Case: A Second Victim Support Program in Pediatrics: Successes and Challenges to Implementation
Vadim Dukhanin1, Hanan H Edrees2, Cheryl A Connors3
1Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Journal of Pediatric Nursing
|February 4, 2018
Summary
The Resilience In Stressful Events (RISE) program effectively supports healthcare workers after stressful events. Organizational culture is key to implementing and evaluating these second victim support initiatives.
Area of Science:
- Healthcare worker well-being
- Patient safety
- Organizational psychology
Background:
- Healthcare workers experiencing stressful patient-related events, known as second victims, require targeted support.
- The Resilience In Stressful Events (RISE) program was implemented at Johns Hopkins Hospital to address this need.
Purpose of the Study:
- To evaluate the effectiveness of the RISE peer support program for second victims.
- To identify barriers and facilitators in addressing the needs of healthcare workers involved in stressful patient events.
Main Methods:
- A mixed-method approach was employed, combining quantitative surveys and qualitative content analysis.
- Surveys assessed healthcare workers' awareness and use of support structures before and after RISE implementation.
- Content analysis examined open-ended feedback on support experiences and program effectiveness.
Main Results:
- Post-RISE implementation, healthcare workers showed increased likelihood of contacting organizational support and greater awareness of available resources.
- A significant majority (93%) would recommend RISE to colleagues.
- Identified barriers included overcoming blame culture, promoting the initiative, and insufficient staff time for adverse event management.
Conclusions:
- The RISE program demonstrated effectiveness in supporting pediatric healthcare workers experiencing stressful events.
- Organizational culture significantly influences the successful implementation and evaluation of second victim support programs.
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