Reflections on developing a protocol for pre and debriefs on a neonatal intensive care unit (NICU)

Archibald, Sarah-Jane; O'Curry, Sara

doi:10.1016/j.jnn.2020.01.011

Cited by 8 publications

(30 citation statements)

References 15 publications

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“…15 Furthermore, NICU staff are frequently challenged with ethical dilemmas and traumatic experiences and are therefore at risk of developing symptoms of traumatic stress and burnout. 16 , 17 , 18 , 19 It is therefore reasonable to suggest that the offer of regular debriefs for staff could enable them to process their experiences of restricted parental presence.…”

Section: Discussionmentioning

confidence: 99%

“…They are frequently challenged with ethical dilemmas and exposed to traumatic experiences, and staff are therefore at risk of traumatic stress and developing burnout. 16 , 17 , 18 , 19…”

Section: Impact On Staffmentioning

confidence: 99%

“…Further, NICU staff are often faced with having to care for some of the most sick babies in the ODN. They are frequently challenged with ethical dilemmas and exposed to traumatic experiences, and staff are therefore at risk of traumatic stress and developing burnout 16–19 …”

Section: Impact On Staffmentioning

confidence: 99%

“…They are frequently challenged with ethical dilemmas and exposed to traumatic experiences, and staff are therefore at risk of traumatic stress and developing burnout. [16][17][18][19] The restricted parental presence put in place in response to the COVID-19 pandemic can not only be expected to affect the wellbeing of parents and babies in NICU, it is also likely to have a significant impact on staff. Staff on the NICU might feel powerless to support parents as they do not see them as often and do not have the chance to build a relationship.…”

Section: Impac T On S Taffmentioning

confidence: 99%

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Parental and staff experiences of restricted parental presence on a Neonatal Intensive Care Unit during COVID‐19

et al. 2021

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On the 23rd March 2020, the United Kingdom was put into lockdown following an increase in infection and death rates caused by the COVID-19 global pandemic. Hospitals in the UK had to make the difficult decision to significantly reduce the risk of spreading the disease. Therefore, parental and extended family access was reduced on some Neonatal Intensive Care Units (NICUs) across the UK. The NICU at the Rosie, Addenbrooke's Hospital, Cambridge, is a tertiary neonatal intensive care unit and accepts high-risk pregnancies and babies from the East of England Operational Delivery Network (ODN), likely to require neonatal intensive care. The NICU

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Section: Discussionmentioning

confidence: 99%

“…They are frequently challenged with ethical dilemmas and exposed to traumatic experiences, and staff are therefore at risk of traumatic stress and developing burnout. 16 , 17 , 18 , 19…”

Section: Impact On Staffmentioning

confidence: 99%

Section: Impact On Staffmentioning

confidence: 99%

Section: Impac T On S Taffmentioning

confidence: 99%

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Parental and staff experiences of restricted parental presence on a Neonatal Intensive Care Unit during COVID‐19

et al. 2021

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“…Two studies investigated clinical workers' experiences of service-specific debriefing protocols. In one study, which explored the experiences of neonatal intensive care staff, the authors found that 96.0% of participants were satisfied with the protocol and 88.0% felt able to contribute to discussions (Archibald & O'Curry, 2020). Attendees valued the shared experience and the opportunity to reflect together on what happened, what went well, and what could be improved in the future.…”

Section: Experience Of and Factors Related To Debriefing Among Clinic...mentioning

confidence: 99%

The impact and experience of debriefing for clinical staff following traumatic events in clinical settings: A systematic review

Scott

O'Curry

Mastroyannopoulou

2021

Journal of Traumatic Stress

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Health care professionals are more frequently exposed to potentially traumatic events than individuals in other professions. Repeated trauma exposure can significantly impact both physical and mental health. In clinical settings, the term "debriefing" refers to a group meeting during which clinical events and decisionmaking are reviewed and discussed to improve clinical practice. The present review investigated the use of debriefing for clinical staff in clinical settings following exposure to direct and vicarious trauma. We examined whether the use of posttrauma debriefing impacts symptoms of distress and explored how clinical staff experience debriefing; we also investigated the factors that influence this experience. A systematic search of five electronic databases was conducted between August 31 and September 2, 2019. Included articles (N = 13) described the use of debriefing in clinical settings with clinical staff following a traumatic event. We assessed methodological quality and performed a narrative synthesis.Four studies found some evidence of the benefits of debriefing for reducing psychological sequelae to traumatic events. Seven studies commented on factors that clinical staff perceived to be important for the debriefing to feel helpful, including the being given the opportunity for reflection, gaining a shared experience, and having the right peer facilitator. Some evidence suggests that debriefing with staff working in clinical settings can reduce posttraumatic distress symptoms, and subjective evidence suggests that clinical staff members perceive debriefing to be useful. Due to the limited literature, no firm conclusions could be drawn, and further methodologically sound research is required.

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An exploration of Neonatal Intensive Care Unit (NICU) staff experiences of attending pre-brief and debrief groups surrounding a patient's death or redirection of care

Woolgar

Archibald

2021

Journal of Neonatal Nursing

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Reflections on developing a protocol for pre and debriefs on a neonatal intensive care unit (NICU)

Cited by 8 publications

References 15 publications

Parental and staff experiences of restricted parental presence on a Neonatal Intensive Care Unit during COVID‐19

Parental and staff experiences of restricted parental presence on a Neonatal Intensive Care Unit during COVID‐19

The impact and experience of debriefing for clinical staff following traumatic events in clinical settings: A systematic review

An exploration of Neonatal Intensive Care Unit (NICU) staff experiences of attending pre-brief and debrief groups surrounding a patient's death or redirection of care

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