Grief reactions and coping strategies of trainee doctors working in paediatric intensive care

Robert Ffrench-O'Carroll1, Tara Feeley1, Suzanne Crowe1

  • 1Anaesthetic Department, Our Lady's Children's Hospital Crumlin, Dublin, Ireland.

Insights

Pediatric intensive care unit (PICU) trainee doctors experience significant emotional distress and grief following a child's death. They reported limited coping strategies and a need for enhanced professional support and debriefing.

Area of Science:

  • Medical Education
  • Pediatric Critical Care
  • Psychological Impact of Patient Death

Background:

  • Child mortality in pediatric intensive care units (PICU) can profoundly affect physicians.
  • Trainee doctors in PICU settings are particularly susceptible to the emotional toll of patient death.

Purpose of the Study:

  • To investigate the emotional impact and grief experienced by PICU trainee doctors after a child's death.
  • To identify coping mechanisms employed by these trainees.
  • To explore the need for professional support and debriefing.

Main Methods:

  • A prospective, cross-sectional, observational study utilizing anonymized written questionnaires.
  • Assessment of grief severity using the Texas Revised Inventory of Grief.
  • Evaluation of emotional impact with the Impact of Event Scale and coping strategies via the BriefCOPE tool.

Main Results:

  • A subset of trainee doctors (7% severe grief, 18% severely affected) experienced significant emotional reactions.
  • Common themes included sadness, helplessness, guilt, shock, and concern for families.
  • Talking with peers was the primary coping strategy; requests for formal debriefing and psychological support were frequent.

Conclusions:

  • Pediatric deaths trigger substantial grief and emotional responses in PICU trainees.
  • Trainee doctors identified a deficit in professional support and structured debriefing processes.
Abstract

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