Assessing safety culture and second victim experience following adverse events among Romanian nurses: a cross-sectional study
Abstract Background Healthcare adverse events (AEs) significantly impact professionals, often leading to emotional distress and lasting effects. This study investigates the impact of AEs on healthcare professionals in Romania, focusing on nurses to examine their experiences within the patient safety...
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| Format: | Article |
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BMC
2025-01-01
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| Series: | BMC Nursing |
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| Online Access: | https://doi.org/10.1186/s12912-025-02745-2 |
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| author | Mirabela Ioana Istrate Alina Ioana Forray Marius-Ionuț Ungureanu José Joaquín Mira Sorana Alexandra Constantinescu Răzvan Mircea Cherecheș |
| author_facet | Mirabela Ioana Istrate Alina Ioana Forray Marius-Ionuț Ungureanu José Joaquín Mira Sorana Alexandra Constantinescu Răzvan Mircea Cherecheș |
| author_sort | Mirabela Ioana Istrate |
| collection | DOAJ |
| description | Abstract Background Healthcare adverse events (AEs) significantly impact professionals, often leading to emotional distress and lasting effects. This study investigates the impact of AEs on healthcare professionals in Romania, focusing on nurses to examine their experiences within the patient safety culture and the psychological consequences of AEs. With a limited body of research on patient safety, adverse events, and second victims (SVs) in Romania, this study addresses a crucial gap, highlighting the need for enhanced safety culture and support mechanisms for SVs. Methods A cross-sectional study in Romania targeted healthcare professionals, focusing on nurses. Utilizing online and onsite surveys facilitated by the Order of Nurses, Midwives, and Medical Assistants in Romania, data were collected between April and June 2022, exploring AEs and related experiences. Statistical analysis included chi-square tests, Student’s t-tests, one-way ANOVA, and logistic regression, using SPSS version 29.0. Results This study surveyed 995 nurses in Romania, primarily aged 31–50 (67.8%). Over half (57.9%) reported near-miss incidents, and 30.8% were aware of serious adverse events. Nurses over 50 scored higher on safety culture (20.98 vs. 20.45, p = .024) than younger nurses. Higher safety culture scores were associated with reduced negative emotional responses (e.g., guilt, anxiety, insomnia, tiredness) following AEs. Higher safety culture scores were associated with reduced negative emotional responses. Additionally, 88.9% of nurses showed interest in training for coping with adverse events, highlighting the need for supportive interventions in healthcare settings. Discussion This study underscores the significant emotional and professional impact of AEs on nurses in Romania, highlighting ongoing challenges in healthcare environments. The positive perception of safety culture among nurses suggests a basis for improvement, while training needs underscore areas for intervention. Tackling the second victim phenomenon is crucial for maintaining patient safety. |
| format | Article |
| id | doaj-art-dc56954437c44f9dad45a6ce98503891 |
| institution | Kabale University |
| issn | 1472-6955 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj-art-dc56954437c44f9dad45a6ce985038912025-02-02T12:15:03ZengBMCBMC Nursing1472-69552025-01-0124111510.1186/s12912-025-02745-2Assessing safety culture and second victim experience following adverse events among Romanian nurses: a cross-sectional studyMirabela Ioana Istrate0Alina Ioana Forray1Marius-Ionuț Ungureanu2José Joaquín Mira3Sorana Alexandra Constantinescu4Răzvan Mircea Cherecheș5Faculty of Political, Administrative and Communication Sciences, Department of Public Health, Babeș-Bolyai UniversityFaculty of Political, Administrative and Communication Sciences, Department of Public Health, Babeș-Bolyai UniversityFaculty of Political, Administrative and Communication Sciences, Department of Public Health, Babeș-Bolyai UniversityDepartamento de Salud Alicante-Sant JoanFaculty of Political, Administrative and Communication Sciences, Department of Political Science, Babeș-Bolyai UniversityFaculty of Political, Administrative and Communication Sciences, Department of Public Health, Babeș-Bolyai UniversityAbstract Background Healthcare adverse events (AEs) significantly impact professionals, often leading to emotional distress and lasting effects. This study investigates the impact of AEs on healthcare professionals in Romania, focusing on nurses to examine their experiences within the patient safety culture and the psychological consequences of AEs. With a limited body of research on patient safety, adverse events, and second victims (SVs) in Romania, this study addresses a crucial gap, highlighting the need for enhanced safety culture and support mechanisms for SVs. Methods A cross-sectional study in Romania targeted healthcare professionals, focusing on nurses. Utilizing online and onsite surveys facilitated by the Order of Nurses, Midwives, and Medical Assistants in Romania, data were collected between April and June 2022, exploring AEs and related experiences. Statistical analysis included chi-square tests, Student’s t-tests, one-way ANOVA, and logistic regression, using SPSS version 29.0. Results This study surveyed 995 nurses in Romania, primarily aged 31–50 (67.8%). Over half (57.9%) reported near-miss incidents, and 30.8% were aware of serious adverse events. Nurses over 50 scored higher on safety culture (20.98 vs. 20.45, p = .024) than younger nurses. Higher safety culture scores were associated with reduced negative emotional responses (e.g., guilt, anxiety, insomnia, tiredness) following AEs. Higher safety culture scores were associated with reduced negative emotional responses. Additionally, 88.9% of nurses showed interest in training for coping with adverse events, highlighting the need for supportive interventions in healthcare settings. Discussion This study underscores the significant emotional and professional impact of AEs on nurses in Romania, highlighting ongoing challenges in healthcare environments. The positive perception of safety culture among nurses suggests a basis for improvement, while training needs underscore areas for intervention. Tackling the second victim phenomenon is crucial for maintaining patient safety.https://doi.org/10.1186/s12912-025-02745-2Patient safetySafety cultureAdverse eventsMedical errorsNursesSecond victims |
| spellingShingle | Mirabela Ioana Istrate Alina Ioana Forray Marius-Ionuț Ungureanu José Joaquín Mira Sorana Alexandra Constantinescu Răzvan Mircea Cherecheș Assessing safety culture and second victim experience following adverse events among Romanian nurses: a cross-sectional study BMC Nursing Patient safety Safety culture Adverse events Medical errors Nurses Second victims |
| title | Assessing safety culture and second victim experience following adverse events among Romanian nurses: a cross-sectional study |
| title_full | Assessing safety culture and second victim experience following adverse events among Romanian nurses: a cross-sectional study |
| title_fullStr | Assessing safety culture and second victim experience following adverse events among Romanian nurses: a cross-sectional study |
| title_full_unstemmed | Assessing safety culture and second victim experience following adverse events among Romanian nurses: a cross-sectional study |
| title_short | Assessing safety culture and second victim experience following adverse events among Romanian nurses: a cross-sectional study |
| title_sort | assessing safety culture and second victim experience following adverse events among romanian nurses a cross sectional study |
| topic | Patient safety Safety culture Adverse events Medical errors Nurses Second victims |
| url | https://doi.org/10.1186/s12912-025-02745-2 |
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