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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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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