Debriefing After Critical Events Is Feasible and Associated With Increased Compassion Satisfaction in the Pediatric Intensive Care Unit.

Autor: Nerovich C; Courtney Nerovich is a registered nurse at Ann & Robert H. Lurie Children's Hospital of Chicago, Illinois., Derrington SF; Sabrina F. Derrington is an attending critical care physician and the Director of the Center for Bioethics at Children's Hospital Los Angeles, California. She is an associate professor of clinical pediatrics at the Keck School of Medicine of the University of Southern California, Los Angeles., Sorce LR; Lauren R. Sorce is a nurse scientist in the pediatric intensive care unit at Ann & Robert H. Lurie Children's Hospital of Chicago and an assistant professor at Northwestern University Feinberg School of Medicine, Chicago, Illinois., Manzardo J; Jim Manzardo is a chaplain in the pediatric intensive care unit and a clinical care coordinator of the spiritual care services team at Ann & Robert H. Lurie Children's Hospital of Chicago., Manworren RCB; Renee C. B. Manworren is the Director of Nursing Research and Professional Practice and the Posy and Fred Love Chair in Nursing Research, Ann & Robert H. Lurie Children's Hospital of Chicago. She is an associate professor of pediatrics and Chair of the Women's Faculty Organization, Northwestern University Feinberg School of Medicine.
Jazyk: angličtina
Zdroj: Critical care nurse [Crit Care Nurse] 2023 Jun 01; Vol. 43 (3), pp. 19-27.
DOI: 10.4037/ccn2023842
Abstrakt: Background: Repeated exposure to death and dying increases health care professionals' risk for burnout and secondary traumatic stress. Pediatric critical care providers are at particularly high risk because the death and dying of children are associated with even greater psychological impact.
Local Problem: A charge nurse in the pediatric intensive care unit identified a need for additional staff support after critical patient events.
Methods: The aim of this quality improvement project was to design and implement a debriefing process, the Rapid Review of Resuscitation, in a 40-bed, high-acuity pediatric intensive care unit at an urban children's hospital in the midwestern United States. A preintervention-postintervention survey used the Professional Quality of Life Scale, version 5, to evaluate staff members' compassion satisfaction, burnout, and secondary traumatic stress before and 1 year after implementation. The debriefing process was designed and implemented on the basis of interview data and literature review.
Results: Preimplementation (104 of 222 staff members [47%]) and postimplementation (72 of 184 staff members [39%]) survey responses were compared. Compassion satisfaction scores (mean [SD] T scores: preimplementation, 54.10 [7.52]; postimplementation, 56.71 [6.62]) were significantly higher (P = .02) 1 year after implementation. Burnout (P = .69) and secondary traumatic stress (P = .06) scores were not significantly different. After implementation, 74% of respondents reported that the debriefing process was "very helpful" or "somewhat helpful" after critical patient events.
Conclusions: Compassion satisfaction improved and burnout and secondary traumatic stress did not change with implementation of the debriefing process after critical patient events.
(©2023 American Association of Critical-Care Nurses.)
Databáze: MEDLINE
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