Construction and multidimensional effect evaluation of a mindfulness-based second victim intervention support...

Area of Science:

• Nursing
• Psychology
• Healthcare Management

Background:

• Intensive care units (ICUs) present high-stress environments, increasing the risk of nurses becoming second victims (SVs).
• Limited research exists on mindfulness interventions for ICU nurses experiencing SV effects, lacking tailored protocols for their specific work scenarios.

Purpose of the Study:

• To develop and assess the efficacy of a mindfulness-based support program for ICU nurses.
• To mitigate the psychological distress and improve the well-being of ICU nurses acting as second victims.

Main Methods:

• A retrospective case-control study compared ICU nurses receiving a mindfulness program (experimental group, n=50) with those receiving routine psychological support (control group, n=54).
• Intervention effectiveness was measured by comparing adverse event incidence, Pittsburgh Sleep Quality Index (PSQI) scores, and Second Victim Experience and Support Tool (SVEST) scores.

Main Results:

• The experimental group showed a 34% decrease in adverse events.
• Nurses in the mindfulness program demonstrated significantly improved sleep quality (PSQI scores decreased from 12.94 to 9.32) compared to the control group (12.76 to 10.72).
• The experimental group had significantly lower SVEST scores (76.18) than the control group (91.52), indicating reduced second victim distress.

Conclusions:

• A mindfulness-based support program is effective in reducing psychological distress for ICU nurses who are second victims.
• The intervention significantly improves sleep quality and enhances overall support for affected nurses.
• This program offers a tailored, effective strategy for supporting ICU nurses in high-stress environments.