Cultivating a Resiliency Model for Emergency Department and Intensive Care Unit Staff Through Peer Support: A Program
Robert J Cipriano1, Brenda Shaver, Benjamin Sinyor
1Aventura Hospital and Medical Center, Aventura, Florida (Drs Cipriano, Sinyor, Jafri, and Ochner); Memorial Health Care System, Memorial Regional Hospital, Hollywood, Florida (Ms Shaver); and Nova Southeastern University, Ft Lauderdale, Florida (Dr Van Hasselt).
Emergency and intensive care unit staff face significant trauma. The Adapted Peer Support Resiliency Program (APSRP) uses cognitive-behavioral strategies and peer support to build resilience in these frontline workers.
Area of Science:
- Mental Health
- Occupational Health
- Psychology
Background:
- Emergency department (ED) and intensive care unit (ICU) staff experience high levels of secondary traumatic stress and vicarious trauma.
- Existing clinical efforts to manage this trauma are scarce, despite its significant impact on frontline workers.
- This highlights a critical need for effective interventions to support the mental well-being of healthcare professionals in high-stress environments.
Purpose of the Study:
- To describe the development and implementation of the Adapted Peer Support Resiliency Program (APSRP).
- To promote resilience and provide coping mechanisms for ED and ICU staff exposed to trauma.
- To offer a tailored, evidence-based program utilizing cognitive-behavioral strategies and peer support.
Main Methods:
- The APSRP is a psychoeducational and cognitive reframing program based on the Penn Resilience Program.
- It employs cognitive-behavioral strategies, including cognitive reframing, role-playing, and behavior rehearsal.
- The program was facilitated by a licensed mental health professional and delivered by trained peer support professionals from ED and ICU settings.
Main Results:
- The program's components and model are discussed, focusing on its adaptation for frontline healthcare workers.
- The APSRP aims to equip staff with practical skills to manage psychological distress and enhance coping.
- Implementation involved peer professionals trained in specific cognitive-behavioral techniques relevant to the population.
Conclusions:
- The APSRP offers a structured approach to enhance the psychological resilience of ED and ICU staff.
- Peer support integrated with cognitive-behavioral strategies provides a unique and potentially effective intervention.
- Further research and implementation of such programs are recommended to address the mental health needs of healthcare professionals exposed to trauma.
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