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A Mixed Methods Needs Assessment for a Debriefing Intervention Following Critical Cases.

Arshad J Jiffry1, Christine S Cho1, Anita R Schmidt2

  • 1Division of Emergency and Transport Medicine (AJ Jiffry, CS Cho, AR Schmidt, PK Pham, and AL Nager), Children's Hospital Los Angeles, Los Angeles, Calif; Department of Pediatrics (AJ Jiffry, CS Cho, and AL Nager), Keck School of Medicine, University of Southern California, Los Angeles, Calif.

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This summary is machine-generated.

Pediatric emergency department (PED) staff experience significant stress after critical events. Formal debriefing may reduce this stress, but implementation requires careful consideration of timing and format.

Keywords:
debriefingmixed methodsneeds assessmentpediatric emergency department

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Area of Science:

  • Emergency Medicine
  • Pediatric Critical Care
  • Occupational Health Psychology

Background:

  • The pediatric emergency department (PED) is a high-stress environment.
  • Critical events in the PED contribute significantly to staff stress.
  • Information on effective debriefing strategies for PED staff is limited.

Purpose of the Study:

  • To assess the emotional impact of critical events on PED staff.
  • To explore PED staff opinions on the utility and implementation of debriefing.
  • To inform the development of targeted stress-reduction interventions.

Main Methods:

  • Mixed methods convergent design study.
  • Quantitative Peritraumatic Distress Inventory (PDI) administration post-critical cases.
  • Qualitative analysis of open-ended questionnaire responses on debriefing.

Main Results:

  • Staff reported significant physical and emotional distress, including stress, anxiety, fatigue, helplessness, and grief.
  • Qualitative data corroborated PDI findings, highlighting themes of overwhelm and sadness.
  • Variability in critical case severity influenced staff desire for debriefing.

Conclusions:

  • PED staff experience measurable stress following critical patient cases.
  • Formal debriefing, with specific considerations for timing and setting, may alleviate staff stress.
  • Debriefing programs must balance diverse needs and logistical factors.