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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

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Addressing Compassion Fatigue in Trauma Emergency and Intensive Care Settings: A Pilot Study.

Katherine E Beres¹, Lisa M Zajac, Heidi Mason

¹University of Michigan School of Nursing, Ann Arbor.

Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses

|July 8, 2022

Summary

Structured debriefing sessions are feasible for emergency and intensive care professionals experiencing compassion fatigue after patient death. Further research is needed to confirm their effectiveness in reducing burnout and improving job satisfaction.

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Area of Science:

Emergency Medicine
Intensive Care
Trauma Care
Healthcare Professional Well-being

Background:

Healthcare professionals in emergency and intensive care settings face significant emotional distress, including exhaustion and helplessness.
Compassion fatigue, if unaddressed, negatively impacts healthcare staff morale and patient safety.
Structured debriefing sessions offer a potential avenue for social support and increased job satisfaction, thereby mitigating compassion fatigue.

Purpose of the Study:

To assess the feasibility of implementing a 12-week pilot program of structured debriefing sessions.
To evaluate the impact of these sessions on compassion fatigue among emergency and intensive care healthcare professionals following patient death.

Main Methods:

A 12-week pilot study utilizing a preintervention/postintervention design was conducted from March 2021 to May 2021.
The study included trauma healthcare professionals in an urban, academic, Level II trauma center.
Compassion fatigue was measured using the Professional Quality of Life Measure survey, with statistical analyses including univariate descriptive statistics, independent unpaired t tests, and χ2 tests.

Main Results:

Fifty-six healthcare professionals participated in 20 debriefing sessions, covering 38% of patient deaths.
The participants included registered nurses, respiratory therapists, nursing assistants, and emergency medical technicians.
No statistically significant differences were observed in burnout, secondary traumatic stress, or compassion satisfaction post-intervention.

Conclusions:

Structured debriefing sessions are a feasible intervention for addressing compassion fatigue in trauma healthcare professionals.
While feasible, the study indicates a need for further research to establish the effectiveness of structured debriefings in reducing compassion fatigue.
Administrative support for emotional well-being strategies is crucial for helping healthcare professionals manage work-related stress.