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Development and evaluation of an external second victim support program for nurses: a single-group feasibility study.

Eun Young Choi1, Jeehee Pyo2,3, Minsu Ock4,5

  • 1Department of Nursing, Chung-Ang University, Seoul, Republic of Korea.

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|September 28, 2024
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Summary

This study developed an external support program for nurses experiencing patient safety incidents. The program proved feasible and acceptable, significantly reducing psychological distress for nurses acting as second victims.

Keywords:
FeasibilityNursesPatient safety incidentsPsychological supportSecond victim

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Area of Science:

  • Nursing
  • Patient Safety
  • Mental Health Support

Background:

  • Nurses involved in patient safety incidents often require psychological support.
  • Existing internal support programs can be slow to implement.
  • There is a need for accessible external support programs for nurses experiencing adverse events.

Purpose of the Study:

  • To develop an external support program for nurses as second victims.
  • To evaluate the feasibility and acceptability of this novel program.
  • To assess the program's impact on nurses' psychological well-being.

Main Methods:

  • A single-group pretest-posttest design was employed.
  • Nurses were recruited from three hospitals and online platforms.
  • Participants attended three one-on-one counseling sessions.

Main Results:

  • 11 nurses completed the program, with 10 providing pre/post data.
  • High participant satisfaction and willingness to recommend the program were reported.
  • A significant reduction in the Impact of Event Scale-Revised Korean version (IES-R-K) scores was observed (median 30.0 to 16.0, p=0.028).

Conclusions:

  • An external second victim support program is feasible and acceptable for nurses.
  • The program shows potential in alleviating psychological distress.
  • Further controlled trials with larger sample sizes and longer follow-up are recommended.