The First Aid Debriefing a tool for the improvement of nursing clinical practice
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Abstract
Background: The Emergency Room is a highly stressful environment because one must work with patients that are often in critical condition and in a life threatening situation. This environment can influence the medical staff in a negative way, affecting the ability to provide the right care and treatment. Recent studies have proven that, in this environment, a debriefing could bring changes in both the staff behavior and the outcome of the patient, through the analysis of the clinical situation.
Goal: To analyze the opinions of nurses who are working in the Emergency Room regarding the use of debriefing after experiencing this environment.
Type of Study: Descriptive Study.
Methods: This study involves all the nurses working in the Emergency Room at the Ospedale dell’Angelo. From July to August 2016, data was collected through a semi-structured 9 to 10 question interview. This interview had questions that focused on the nurse’s level of knowledge, methods, and experience with regards to debriefing.
Results: Results show that 83% of the staff has knowledge of debriefing. All the nurses agreed on the positive impact of this tool, which helps in analyzing the clinical cases, reviewing how they have been handled, highlighting the correct procedures and revealing areas for improvement. Finally, all of the nurses would like the debriefing practice to be introduced in the clinical daily life.
Discussion: Although debriefing is recognized to be a powerful tool in literature that brings new knowledge and behavior in future clinical practice, research suggests that the tool is rarely utilized in practice currently. Also, findings show that there is a lack of experts in this field that can implement a debriefing in the correct way.
Conclusions: Further studies would be necessary in order to define guidelines implementing a debriefing in this environment.
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References
Mullan PC, Wuestner E, Kerr TD, Christopher DP, & Patel B. Implementation of an in situ qualitative debriefing tool for resuscitations. Resuscitation, 2013, 84(7): 946 – 951.
Fanning RM, Gaba DM. The role of debriefing in simulation based learning. Simul Healthc, 2007 Summer 2(2): 115 – 125.
Knowles M. The Modern Practice of adult education: From Pedagogy to Andragogy. San Francisco, CA: Jossey-Bass, 1980: 44 – 45.
Schön DA. Il professionista riflessivo. Bari: Italia, Edizione Dedalo; 1993.
Shore H. After compression, time for decompression: debriefing after significant clinical events. Infant, 2014, 10(4), 117 – 119.
Maloney C. Critical Incident Stress Debriefing and Pediatric Nurses: An approach to support the work environment and mitigate negative consequences. Pediatr Nurs. 2012, 38(2): 110-113.
Robbins I. The psychological impact of working in the emergencies and the role of debriefing. J Clin Nurs, 1999, 8: 263-268.
Healy S, & Tyrrell M. Importance of debriefing following critical incidents. Emerg Nurse, 2013, 20(10): 32-37.
American Heart Association. Guidelines 2015 CPR & ECC. Sintesi dell’aggiornamento delle linee guida 2015 per CPR ed ECC. Disponibile su https://eccguidelines.heart.org/wp-content/uploads/2015/10/2015-AHA-Guidelines-Highlights-Italian.pdf [ultima consultazione 21.09.2018];
Schmidt M, Haglund K. Debrief in Emergency Departments to Improve Compassion Fatigue and Promote Resiliency. J Trauma Nurs, 2017, 24(5): 317 – 322.
Ireland S, Gilchrist J, Maconochie I. Debriefing after failed paediatric resuscitation: a survey of current UK practice. Emerg Med J, 2008, 25: 328 – 330.
Theophilos T, Magyar J, Babl FE. Debriefing critical incidents in the paediatric emergency department: current practice and perceived needs in Australia and New Zealand. Emerg Med Australas, 2009, 21(6): 479 – 483.
Kessler DO, Cheng A, & Mullan PC. Debriefing in the emergency department after clinical events: A practical guide. Ann Emerg Med, 2015, 65(6): 690 – 698.
Maloney C. Critical Incident Stress Debriefing and Pediatric Nurses: An approach to support the work environment and mitigate negative consequences. Pediatr Nurs, 2012, 38(2): 110 – 113.
Mullan PC, Kessler DO, & Cheng A. Educational opportunities with post-event debriefing. JAMA, 2014, 312(22): 2333 – 2334.
Zigmont JJ, Kappus LJ, & Sudikoff SN. The 3D model of debriefing: Defusing, discovering, and deepening. Semin Perinatol, 2011 35(2): 52 – 58.
Sandhu N, Eppich W, Mikrogianakis A, Grant V, Robinson T, Cheng A. Postresuscitation debriefing in the pediatric emergency department: a national needs assessment. CJEM. 2014, 16(5): 383 – 92.
Wolfe H, Zebuhr C, Topjian AA, Nishisaki A, Niles DE, Meaney A, Boyle L, Giordano RT, Davis D, Priestley M, Apkon M, Berg RA, Nadkarni VM, & Sutton RM. Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes. Crit Care Med. 2014: 42(7), 1688 – 1695.
Gardner R. Introduction to debriefing. Semin Perinatol. 2013: 37(3), 166 – 174.