Date of Graduation

Spring 5-14-2020

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




Population Health Leadership

First Advisor

Robin Buccheri

Second Advisor

Sara Horton-Deutsch



Problem: The second victim phenomenon is one in which healthcare providers use dysfunctional mechanisms, such as anger, projection of blame, or drugs and/or alcohol to cope with serious mistakes in the absence of a healthier means for healing (Wu, 2000). This phenomenon can be caused by adverse events or other personal/professional crises and can lead to healthcare professional absenteeism, leaving the job or leaving the profession altogether (Burlison et al., 2018; Hirschinger et al., 2015).

Context: The second victim phenomenon was identified as a problem within this DNP student’s organization and support was obtained for conducting the project. A conceptual framework was designed using Watson’s theory of transpersonal caring science, Conti-O’Hare’s theory of nurse as wounded healer, and Scott’s three-tier interventional model of second victim support. This framework guided the provisions of support to clinical employees following an adverse traumatic clinical event and/or other personal or professional crises.

Interventions: This project consisted of the development of a Caritas peer support program wherein Caritas first aid was provided to clinicians following adverse traumatic clinical events or personal/professional crises.

Measures: Qualitative and quantitative methods were utilized to collect data through surveys, meetings, and interviews with clinical employees throughout the course of this project.

Results: This DNP project utilized authentic transpersonal caring practices to support clinician wellbeing.

Included in

Nursing Commons