Perspectives of healthcare professionals regarding support following adverse events in three public hospitals in Gauteng: two sides of the coin.

PURPOSE: The purpose of this study was to explore and describe the perceptions of support among healthcare professionals (HCPs) following adverse event involvement in three public hospitals in Gauteng, South Africa.

BACKGROUND

The impact of adverse events on HCPs remains an underestimated health concern that warrants further attention to enable continued care for patients and successful careers after events. Experiences are magnified by unsupportive work environments, and are evident in increased hostility, blaming, fear of punishment, and reputational harm. While these HCPs require support to enable them to recover and learn from their involvement, the resources provided by healthcare organizations are varied and often inadequate. There is limited comprehension of the support needed by the HCP following involvement in adverse events.

METHODS

A qualitative, exploratory, descriptive, and contextual research design was used. A total of 16 nurses and 12 managers from the public hospitals were purposively selected. Data was collected by means of semi-structured interviews which were digitally recorded and transcribed verbatim. Data was analysed using thematic analysis [1].

RESULTS

The results revealed that there are variations regarding what was perceived as support from the healthcare professionals involved and the managers. The participants revealed that hospitals have no structures in place, others affirmed unstructured and unsystematic support. However, the managers confirmed otherwise stating the availability of required support, and citing the services were custom made for the patients involved and their relatives.

CONCLUSION

This study provides better understanding of the perspectives of HCP regarding following adverse events in three public hospitals in Gauteng.