<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2409-8752</journal-id>
<journal-title><![CDATA[Revista Científica de la UCSA]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. ciente. UCSA]]></abbrev-journal-title>
<issn>2409-8752</issn>
<publisher>
<publisher-name><![CDATA[Universidad del Cono Sur de las Américas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2409-87522025000300073</article-id>
<article-id pub-id-type="doi">10.18004/ucsa/2409-8752/2025.012.03.073</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fenómeno de las segundas víctimas en enfermeros de un servicio de cuidados críticos de adultos en Paraguay. 2025]]></article-title>
<article-title xml:lang="en"><![CDATA[Second victim phenomenon among nurses in an adult critical care unit in Paraguay. 2025]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez-Alcaraz]]></surname>
<given-names><![CDATA[Juan José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortigoza-de Nuñez]]></surname>
<given-names><![CDATA[Luz María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[Ramona]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira-Valdez]]></surname>
<given-names><![CDATA[Viviana Celeste]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Enfermería y Obstetricia Dirección de Postgrado]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad del Cono Sur de las Américas Facultad de Humanidades Carrera de Psicología]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>12</volume>
<numero>3</numero>
<fpage>73</fpage>
<lpage>81</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2409-87522025000300073&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2409-87522025000300073&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2409-87522025000300073&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Introducción: El fenómeno de las segundas víctimas hace referencia a las consecuencias emocionales, psicológicas y profesionales que experimentan los trabajadores de salud tras un evento adverso. Este impacto es particularmente relevante en contextos de alta exigencia como las unidades de cuidados críticos. Objetivo: Describir la frecuencia y características del fenómeno de las segundas víctimas en profesionales de enfermería de un servicio de cuidados críticos de adultos de un Hospital Público de Paraguay, en el año 2025. Materiales y métodos: Estudio observacional, descriptivo y transversal, con enfoque cuantitativo. Se incluyeron 88 profesionales de enfermería mediante muestreo no probabilístico por conveniencia. Se utilizó un instrumento estructurado, validado por expertos, que indagó aspectos sociodemográficos, experiencias de eventos adversos, impacto emocional, apoyo institucional y estrategias de afrontamiento. El análisis se realizó con SPSS v.23. Resultados: El 55,7 % de los participantes reportó haber estado involucrado en al menos un evento adverso en los últimos tres años. Las emociones más frecuentes fueron ansiedad 38,7 %, tristeza 38,7 %, miedo (24,5 %) y culpa (22,4 %). El 100 % de quienes vivieron un evento adverso refirieron alguna afectación en su desempeño laboral, siendo leve en el 38,7 % y significativa en el 26,5 %. El 55,1 % buscó contención en colegas y solo el 22,4 % recibió apoyo institucional formal. El 36,7 % afirmó que su institución no cuenta con protocolos para apoyar a segundas víctimas y el 34,7 % lo desconocía. Conclusión: El fenómeno de las segundas víctimas está presente de forma mayoritaria entre los enfermeros del servicio de cuidados críticos. Se evidencian necesidades de contención emocional y fortalecimiento de estrategias institucionales para su abordaje.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Introduction: The second victim phenomenon refers to the emotional, psychological, and professional consequences experienced by healthcare workers following an adverse event. This impact is particularly relevant in high-demand settings such as critical care units. Objective: To describe the frequency and characteristics of the second victim phenomenon among nursing professionals working in an adult critical care unit of a public university hospital in Paraguay in 2025. Materials and methods: Observational, descriptive, and cross-sectional study with a quantitative approach. A total of 88 nursing professionals were included through non-probabilistic convenience sampling. A structured, expert-validated instrument was used to collect sociodemographic data, experiences with adverse events, emotional impact, institutional support, and coping strategies. Data were analyzed using SPSS v.23. Results: 55.7 % of participants reported having been involved in at least one adverse event in the past three years. The most frequently reported emotions were anxiety (38.7 %), sadness (38.7 %), fear (24.5 %), and guilt (22.4 %). All participants who experienced an adverse event reported some degree of impact on their professional performance-38.7 % mild and 26.5 % significant. While 55.1 % sought support from colleagues, only 22.4 % received formal institutional support. Additionally, 36.7 % stated that their institution lacked protocols to support second victims, and 34.7 % were unaware of their existence. Conclusion: The second victim phenomenon is highly prevalent among nurses working in critical care services. The findings highlight the need for emotional support and the strengthening of institutional strategies to address this issue.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Segunda víctima]]></kwd>
<kwd lng="es"><![CDATA[Eventos adversos]]></kwd>
<kwd lng="es"><![CDATA[Enfermería en Cuidados críticos]]></kwd>
<kwd lng="es"><![CDATA[Apoyo Psicosocial]]></kwd>
<kwd lng="es"><![CDATA[Salud mental]]></kwd>
<kwd lng="en"><![CDATA[Second victim]]></kwd>
<kwd lng="en"><![CDATA[Adverse events]]></kwd>
<kwd lng="en"><![CDATA[Critical care nursing]]></kwd>
<kwd lng="en"><![CDATA[Psychosocial support]]></kwd>
<kwd lng="en"><![CDATA[Mental health]]></kwd>
</kwd-group>
</article-meta>
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