BONE break: a hot debrief tool to reduce second victim syndrome for nurses.

"Second victim syndrome" occurs when an adverse event or error has a negative emotional impact on involved staff, including shame, depression, and loss of confidence. This article describes a debriefing tool for nurses who have just experienced an adverse event. The tool, BONE Break (Buoy/Break, Open-Up, Needs, Exit/Evaluate), is intended to be used as soon as possible after the event to provide peer support to the impacted nurse.