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Pediatric Emergency Department Staff Preferences for a Critical Incident Stress Debriefing



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  • Personal Author:
  • Description:
    Introduction: There are significant and negative psychological effects that can occur in nursing staff caring for pediatric patients experiencing critical incidents. Debriefings can provide relief from the stressors caused by critical incidents. Adapting a pre-existing critical incident stress debriefing (CISD) process to ED staff is 1 way to provide staff debriefing. Methods: This qualitative study used an emerging, descriptive design. Focus groups, (n = 3, total participant n = 19), consisting of pediatric emergency nurses and a nursing assistant, met for a minimum of 63 to a maximum of 83 minutes. Participants provided feedback on current debriefing strategies and suggestions for adapting a currently existing critical incident stress- debriefing process. Focus group questions included "Have you participated in a structured debriefing process? If so, tell us about it" and "What would you like to see in a structured debriefing process?" Results: A theoretical orientation content analysis revealed 1 main theme-Clearing the Air and Finding Answers-and 6 subthemes: Current Debriefing Strategies; Positive Reinforcement; Constructive Critique; Clinical, Not Emotional; I've already moved on; and CISD Structure. Discussion: Pediatric ED staff de-stress in a variety of ways, and a nonmandatory, formalized CISD process-open to staff involved and facilitated by an emergency nurse-could provide additional relief from stress. This debriefing process should include positive feedback and critiques to help improve care processes, information about mechanism of injury, and should occur before the end of shift or within 12 to 24 hours of the incident. Staff may deal with personal feelings outside of debriefing. [Description provided by NIOSH]
  • Subjects:
  • Keywords:
  • ISSN:
    0099-1767
  • Document Type:
    Text
  • Funding:
    Grant
  • Genre:
    Journal Article
  • Place as Subject:
  • CIO:
    National Institute for Occupational Safety and Health (NIOSH)
  • Topic:
    Workplace Safety & Health
  • Location:
    North America
  • Pages in Document:
    403-410
  • Volume:
    45
  • Issue:
    4
  • NIOSHTIC Number:
    nn:20059940
  • Citation:
    J Emerg Nurs 2019 Jul; 45(4):403-410
  • Contact Point Address:
    Paul R. Clark, PhD, RN, MA, 555 S. Floyd St.,Office 3019, Louisville, KY, 40292
  • Email:
    Prclar01@louisville.edu
  • Federal Fiscal Year:
    2019
  • Performing Organization:
    University of Louisville
  • Peer Reviewed:
    True
  • Start Date:
    20130901
  • Source Full Name:
    Journal of Emergency Nursing
  • End Date:
    20171231
  • Collection(s):
  • Main Document Checksum:
    urn:sha-512:769cb0d7b37c1d8311ac3e44380c16155cd5b815f3b9f041ae131a208e684936a4af132f50eadb91f7618021264c11e030835b0f60f90682dd18ab01b12fa136
  • Download URL:
  • File Type:
    Filetype[PDF - 705.18 KB ]
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