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Show Clinical Debriefing After a Patient Death BACKGROUND The purpose of this MSN project is to implement a structured debriefing tool for use in the ICU after a patient's unexpected or traumatic death. After the loss of a patient, nurses frequently suffer from feelings of guilt, anger, burnout, and symptoms of Post Traumatic Stress Disorder.1 Debriefing possesses many positive benefits: Amy Crosland, BSN, RN, MSN Student Trish Gibbs, DNP, RN, CNE Michele Winterbottom, MSN, RN, CCRN INTERVENTIONS • Step 1: A debriefing task force will be assembled to discuss the project's purpose and implementation. • Step 2: Hold a meeting for charge nurses and house supervisors to become proficient in facilitating debriefing. • Step 3: Present information at the ICU staff meeting. Complete pre-implementation survey. • Step 4: Implement the standardized debriefing tool. • Step 5: After completing ten debriefings, administer the post-implementation survey. • Step 6: Meet with the debriefing task force to compare survey results and make any necessary adjustments. • Increases the emotional well-being of nurses1 • Improves patient outcomes2 • Increases communication and collaboration among staff2 IMPACTS METHODS The Iowa Framework was used to formulate the project. • Step 1: Identify an opportunity for change • Step 2: Define the purpose • Step 3: Form a team • Step 4: Gather and analyze information • Step 5: Design tool and plans for implementation • Step 6: Integration and sustaining of new practice Deliverables include a poster for the planning meeting, a PowerPoint presentation to be shared with staff, and pre- and post-implementation surveys to be administered to participants. Potential impacts of debriefing include: • Supporting nursing staff and providing a safe space for them to discuss their feelings with coworkers who understand their emotions will improve the well-being of the staff.1 • When debriefing is used to educate and provide feedback, appropriate changes can be made, leading to improved patient safety.1,2 • Enhancing interdisciplinary collaboration and promoting effective communication, ultimately improving safety and patient outcomes.3 • Supporting and strengthening healthcare workers experiencing moral distress is not only a kind gesture but also a moral obligation to care for those who care for others.4 CONCLUSIONS REFERENCES 1Berchtenbreiter, K., Innes, K., Watterson, J., Nickson, C. P., & Wong, P. (2024). Intensive care unit nurses’ perceptions of debriefing after critical incidents: A qualitative descriptive study. Australian Critical Care, 37(2), 288–294. https://doi.org/10.1016/j.aucc.2023.06.002 2Toews, A.J., Martin, D.E., & Chernomas, W.M. (2021). Clinical debriefing: A concept analysis. J Clin Nurs, 30, 1491-1501. https://doi.org/10.1111/jocn.15636 3Gilmartin, S., Martin, L., Kenny, S., Callanan, I., & Salter, N. (2020). Promoting hot debriefing in an emergency department. BMJ Open Quality, 9(3), e000913. https://doi.org/10.1136/bmjoq-2020-000913 4Beres, K. E., Zajac, L. M., Mason, H., Krenke, K., & Costa, D. K. (2022). Addressing compassion fatigue in trauma emergency and intensive care settings: A pilot study. Journal of Trauma Nursing, 29(4), 210– 217. https://doi.org/10.1097/jtn.0000000000000663 5Bolte, C., Wefer, F., Stulgies, S., Tewesmeier, J., Lohmeier, S., Hachmeister, C., Günther, S., Schumacher, J., Mohemed, K., Rudolph, V., & Krüger, L. (2024). Post-resuscitation talk in the intensive care unit. Medizinische Klinik - Intensivmedizin Und Notfallmedizin, 119(4), 268–276. https://doi.org/10.1007/s00063-024-01129-9 Relevant picture, graph or data set goes here Standardized debriefing benefits both healthcare workers and the interdisciplinary team, positively impacting patient outcomes.5 Through the process of debriefing, nursing staff may exhibit fewer symptoms of burnout and PTSD.1 Consistent debriefing provides time for education and constructive feedback, while increasing positive communication and team collaboration.2 With the support of the hospital administration, the benefits of debriefing are expected to lead to positive changes in the lives of both nurses and patients.4 |
