Pediatric Liver Transplant Teams Coping With Patient Death

Abstract

Overall, formal supports were inconsistently offered to pediatric transplant team members. Team members expressed high acceptability for debriefing, which has been associated with benefits in other populations, and findings indicated better coping in the transplant setting when it was offered.

Peer Support and Crisis-Focused Psychological Interventions Designed to Mitigate Post-Traumatic Stress Injuries among Public Safety and Frontline Healthcare Personnel: A Systematic Review

“…The results indicated no statistically significant differences in PTSI symptoms between groups at pre- or post-intervention, and a reduction in alcohol consumption one-month post-intervention for the active groups relative to the control group was not sustained at follow up. There were three studies that reported no statistically significant differences in mental health outcomes between those who did and did not have access to debriefing [ 28 , 29 , 30 ]. There was one study [ 27 ] that reported participants ( n = 57) who received organizationally-offered or -facilitated 90 min debriefing (having to attend a group session, individual meeting with a psychologist, or both) reported higher perceived event-related stress and PTSD scores than non-debriefed participants at a 5 year follow up.…”

“…All of the 14 studies received at least one high risk or unclear rating on the strength of evidence criteria. One study was rated moderate to high quality [ 35 ], nine studies were of moderate to low quality [ 27 , 31 , 32 , 33 , 34 , 36 , 37 , 38 , 39 ], and four studies were of low quality [ 28 , 29 , 30 , 40 ].…”

“…Except for four cross-sectional studies [ 28 , 29 , 39 , 40 ], all remaining studies provided sufficient time following participation in a PTSI mitigation service or program before collecting outcome measures, resulting in low risk of bias ratings based on time.…”

“…Half of the studies included in the current review did not demonstrate that their sample was representative of the larger population of workers with respect to demographic variables such as sex, average age, or years of service, limiting generalizability of their results. All studies were rated at a low risk of bias regarding selection of the non-exposed cohort, which was either randomly selected from the same population in the case of RCTs [ 31 , 32 , 35 , 37 ], or compared to a sample from the same larger population that did not offer the service in question [ 27 , 34 , 36 , 38 ], or not applicable for single-sample cross-sectional and prospective cohort study designs [ 28 , 29 , 30 , 33 , 39 , 40 ]. There were four studies rated a high risk of bias due to participants self-reporting prior participation in, or exposure to, a given intervention [ 27 , 28 , 30 ] or due to a substantial proportion of the sample (41%) being unaware of the availability of the service prior to taking part in the study [ 40 ].…”

Impact of Caring for Terminally Ill Children on Physicians: A Systematic Scoping Review

“…Indeed, while caring for the young and terminally ill may bring with it positive effects such as the cultivation of a more compassionate attitude, enhanced job satisfaction and a chance to hone their psychosocial and interpersonal skills, the detrimental effects are far more jarring. The findings reveal that a physician’s moral, 90,91 existential, 79 emotional 78,82,92 -94 and psychological 80 state may be negatively affected with repercussions on their thinking, 84,89,95,96 decision making, 82,97,98 behavior, 93,99 spiritual ties, 100,79 professional roles 78,97 and personal relationships. 85,101,102 Data also suggests a physical element to these experiences.…”