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SECOND VICTIM: SUPPORT FOR THE HEALTHCARE TEAM

Chitwood, Tara Marshall
http://rave.ohiolink.edu/etdc/view?acc_num=casednp1554820138107259

Abstract Details

2019, Doctor of Nursing Practice , Case Western Reserve University, School of Nursing.
Abstract Many healthcare institutions have implemented second victim support programs, but there are no published findings on the effectiveness of the programs. It is vital to have published findings of successful second victim program content, implementation, and evaluation for healthcare organizations to have supportive services and positive outcomes for second victims. Carilion Clinic instituted The TRUST Team (TTT), a second victim support program, in spring 2014. Evaluation of TTT had not been performed. The purpose of the project was to evaluate the effectiveness of TTT and to describe how TTT’s services affected health care team members’ desire to remain in their profession after an adverse event or medical error. The program evaluation used survey research to conduct a simultaneous pre-post survey on healthcare team members that were referred to The TRUST Team. The program evaluation used a demographic questionnaire and the Second Victim Experience and Support Tool (SVEST) survey plus four additional items. The survey was sent anonymously to 307 Carilion Clinic healthcare team members who had received a TTT referral after an adverse event or medical error. Data was collected over four weeks. Thirty-nine healthcare team members responded to the survey. Out of 39 responses, 16 responses met the inclusion criteria. There was no significant difference in pre-post survey data in the dimensions of physical support, colleague support, supervisor, institutional support, and professional self-efficacy or the variable of absenteeism after receiving support from TTT. There was statistical significance in the dimension of psychological distress and the variable, job retention after receiving TTT support. Fifteen out of 16 respondents rated their experience with the TTT as moderately to extremely satisfied. Three qualitative questions were added to the post-survey. Survey respondents reported they stayed in their positions because of the supportive environment. One respondent reported that TTT, “prevented me from ending my life.” Improvement to TTT support services could be accomplished by increasing the availability of services during all hours, a quicker response time for support to the second victim was needed, and improved awareness about services. Recommendations for further evaluations are needed after implementation of changes.
Deborah Lindell, DNP, MSN, RN, CNE, ANEF, FAAN (Committee Chair)
Mary Dolansky, Ph.D., RN (Committee Member)
Catherine Hiler, DNP, RN (Committee Member)
Neely Conner, LCSW, LSATP, CEAP, ACC (Committee Member)
94 p.
Health Care; Nursing
second victim; program evaluation; adverse events; medical error; culture of safety; resilience; coping; medication error

Recommended Citations

Citations

  • Chitwood, T. M. (2019). SECOND VICTIM: SUPPORT FOR THE HEALTHCARE TEAM [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1554820138107259

    APA Style (7th edition)

  • Chitwood, Tara. SECOND VICTIM: SUPPORT FOR THE HEALTHCARE TEAM. 2019. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=casednp1554820138107259.

    MLA Style (8th edition)

  • Chitwood, Tara. "SECOND VICTIM: SUPPORT FOR THE HEALTHCARE TEAM." Doctoral dissertation, Case Western Reserve University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1554820138107259

    Chicago Manual of Style (17th edition)

casednp1554820138107259
869
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This open access ETD is published by Case Western Reserve University Doctor of Nursing Practice and OhioLINK.