Are psychological debriefing groups after a potential traumatic event suitable to prevent the symptoms of PTSD?

Vignaud, Philippe; Lavallé, Layla; Prieto, Nathalie

doi:10.1016/j.psychres.2022.114503

Cited by 9 publications

(6 citation statements)

References 37 publications

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“…This limited literature could reflect the lack of clarity around the use of debriefing which was generated following the 2002 Cochrane review and subsequent NICE analysis [14,15]. However, it is now clear that while it cannot be used to prevent PTSD, debriefing offers multiple benefits, including reduced anxiety [16]. The present study provides initial evidence which can be used to support organizations looking to implement support pathways for groups of staff involved in traumatic work events.…”

Section: Discussionmentioning

confidence: 96%

“…Several studies have investigated the outcomes of critical incident stress debriefs [1,16]. These indicate that debriefing should not be used as a PTSD prevention intervention for individuals [14,15], but it is a useful occupational health tool for groups exposed to traumatic work events [1,10,16]. However, we are aware of no existing studies which have investigated training interventions for CISD.…”

Section: Discussionmentioning

confidence: 99%

“…The authors concluded that while team debriefs cannot prevent PTSD, they offer benefits in helping workers to integrate their experiences, normalize their reactions and promote recovery [1]. Similarly, a recent systematic review and meta-analysis of debriefing in group settings concluded that while debriefing did not reduce risk of PTSD symptoms, there was evidence it was associated with reduced anxiety and problematic alcohol use [16].…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of a training programme for critical incident debrief facilitators

Johnson

Pointon

Keyworth

et al. 2022

Occupational Medicine

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Background Critical incident debriefs are a commonly used occupational health tool for supporting staff after traumatic work incidents. However, there is a dearth of literature evaluating training programmes for debrief facilitators. Aims To evaluate a 5-day training programme to equip healthcare, social care and voluntary, community and social enterprise sector staff to act as post-incident peer supporters and debrief facilitators. Methods A mixed-methods, single-arm, before-and-after study. Data were collected at baseline and post-training. The quantitative outcome measure was ‘Confidence’; the sum of two items measuring confidence in (i) supporting peers after critical incidents and (ii) facilitating post-incident structured team discussions. At post-training, quantitative and qualitative feedback regarding experiences and perceptions of the training was also gathered. Results We recruited 45 participants between October 2021 and January 2022. Confidence in supporting peers following incidents and facilitating post-incident structured team discussions increased significantly following the training, t(35) = −6.77, P < 0.001. A majority of participants reported they would do things differently because of the training and that they found the training relevant, useful and engaging. Summative content analysis of qualitative feedback indicated that participants (i) believed the role plays were an important learning tool and (ii) thought it was important that the trainer was engaging. Some participants would have preferred in-person delivery. Conclusions Participants valued training in post-incident peer support and debriefing skills. Organizations implementing post-incident support pathways could usefully include this training and ensure optimal uptake and engagement by (i) providing in-person and online delivery options and (ii) including role play as a learning technique.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluation of a training programme for critical incident debrief facilitators

Johnson

Pointon

Keyworth

et al. 2022

Occupational Medicine

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“…There has been wide proliferation of a number of different models and approaches to debriefing, with previous reviews reporting a diverse range of purposes, methodological variations and outcomes [e.g. (13,14)]. The existing literature tends to be grouped into either (a) guided team discussions to support post-event learning or (b) structured clinical debriefing strategies designed to minimize the psychological consequences of traumatic events (9).…”

Section: Purpose and Forms Of Debriefingmentioning

confidence: 99%

“…(24)]. A key barrier to such knowledge is the heterogeneous methodological quality in evaluation of practices (14).…”

Section: Purpose and Forms Of Debriefingmentioning

confidence: 99%

A systematic scoping review on the evidence behind debriefing practices for the wellbeing/emotional outcomes of healthcare workers

et al. 2023

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IntroductionDebriefings give healthcare workers voice through the opportunity to discuss unanticipated or difficult events and recommend changes. The typical goal of routine debriefings has been to improve clinical outcomes by learning through discussion and reflection of events and then transferring that learning into clinical practice. However, little research has investigated the effects of debriefings on the emotional experiences and well-being of healthcare workers. There is some evidence that debriefings are a multi-faceted and cost-effective intervention for minimising negative health outcomes, but their use is inconsistent and they are infrequently adopted with the specific intention of giving healthcare workers a voice. The purpose of this systematic scoping review is therefore to assess the scope of existing evidence on debriefing practices for the well-being and emotional outcomes of healthcare workers.MethodsFollowing screening, 184 papers were synthesised through keyword mapping and exploratory trend identification.ResultsThe body of evidence reviewed were clustered geographically, but diverse on many other criteria of interest including the types of evidence produced, debriefing models and practices, and outcomes captured.DiscussionThe current review provides a clear map of our existing understanding and highlights the need for more systematic, collaborative and rigorous bodies of evidence to determine the potential of debriefing to support the emotional outcomes of those working within healthcare.Systematic Review Registrationhttps://osf.io/za6rj.

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Exploring the experiences and perceptions of trainees undertaking a critical incident debrief training programme: A qualitative study

Pointon,

Hinsby,

Keyworth

et al. 2024

Health Planning & Management

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Rationale, aims and objectivesCritical incident debriefing is an occupational health tool for supporting healthcare workers following critical incidents. Demand for debriefing has increased following the Covid‐19 pandemic. There is now a need for more trained debrief facilitators to meet demand, but there is a dearth of literature regarding how best to train facilitators. This study addressed this by exploring participant experiences of an online critical incident debrief training programme.MethodsWe conducted semi‐structured interviews with 14 individuals who received a 5‐day training programme based on the Critical Incident Stress Management model. Participants were recruited from a range of professional disciplines including psychology, nursing and human resources within one British healthcare system. Data were analysed using thematic analysis.ResultsThe analysis produced three themes. Managing trainee experiences and expectations suggested that disciplinary heterogeneity in training groups supported inter‐participant knowledge exchange. However, this variation also meant that training materials did not meet the learning needs of all participants. Modality of training suggested that while online learning was acceptable for some, others experienced screen fatigue and found it hard to build rapport with other participants. Systematic and organisational obstacles to training access and delivery suggested that lack of managerial support and organisational mental health stigma may be barriers to accessing training.ConclusionA 5‐day online CISM‐based training programme was acceptable to participants. Organisations implementing critical incident debrief training may benefit from (1) offering both in‐person and online training options, and (2) tailoring course materials according to the disciplinary make‐up of groups.

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Are psychological debriefing groups after a potential traumatic event suitable to prevent the symptoms of PTSD?

Cited by 9 publications

References 37 publications

Evaluation of a training programme for critical incident debrief facilitators

Evaluation of a training programme for critical incident debrief facilitators

A systematic scoping review on the evidence behind debriefing practices for the wellbeing/emotional outcomes of healthcare workers

Exploring the experiences and perceptions of trainees undertaking a critical incident debrief training programme: A qualitative study

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