Related Experiment Video
Updated: Jan 27, 2026

Monitoring Lung Function with Electrical Impedance Tomography in the Intensive Care Unit
Published on: September 6, 2024
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.
Background:
The death of a child can have significant emotional effects on doctors responsible for their care. Trainee doctors working in the paediatric intensive care unit (PICU) may be particularly vulnerable. The aim of this study was to examine the emotional impact of, and grief reactions to, a child's death in PICU trainee doctors, along with coping strategies they used.
Methods:
In a prospective, cross-sectional, observational study, qualitative and quantitative data were recorded on anonymised, written questionnaires. Grief severity was assessed using the Texas Revised Inventory of Grief. Emotional impact was assessed using the shortened Impact of Event Scale. The BriefCOPE tool was used to assess coping strategies. Qualitative data was analysed using conventional content analysis. Data are presented as median (inter-quartile range) or number (%).
Results:
All invited trainee doctors (23 anaesthetists; 5 paediatricians) completed the questionnaire (age, 30 [29-34] yr; 13/28 [46%] female). Two (7%) doctors experienced severe grief (Texas Revised Inventory of Grief score <39), with five (18%) doctors severely affected by the deaths as measured by the Impact of Event Scale. Qualitative analysis revealed prominent themes of sadness, helplessness, guilt, shock, and concern for the bereaved family. There was limited use of coping strategies. Speaking with another trainee doctor was the principal coping strategy. Requests for debriefing sessions, greater psychological support and follow-up with the patient's family were frequently suggested.
Conclusions:
Paediatric deaths evoke significant grief and emotional reactions in a subset of PICU trainee doctors. Trainee PICU doctors highlighted a lack of professional support and tailored debriefs.
More Related Videos
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
09:57A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
Related Concept Videos
Coping Strategies: Problem Focused
For example, consider a student who struggles to understand their...
Coping Strategies: Emotion Focused
Amines to Alkenes: Cope Elimination
Sound Intensity
Sound Intensity Level
The human ear can perceive an extensive range of sound intensity, necessitating the use of the logarithmic scale to define a physical quantity—the intensity level. It is a ratio of two intensities and...
Measuring Reaction Rates