Experiences of Psychiatric Nurses and Staffs Undergo Adverse Event at Work: Qualitative Study

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Prachumporn Buaklee
Thawatchai Tepapal


This phenomenology qualitative study sought to understand the experiences of psychiatric nurses and nurse
aids who experienced an adverse events at work with clinical risk at E-I level. The sample consisted of 14
psychiatric nurses and nurse aids from a psychiatric hospital in Southern Thailand who participated in an in-depth
interview between October 2020 and February 2021. The findings indicate that most respondents suffered
mentally, physically, socially, and spiritually. As a result, people feel vulnerable, inadequate, inattentive, and
unengaged with work and have a desire to leave their current jobs. In addition, the respondents cited factors that
interfered with recovery from an adverse event in two ways: 1) insensitivity to one’s trauma 2) lack of job
security. The findings from this study emphasize the importance of creating a methodically mental health care
model that covers risks at the organization level, departmental level, and personnel level.


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Buaklee P, Tepapal T. Experiences of Psychiatric Nurses and Staffs Undergo Adverse Event at Work: Qualitative Study. NJPH (วารสาร พ.ส.) [Internet]. 2022 Apr. 26 [cited 2022 Oct. 2];32(1):155-67. Available from: https://he02.tci-thaijo.org/index.php/tnaph/article/view/257451


Fischer MA, Mazor KM, Baril J, Alper E, DeMarco D, Pugnaire M, Learning from mistakes. Factors that influence how students and residents learn from medical errors. J Gen Intern Med. 2006;21(5):419–23.doi: 10.1111/j.1525-1497.2006.00420.x.

Scott SD. The second victim phenomenon: a harsh reality of health care professions [internet]. 2011 [cited 2021 December 15]. Available form: https://psnet.ahrq.gov/perspective/ second-victim-phe nomenon-harsh-reality-health-care-professions.

Wu AW. Medical error: the second victim: the doctor who makes the mistake needs help too. BMJ. 2000; 320(7237):726-7.doi:10.1136/bmj.320.7237.726

Hall LW, Scott SD. The second victim of adverse health care events. Nurs Clin North Am. 2012;47(3):383–93.doi:10.1016/j.cnur.2012.05.008

Maiden J, Georges JM, Connelly CD. Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. Dimens Crit Care Nurs.2011;30(6):339-45.doi:10.1097/DCC.0b013e31822fab2a.

Ullstrom S, Sachs MA, Hansson J, Ovretveit J, Brommels M. Suffering in silence: a qualitative study of second v ictims of adverse events. BMJ Qual Saf. 2014;23(4):325–31. doi: 10.1136/bmjqs-2013-002035.

Cabilan CJ, Kynoch K. Experiences of and support for nurses as second victims of adverse nursing errors: a qualitative systematic review. JBI Database System Rev Implement Rep 2017;15(9):2333-64.doi: 10.11124/JBISRIR-2016-003254.

Mokhtari Z, Hosseini MA, Khankeh HR, Fallahi-Khoshknab M, Nasrabadi AN. Barriers to support nurses as second victim of medical errors: A qualitative study. Australas Med J.2018;11(12):556-60. doi:10.21767/AMJ.2018.3515

Busch IM, Moretti F, Purgato M, Barbui C, Wu AW, Rimondini M. Psychological and psychosomatic symptoms of second victims of adverse events: a systematic review and meta-analysis. JPatientSaf.2020;16(2): e61–74. https://doi.org/ PTS. 10.1097/ 0000000000000589

Miller RG; Scott SD; Hirschinger LE. Improving patient safety: the intersection of safety culture, clinician and staff support, and patient safety organizations [internet]. 2011 [cited 2021 December 25]. Available form: http://www.centerforpatientsafety.org/wp-content/themes/patient-safety/pdf/Second-Victims-White-Paper.pdf

Kronman AC, Paasche-Orlow M, Orlander JD. Factors associated with disclosure of medical errors by housestaff. BMJ Qual Saf.2012;21(4):271–278.doi:10.1136/bmjqs-2011-000084

Carr S. Disclosure and apology: What’s missing? PSQH [internet]. 2010 [cited 2020 December 15]. Available from: https://www.psqh.com/analysis/disclosure-and-apology-whats-missing/

Edrees HH, Wu AW. Does one size fit all? Assessing the need for organizational second victim support programs. J Patient Saf. 2017.doi:10.1097/PTS.0000000000000321

Seys D, Wu AW, Gerven EV, Vleugels A, Euwema M, Panella M, et al. Health care professionals as second victims after adverse events: a systematic review. Eval Health Prof.2013;36(2):135–62. doi:10.1177/0163278712458918

Waterman AD, Garbutt J, Hazel E, Dunagan WC, Levinson W, Fraser VJ, Gallagher TH, The emotional impact of medical errors on practicing physicians in the United States and Canada. Jt Comm J Qual Patient Saf. 2007;33(8):46776.doi:10.1016/s15537250(07)33050-x.

Miller WL, Crabtree BF. Primary care research: a multimethod typology and qualitative road map. In: Crabtree BF, Miller WL, (editors.) Doing qualitative research. Newburg Park: SAGE;1992.p.3›28.

Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs.2008;62(1):107-15

Headley M. Are second victims getting the help they need?. PSQH [internet]. 2018 [cited 2020 December 18]. Available from: https://www.psqh.com/analysis/are-second-victims-getting-the-help-they-need/