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Debriefing for intensive care unit nurses wellbeing: A hybrid type 2 implementation-effectiveness study.

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Area of Science:

  • Nursing
  • Healthcare Management
  • Organizational Psychology

Background:

  • Intensive care nurses face significant workforce challenges impacting patient care.
  • Debriefing is a proposed strategy to enhance nurse wellbeing and retention.
  • Limited evidence currently exists on the impact of debriefing interventions in intensive care settings.

Purpose of the Study:

  • To assess the implementation and effectiveness of a proactive debriefing intervention for intensive care unit (ICU) nurses.
  • To evaluate the impact of debriefing on nurse wellbeing and identify implementation outcomes.
  • To explore barriers and facilitators to debriefing in a large Australian metropolitan hospital.

Main Methods:

  • An exploratory feasibility study utilized a hybrid type 2 implementation-effectiveness design with a pre-post approach.
  • Feasibility (recruitment, attendance, acceptability, appropriateness) and wellbeing outcomes were measured monthly.
  • Quantitative (descriptive/inferential statistics) and qualitative (content analysis) data were analyzed.

Main Results:

  • Nurses reported small to moderate improvements in wellbeing scores (Cohen's d = 0.42).
  • The intervention demonstrated high acceptability and appropriateness, but feasibility was impacted by attendance barriers like staffing and shift arrangements.
  • Nurses desired continuation, citing benefits for wellbeing, professional growth, and team culture.

Conclusions:

  • Regular debriefing positively impacts intensive care unit nurses' wellbeing.
  • Addressing implementation barriers, particularly organizational support, is essential for successful debriefing programs.
  • Further research is needed to optimize debriefing strategies for nurse retention and wellbeing.