Abstract
To map and analyze the knowledge produced about strategies aimed at promoting support to health professionals in the condition of second victim. Scoping review, developed in portals, databases and academic websites, whose inclusion criteria were articles and materials indexed in the respective search sites, between January 2000 and December 2019, in Portuguese, English and Spanish. The findings were summarized and analyzed based on descriptive statistics and narrative synthesis. A total of 64 studies were included, 100% international; 92.2% in English and 50% from secondary research. The support strategies were grouped into four categories and most of the studies referred to the use of the forYOU, Medically Induced Trauma Support Services and Resilience in Stressful Events programs and the interventions represented, through dialogue with peers, family, friends and managers. Support strategies for the second victim are pointed out in international studies and mostly developed through programs/services and interventions. It is recommended to develop studies to learn about the phenomenon and to structure feasible support strategies in Brazilian health organizations.
Highlights
Patient safety can be contextualized and discussed from different perspectives, with safe and quality care as its central axis
Despite successive national and international initiatives to mitigate errors and adverse events (AE), they are present in care, and health professionals are susceptible to failures, which can cause damage to the patient/family, the worker and the health organization
The Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Medical Literature Analysis and Retrieval System (MEDLINE) databases were used, and later, there was an expansion to other portals and databases, namely: Virtual Health Library (VHL), Latin American and Caribbean Literature in Health Sciences (LILACS), Excerpta Medica dataBASE (Embase), PubMed, Scopus, Web of Science and Epistemonikos; academic websites www.scielo.br/reeusp and search engines, including Google Scholar, Brazilian Digital Library of Theses and Dissertations (BDTD), Wiley Interscience, OpenGrey, Agency for Healthcare Research and Quality (AHRQ), National Patient Safety Foundation (NPSF), World Health Organization (WHO), Institute for Safe Medication Practices Canada (ISMPC), Pan American Health Organization (PAHO), Collaborating Center for Quality and Patient Safety (ProQualis) and Second and Third Victim Research Group, totaling 20 search sites
Summary
Patient safety can be contextualized and discussed from different perspectives, with safe and quality care as its central axis. Despite successive national and international initiatives to mitigate errors and adverse events (AE), they are present in care, and health professionals are susceptible to failures, which can cause damage to the patient/family, the worker and the health organization. It is unquestionable that AEs affect the quality of care and patient safety, as well as a wrong decision-making can result in damage and suffering to the physical, emotional and moral integrity of the professionals involved[3]. In this respect, health workers are victims of their own mistakes
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