Fifteen-minute consultation: Time Out as an alternative to toxic debrief

Cooper, Sian; Winton, Mark; Farrington-Exley, Joanna

doi:10.1136/archdischild-2019-317180

Cited by 5 publications

(9 citation statements)

References 12 publications

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“…At a professional level, group reflections strengthen shared mental models and a sense of community [ 61 , 86 , 100 , 130 , 135 , 136 ], build ties with peers [ 138 ] and remove hierarchy [ 18 , 24 , 82 ]. A summary of these benefits is included in Table 8 .…”

Section: Resultsmentioning

confidence: 99%

“…• It builds morale among group members [ 24 , 81 , 89 , 105 , 124 ]. • Strengthens team cohesiveness [ 89 ] Promotes peer support networks [ 138 ] Strengthening shared mental models [ 122 ] Feeling validated as they were not alone in experiencing these reactions [ 21 , 82 , 106 , 137 ]. Removal of hierarchy [ 18 , 24 , 82 ] Individual participants can react and build on other’s responses [ 29 , 150 ] Personal Self-understanding Recognition of personal growth and enhancement of professional values [ 86 , 119 , 135 ].…”

Section: Resultsmentioning

confidence: 99%

“…• Create strategies to refine future performances through facilitated discussion [ 81 , 89 , 109 , 136 , 138 , 143 ]…”

Section: Resultsmentioning

confidence: 99%

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A systematic scoping review of group reflection in medical education

Phua,

Owyong,

Leong

et al. 2024

BMC Med Educ

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Background Reviewing experiences and recognizing the impact of personal and professional views and emotions upon conduct shapes a physician’s professional and personal development, molding their professional identity formation (PIF). Poor appreciation on the role of reflection, shortages in trained tutors and inadequate ‘protected time’ for reflections in packed medical curricula has hindered its integration into medical education. Group reflection could be a viable alternative to individual reflections; however, this nascent practice requires further study. Methods A Systematic Evidence Based Approach guided Systematic Scoping Review (SSR in SEBA) was adopted to guide and structure a review of group reflections in medical education. Independent searches of articles published between 1st January 2000 and 30th June 2022 in bibliographic and grey literature databases were carried out. Included articles were analysed separately using thematic and content analysis, and combined into categories and themes. The themes/categories created were compared with the tabulated summaries of included articles to create domains that framed the synthesis of the discussion. Results 1141 abstracts were reviewed, 193 full-text articles were appraised and 66 articles were included and the domains identified were theories; indications; types; structure; and benefits and challenges of group reflections. Conclusions Scaffolded by current approaches to individual reflections and theories and inculcated with nuanced adaptations from other medical practices, this SSR in SEBA suggests that structured group reflections may fill current gaps in training. However, design and assessment of the evidence-based structuring of group reflections proposed here must be the focus of future study.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

A systematic scoping review of group reflection in medical education

Phua,

Owyong,

Leong

et al. 2024

BMC Med Educ

View full text Add to dashboard Cite

show abstract

“…While there have been many diverse bodies of evidence exploring these various practices, there have been a number of concerns raised. For example, some debriefing practices, like providing single sessions without follow-up, are concluded to be detrimental to healthcare workers' wellbeing (28). Consistency in practice has also been discussed in that staff are seldom prepared for engaging with, or delivering, these practices (29).…”

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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“…Effective ‘hot debriefs’ immediately following the incident, provide a safe space to reflect on the incident: answering any concerns and highlighting any immediate lessons that have arisen. Poorly executed debriefs have the potential to cause more psychological harm 9. Subsequent formal multiagency debriefs following the event provide opportunities to review the JESIP principles applied, what worked well and what could be improved for future incidents 10…”

Section: What Else Should Be Considered During a Major Incident?mentioning

confidence: 99%

Fifteen-minute consultation: An overview of major incidents

Widya

Hewitson

Patel

et al. 2022

Arch Dis Child Educ Pract Ed

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Major incidents are rare but require a large amount of preparation, co-ordination and communication across different emergency services and specialities. This ensures that casualties are efficiently managed within the constraints of limited clinical resources. This article aims to provide a brief understanding of what constitutes as a major incident, how it is declared and the chain of command in communication and action, focusing specifically on the paediatric process. It also aims to highlight important considerations that could potentially be missed (eg, the mental health impact, forensic evidence and so on).

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Fifteen-minute consultation: Time Out as an alternative to toxic debrief

Cited by 5 publications

References 12 publications

A systematic scoping review of group reflection in medical education

A systematic scoping review of group reflection in medical education

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

Fifteen-minute consultation: An overview of major incidents

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