Second Victim Phenomenon Fast Facts

 

  • If you experience emotional distress after a challenging clinical event, this is a normal response commonly referred to as the "second victim".
  • Personal or professional suffering can occur as a result of providing care.
  • Each provider will have unique experiences and needs.
  • Providers tend to worry in predictable patterns.
  • Providers experiencing the second victim phenomenon often:
    • Feel personally responsible
    • Feel as though they've failed
    • Second guess their skills and knowledge
    • Become less tolerant of normal interactions that occur outside of work
    • Feel numbness or absence of response
  • Common reactions to a stressful event:
  • Physical
    • Sleep disturbance
    • Difficulty concentrating
    • Fatigue
    • Rapid heart rate
    • Headache
    • Tension
    • Eating disturbance
    • GI upset
  • Psychological
    • Isolation
    • Fear
    • Frustration
    • Guilt and remorse
    • Discomfort returning to work
    • Anger and irritability
    • Depression
    • Anxiety
    • Self-doubt
    • Troubling memories
    • Poor attention span
    • Embarrassment
  • There are some events that are higher risk for inducing a second victim response.
  • Clinicians may react similarly during a pandemic or other challenging times, in which the second victim concepts can be applied.
  • Peer support is the most desired form of support.
  • Peer support is an evidence-based strategy to mitigate the negative effects of the second victim phenomenon and burnout.
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