{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T21:16:31Z","timestamp":1783718191460,"version":"3.55.0"},"reference-count":0,"publisher":"Universidad de Santander - UDES","issue":"2","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["udes.edu.co"],"crossmark-restriction":true},"short-container-title":["Rev Cuid"],"published-print":{"date-parts":[[2026,6,26]]},"abstract":"<jats:p>Introduction:  Healthcare-related  incidents  affect  both  patients  and  professionals  involved.  The  impact  on  these  professionals,  known  as  \u201csecond  victims,\u201d  is  one  of  the  major  hidden  burdens  of  harm.  Objective: To   analyze   the   concept   of   the   \u201csecond   victim\u201d   from   Rodgers\u2019  evolutionary  perspective.  Materials  and  Methods:  This  study conducted a concept analysis based on Rodgers\u2019 evolutionary perspective, using a scoping review to identify attributes, antecedents, consequences,  surrogate  terms,  and  related  concepts  associated  with  the  \u201csecond  victim\u201d  concept.  Results:  The  attributes  of  the  \u201csecond  victim\u201d  concept  involve  persistent  physical,  emotional,  and  psychological consequences.  Antecedents include a punitive culture and  a  lack  of  institutional  and  peer  support.  Consequences  include  sleep  disorders,  anger,  fear,  sadness,  shame,  intrusive  memories,  anxiety,    depression,    isolation,    absenteeism,    and    leaving    the    profession.  Related  terms  include  patient  safety  and  mental  health,  while  surrogate  terms  include  the  \u201csecond  victim  phenomenon\u201d  and  \u201csecond  victim  syndrome\u201d.  Discussion:  Punitive  environments  exacerbate  negative  impacts,  undermine  patient  safety,  promote  error  concealment,  and  increase  underreporting,  thereby  hindering  organizational  learning  and  the  correction  of  failures.  Conclusion: The  \u201csecond  victim\u201d  concept  refers  to  healthcare  workers,  scholars,  and  administrative  or  support  staff  who  are  directly  or  indirectly  involved in patient care and who,  when involved in an unintentional healthcare-related    incident,    manifest    physical,    emotional,    and    psychological  reactions  with  repercussions  across  biopsychosocial,  ethical, and legal dimensions. Without adequate and timely support, these reactions can become chronic and, eventually, pathological.Keywords:Patient Safety; Occupational Health; Concept Formation.<\/jats:p>","DOI":"10.15649\/cuidarte.5000","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T21:26:13Z","timestamp":1782509173000},"page":"1-18","update-policy":"https:\/\/doi.org\/10.15649\/cuidarte.crossmark","source":"Crossref","is-referenced-by-count":0,"title":["Second   victim:   a   concept   analysis   based   on   Rodgers\u2019 evolutionary model"],"prefix":"10.15649","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4188-0115","authenticated-orcid":false,"given":"Matheus","family":"Tavares Fran\u00e7a da Silva","sequence":"first","affiliation":[{"name":"Master's     student,     Graduate     Program     in    Clinical    Nursing    and    Health    Care,    Universidade       Estadual       do       Cear\u00e1,       Fortaleza, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8511-3471","authenticated-orcid":false,"given":"Caroliny Cristine","family":"dos Santos Mendes","sequence":"additional","affiliation":[{"name":"Registered  Nurse,  Universidade  Estadual  do      Cear\u00e1,      Fortaleza,      Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5060-0202","authenticated-orcid":false,"given":"Rebeca","family":"Furtado Fernandes","sequence":"additional","affiliation":[{"name":"Master's     student,     Graduate     Program     in  Clinical  Care  in  Nursing  and  Health,  Universidade       Estadual       do       Cear\u00e1,       Fortaleza,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3902-8046","authenticated-orcid":false,"given":"Sherida Karanini","family":"Paz de Oliveira","sequence":"additional","affiliation":[{"name":"PhD,  Professor,  Universidade  Estadual  do  Cear\u00e1,  Fortaleza,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3406-9685","authenticated-orcid":false,"given":"Rhanna Emanuela","family":"Fontenele Lima de Carvalho","sequence":"additional","affiliation":[{"name":"PhD,  Professor,  Universidade  Estadual  do  Cear\u00e1,   Fortaleza,   Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6285","published-online":{"date-parts":[[2026,6,26]]},"container-title":["Revista Cuidarte"],"original-title":["Segunda  v\u00edtima:  an\u00e1lise  de  conceito  fundamentada  no  modelo  evolucion\u00e1rio  de  Rodgers"],"link":[{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/download\/5000\/3947","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/download\/5000\/3950","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/download\/5000\/3951","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/download\/5000\/3952","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/download\/5000\/3952","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T20:56:18Z","timestamp":1783716978000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/view\/5000"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,26]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,6,26]]},"published-print":{"date-parts":[[2026,6,26]]}},"URL":"https:\/\/doi.org\/10.15649\/cuidarte.5000","relation":{},"ISSN":["2216-0973","2346-3414"],"issn-type":[{"value":"2216-0973","type":"print"},{"value":"2346-3414","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,26]]}}}