Implementing Emotional Debriefing in Pediatric Clinical Education

Osta, Amanda; King, Marta; Serwint, Janet R.; Bostwick, Susan

doi:10.1016/j.acap.2018.10.003

Cited by 15 publications

(5 citation statements)

References 18 publications

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“…59 Yet there are approaches to developing perspective taking other than psychotherapy, such as mindfulness, journaling, structured reflection or debriefing, spirituality or religion, art, and service. [60][61][62][63][64] Future research should explore the instructional strategies that help residents acquire this capability. Most important, programs of all specialties should help their trainees cultivate personally tailored practices that facilitate perspective taking and meaning making.…”

Section: Discussionmentioning

confidence: 99%

From Burnout to Wholehearted Engagement: A Qualitative Exploration of Psychiatry Residents’ Experience of Stress

et al. 2021

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Purpose Physician burnout is endemic across medical education and has numerous deleterious effects. Given the prevalence and negative effects of burnout, there is an urgent need to understand how residents experience and cope with stress and develop explanatory models that inform the development of more effective interventions. Method Using a qualitative, constructivist approach informed by grounded theory, the authors conducted semistructured interviews from March to April 2019, in which psychiatry residents were asked about their experiences of stress and how they coped. First- through fourth-year trainees at Zucker Hillside Hospital at Northwell Health, Glen Oaks, New York, were invited. Two authors independently and inductively coded deidentified transcripts. A constant comparative approach was used to analyze data and support construction of themes. Theoretic sufficiency was observed after 14 interviews. Results The authors constructed an explanatory model for how residents cope with stress and whether they tended toward burnout or wholehearted engagement. The model included 3 themes: self-care, work relationships, and meaning making. Self-care, including time spent with others, provided connection and belonging that bolstered physicians’ developing identities. Interpersonal relationships at work profoundly influenced the experience of residents. Positive peer and supervisor relationships enhanced confidence and perseverance. Negative role models and conflict engendered feelings of inadequacy. The ability to shift perspective and build meaning through examining moral values in the face of challenges was crucial for residents who reported success at coping with stress. Residents identified personal psychotherapy as an especially important strategy to facilitate meaning making. Conclusions These findings provide guidance for how residency programs may help residents cope with stress and move away from burnout toward wholehearted engagement. Strategies may include reducing barriers to self-care and to accessing help early in training, creating spaces that promote peer connection and providing training in addressing conflict, and facilitating engagement in meaning-making activities.

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Section: Discussionmentioning

confidence: 99%

From Burnout to Wholehearted Engagement: A Qualitative Exploration of Psychiatry Residents’ Experience of Stress

et al. 2021

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“…Debriefs/critical incident management has been shown to provide a sense of support and community, and may improve resilience. 31 The knowledge that peers face similar struggles can serve as a source of relief. However, successful critical incident management requires skill and sensitivity in order to avoid causing additional traumatic stress.…”

Section: Discussionmentioning

confidence: 99%

A pilot study exploring interventions for physician distress in pediatric subspecialists

et al. 2020

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BACKGROUND: While institution-sponsored wellness programs may be effective, little is known about their availability and utilization in pediatric subspecialists, and about programs physicians wish were available. METHODS: A survey of perceptions about, and availability and utilization of institutional wellness activities, was distributed electronically to pediatric subspecialists nationally. Bivariate analyses were performed using χ 2 tests or independent t tests. Multivariable logistic regression models for categories of institution-sponsored programming as a function of potential predictors of program utilization were performed. Qualitative content analysis was performed for free-text survey answers. RESULTS: Approximately 60% of respondents participated in institution-sponsored wellness opportunities. Debriefs, Schwartz Center Rounds, mental health services, and team building events were the most available institution-sponsored wellness activities, whereas debriefs, team building, Schwartz Center Rounds, and pet therapy were most frequently utilized. Respondents desired greater social/emotional support, improved leadership, enhanced organizational support, and modifications to the physical work environment, with no significant differences across subspecialties for "wish list" items. CONCLUSIONS: Physician wellness requires more than a "one-size-fits-all" initiative. Our data highlight the importance of encouraging and normalizing self-care practices, and of listening to what physicians articulate about their needs. Preimplementation needs assessment allows a "bottom-up" approach where physician voices can be heard.

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“…Residents' negative emotions experienced during emergency situations could be mitigated during the debriefing process. Emotional debriefing, focused on the effect of the emergency situation on providers, has been suggested in the literature, in order to alleviate negative emotions and improve emotional resilience (20).…”

Section: Discussionmentioning

confidence: 99%

Learning in Pediatric Emergency Situations: A Qualitative Study of Residents’ Perspectives*

Petrescu

Stalmeijer

Rethans

et al. 2020

Pediatric Critical Care Medicine

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Implementing Emotional Debriefing in Pediatric Clinical Education

Cited by 15 publications

References 18 publications

From Burnout to Wholehearted Engagement: A Qualitative Exploration of Psychiatry Residents’ Experience of Stress

From Burnout to Wholehearted Engagement: A Qualitative Exploration of Psychiatry Residents’ Experience of Stress

A pilot study exploring interventions for physician distress in pediatric subspecialists

Learning in Pediatric Emergency Situations: A Qualitative Study of Residents’ Perspectives*

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