusionsThe high prevalence of SVP underscores the need for comprehensive, accessible support for Austrian midwives. Peer support programs should be central, alongside preventive and reactive measures. Support must be inclusive of self-employed midwives. Targeted interventions can enhance mental well-being, improve patient safety, and strengthen healthcare quality.

Indexed as

emotional distressmidwivesoccupational healthpatient safetypsychological distresssecond victim

Identifiers

PMID40672382
PMCPMC12264764

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