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      Moving on after critical incidents in health care: A qualitative study of the perspectives and experiences of second victims

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Aims

          To gain a deeper understanding of nurses and midwives' experiences following involvement in a critical incident in a non‐critical care area and to explore how they have 'moved‐on' from the event.

          Design

          An interpretive descriptive design guided inductive inquiry to interpret the meaning of moving‐on.

          Methods

          Purposive sampling recruited 10 nurses and midwives. Data collection comprised semi‐structured interviews, memos and field notes. Data were concurrently collected and analysed during 2016–2017 with NVivo 11. The thematic analysis enabled a coherent analytical framework evolving emerging themes and transformation of the data into credible interpretive description findings, adhering to the COREQ reporting guidelines.

          Results

          The findings revealed five main themes: Initial emotional and physical response, the aftermath, long‐lasting repercussions, workplace support and moving‐on.

          Conclusion

          This study shed light on the perceptions of nurses and midwives who lived through the impact of critical incidents. Through their lens, the strategies engaged in to move‐on were identified and their call for organizational and collegial support received a voice.

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          Most cited references60

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          Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.

          Qualitative research explores complex phenomena encountered by clinicians, health care providers, policy makers and consumers. Although partial checklists are available, no consolidated reporting framework exists for any type of qualitative design. To develop a checklist for explicit and comprehensive reporting of qualitative studies (in depth interviews and focus groups). We performed a comprehensive search in Cochrane and Campbell Protocols, Medline, CINAHL, systematic reviews of qualitative studies, author or reviewer guidelines of major medical journals and reference lists of relevant publications for existing checklists used to assess qualitative studies. Seventy-six items from 22 checklists were compiled into a comprehensive list. All items were grouped into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. Duplicate items and those that were ambiguous, too broadly defined and impractical to assess were removed. Items most frequently included in the checklists related to sampling method, setting for data collection, method of data collection, respondent validation of findings, method of recording data, description of the derivation of themes and inclusion of supporting quotations. We grouped all items into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. The criteria included in COREQ, a 32-item checklist, can help researchers to report important aspects of the research team, study methods, context of the study, findings, analysis and interpretations.
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            Research Design : Qualitative, Quantitative, and Mixed Methods Approaches

            The eagerly anticipated Fourth Edition of the title that pioneered the comparison of qualitative, quantitative, and mixed methods research design is here! For all three approaches, Creswell includes a preliminary consideration of philosophical assumptions, a review of the literature, an assessment of the use of theory in research approaches, and refl ections about the importance of writing and ethics in scholarly inquiry. He also presents the key elements of the research process, giving specifi c attention to each approach. The Fourth Edition includes extensively revised mixed methods coverage, increased coverage of ethical issues in research, and an expanded emphasis on worldview perspectives.
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              Special report: suicidal ideation among American surgeons.

              Suicide is a disproportionate cause of death for US physicians. The prevalence of suicidal ideation (SI) among surgeons and their use of mental health resources are unknown. Members of the American College of Surgeons were sent an anonymous cross-sectional survey in June 2008. The survey included questions regarding SI and use of mental health resources, a validated depression screening tool, and standardized assessments of burnout and quality of life. Of 7905 participating surgeons (response rate, 31.7%), 501 (6.3%) reported SI during the previous 12 months. Among individuals 45 years and older, SI was 1.5 to 3.0 times more common among surgeons than the general population (P < .02). Only 130 surgeons (26.0%) with recent SI had sought psychiatric or psychologic help, while 301 (60.1%) were reluctant to seek help due to concern that it could affect their medical license. Recent SI had a large, statistically significant adverse relationship with all 3 domains of burnout (emotional exhaustion, depersonalization, and low personal accomplishment) and symptoms of depression. Burnout (odds ratio, 1.910; P < .001) and depression (odds ratio, 7.012; P < .001) were independently associated with SI after controlling for personal and professional characteristics. Other personal and professional characteristics also related to the prevalence of SI. Although 1 of 16 surgeons reported SI in the previous year, few sought psychiatric or psychologic help. Recent SI among surgeons was strongly related to symptoms of depression and a surgeon's degree of burnout. Studies are needed to determine how to reduce SI among surgeons and how to eliminate barriers to their use of mental health resources.
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                Author and article information

                Contributors
                m.buhlmann@ecu.edu.au
                Journal
                J Adv Nurs
                J Adv Nurs
                10.1111/(ISSN)1365-2648
                JAN
                Journal of Advanced Nursing
                John Wiley and Sons Inc. (Hoboken )
                0309-2402
                1365-2648
                22 April 2022
                September 2022
                : 78
                : 9 ( doiID: 10.1111/jan.v78.9 )
                : 2960-2972
                Affiliations
                [ 1 ] School of Nursing & Midwifery Edith Cowan University Bunbury Western Australia Australia
                [ 2 ] School of Nursing & Midwifery Edith Cowan University Joondalup Western Australia Australia
                Author notes
                [*] [* ] Correspondence

                Melanie Buhlmann, School of Nursing & Midwifery, Edith Cowan University, 585 Robertson Drive, Bunbury WA 6230, Western Australia.

                Email: m.buhlmann@ 123456ecu.edu.au

                Author information
                https://orcid.org/0000-0002-3528-3165
                https://orcid.org/0000-0003-2008-7214
                https://orcid.org/0000-0001-7355-5216
                Article
                JAN15274 JAN-2021-2086.R1
                10.1111/jan.15274
                9543713
                35451525
                f3c299e3-8e8e-4674-8f52-5fc126451ad3
                © 2022 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 19 March 2022
                : 08 November 2021
                : 09 April 2022
                Page count
                Figures: 0, Tables: 3, Pages: 13, Words: 10495
                Categories
                Original Research: Empirical Research ‐ Qualitative
                Research Papers
                Original Research: Empirical Research–Qualitative
                Custom metadata
                2.0
                September 2022
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.2.0 mode:remove_FC converted:07.10.2022

                Nursing
                adverse event,clinical incident,coping,critical incident,midwifery,midwives,nurses,nursing,trauma
                Nursing
                adverse event, clinical incident, coping, critical incident, midwifery, midwives, nurses, nursing, trauma

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