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Case: A Second Victim Support Program in Pediatrics: Successes and Challenges to Implementation.

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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.

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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.