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Institutional Experience with Investigation and Service for Acute and Post-Traumatic Stress in the Pediatric
Jason Werner1, Sydney Bell2, Lauren Draper3
1Division of Pediatric Critical Care, Department of Pediatrics, Saint Louis University School of Medicine (STL SOM).
Insights
Pediatric intensive care units (PICUs) face high rates of stress and burnout among staff and families. This study details a five-year initiative to investigate and intervene in these critical mental health challenges.
Area of Science:
- Medical Psychology
- Pediatric Intensive Care
- Occupational Health
Background:
- Stress-related mental health issues like acute stress, post-traumatic stress, and burnout are prevalent among healthcare professionals, families, and patients, especially in pediatric intensive care units (PICUs).
- Existing knowledge gaps hinder understanding of factors influencing stress-related illnesses and effective mitigation strategies within PICUs.
- Healthcare institutions face challenges in implementing non-revenue generating mental health support programs.
Purpose of the Study:
- To investigate the factors contributing to stress-related mental health problems in the PICU setting.
- To develop and implement interventions for healthcare professionals and families experiencing stress and burnout.
- To foster cross-departmental collaboration within academic institutions for mental health support.
Main Methods:
- A multidisciplinary group was established over five years to study stress-related mental health issues.
- The group focused on identifying protective and exacerbating individual and institutional factors.
- Interventions were developed and provided to PICU professionals and families.
Main Results:
- The five-year experience highlights the persistent challenges of stress and burnout in PICUs.
- The multidisciplinary approach facilitated the investigation and provision of targeted interventions.
- Institutional engagement and cross-departmental collaboration were key to the initiative's development.
Conclusions:
- Addressing stress and burnout in PICUs requires a sustained, multidisciplinary approach.
- Understanding individual and institutional factors is crucial for effective mental health interventions.
- Continued research and collaborative efforts are essential to mitigate stress-related illnesses in high-acuity pediatric settings.
Abstract:
Acute stress, post-traumatic stress and burnout are all stress-related mental health problems common to patients, families, physicians, nurses, and allied health professionals across disciplines. They are particularly common in those who care for critically ill and injured children. Despite growing awareness of the pervasiveness of burnout and stress among healthcare workers and families in the pediatric intensive care unit, there remain important gaps in the knowledge of factors affecting the development of stress-related mental illnesses, how individual and institutional factors protect or exacerbate these problems, and effective measures to limit or mitigate them. Challenges exist in developing and maintaining institutional engagement with essentially non-revenue generating activities that require additional staff. For academic institutions, significant opportunities exist for cross-departmental collaboration. We describe our five-year experience developing a multidisciplinary group investigating these problems and providing interventions to professionals and families in the pediatric intensive care unit.
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