A1 Journal article (refereed)
Interventions to support nurses as second victims of patient safety incidents : A qualitative study of nurse managers' perceptions (2023)


Järvisalo, P., Haatainen, K., Von Bonsdorff, M., Turunen, H., & Härkänen, M. (2023). Interventions to support nurses as second victims of patient safety incidents : A qualitative study of nurse managers' perceptions. Journal of Advanced Nursing, Early View. https://doi.org/10.1111/jan.16013


JYU authors or editors


Publication details

All authors or editorsJärvisalo, Paula; Haatainen, Kaisa; Von Bonsdorff, Monika; Turunen, Hannele; Härkänen, Marja

Journal or seriesJournal of Advanced Nursing

ISSN0309-2402

eISSN1365-2648

Publication year2023

Publication date10/12/2023

VolumeEarly View

PublisherWiley-Blackwell

Publication countryUnited Kingdom

Publication languageEnglish

DOIhttps://doi.org/10.1111/jan.16013

Publication open accessOpenly available

Publication channel open accessPartially open access channel

Publication is parallel published (JYX)https://jyx.jyu.fi/handle/123456789/92638


Abstract

Aims
To describe nurse managers' perceptions of interventions to support nurses as second victims of patient safety incidents and to describe the management of interventions and ways to improve them.

Design
A qualitative study using interviews.

Methods
A purposive sample of nurse managers (n = 16) recruited from three hospital districts in Finland was interviewed in 2021. The data were analysed using elements of inductive and deductive content analysis.

Results
The study identified three main categories: (1) Management of second victim support, which contained three sub-categories related to the nurse manager's role, support received by the nurse manager and challenges of support management; (2) interventions to support second victims included existing interventions and operating models; and (3) improving second victim support, based on the sub-categories developing practices and developing an open and non-blaming patient safety culture.

Conclusion
Nurse managers play a crucial role in supporting nurses as second victims of patient safety incidents and coordinating additional support. Operating models for managing interventions could facilitate nurse managers' work and ensure adequate support for second victims. The support could be improved by increasing the awareness of the second victim phenomenon.

Implications for the Profession and Patient Care
Mitigating the harmful effects of patient safety incidents can improve nurses' well-being, reduce burden and attrition risks and positively impact patient safety.

Impact
Increasing awareness of the second victim phenomenon and coherent operation models would provide equal support for the nurses and facilitate nurse managers' work.

Reporting Method
COREQ checklist was used.

What does this paper contribute to the wider global clinical community?
Nurse managers' role is significant in supporting the second victims and coordinating additional support.
Awareness of the second victim phenomenon and coherent operating models can secure adequate support for the nurses and facilitate nurse managers' work.


Keywordsinterventionnursespatient security

Free keywordsinterventions; nurse; nurse manager; patient safety incidents; second victim; support


Contributing organizations


Ministry reportingYes

Reporting Year2023

JUFO rating3


Last updated on 2024-15-06 at 21:46