Bmjopen case study

Background Second victims are healthcare workers who experience emotional distress following patient adverse events. Studies indicate the need to develop organisational support programmes for these workers. Objective To describe the development of RISE and evaluate its initial feasibility and subsequent implementation. Programme phases included 1 developing the RISE programme, 2 recruiting and training peer responders, 3 pilot launch in the Department of Paediatrics and 4 hospital-wide implementation. Methods Mixed-methods study, including frequency counts of encounters, staff surveys and evaluations by RISE peer responders. Descriptive statistics were used to summarise demographic characteristics and proportions of responses to categorical, Likert and ordinal scales.

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BMJ Open trials Penelope | BMJ Open

We are pleased to announce that, beginning today, BMJ Open will be providing authors with the option to trial Penelope. Penelope is an automated online tool that checks scientific manuscripts for completeness and gives immediate feedback to authors. It has been customised to BMJ Open guidelines to help authors prepare for submission. Authors have the ability to access Penelope via a link that we have included on the login page of the BMJ Open submission system. Authors provide the tool with a Word file and within minutes will receive feedback regarding aspects of a manuscript that require improvement, linking to additional resources when necessary. It is our hope that Penelope makes the submission process easier while also improving the reporting quality of submitted manuscripts. We hope you find Penelope useful and welcome any feedback regarding your experience.

Case study: The impact of a healthy lifestyle on our health

Objectives: To investigate the relationship between lean adoption and problem-solving behaviour in nursing teams, and to explore the practices of lean leaders on nursing wards to reveal how they can stimulate second-order problem-solving within their teams. Design: A mixed-methods retrospective multiple case study using semistructured interviews. Interview data were used to assess the level of lean maturity based on a customised validated instrument and the level of second-order problem-solving based on scenarios. Within-case and cross-case analyses were employed to identify lean leadership practices. Setting: 14 nursing teams, with different levels of lean maturity, in a Dutch hospital.
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