Debriefing in pediatrics

Cho, Su Jin

doi:10.3345/kjp.2015.58.2.47

Cited by 13 publications

(14 citation statements)

References 32 publications

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“…Furthermore, the introduction of debriefings as a learning tool during simulations, as well as after a serious clinical event, will help improve performance. Debriefing is a process in which people who have had a certain experience are led through a purposive discussion regarding the experience [36,37]. Unlike audits, debriefing helps the providers to learn and reflect on what they have experienced immediately after an actual or a simulated event, giving them a chance to learn from their experience.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting effective ventilation during newborn resuscitation: a qualitative study among midwives in rural Tanzania

Moshiro

Ersdal

Mdoe

et al. 2018

Global Health Action

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Background: Intrapartum-related hypoxia accounts for 30% of neonatal deaths in Tanzania. This has led to the introduction and scaling-up of the Helping Babies Breathe (HBB) programme, which is a simulation-based learning programme in newborn resuscitation skills. Studies have documented ineffective ventilation of non-breathing newborns and the inability to follow the HBB algorithm among providers. Objective: This study aimed at exploring barriers and facilitators to effective bag mask ventilation, an essential component of the HBB algorithm, during actual newborn resuscitation in rural Tanzania. Methods: Eight midwives, each with more than one year’s working experience in the labour ward, were interviewed individually at Haydom Lutheran Hospital, Tanzania. The audio recordings were transcribed and translated into English and analysed using qualitative content analysis. Results: Midwives reported the ability to monitor labour properly, preparing resuscitation equipment before delivery, teamwork and frequent ventilation training as the most effective factors in improving actual ventilation practices and promoting the survival of newborns. They thought that their anxiety and fear due to stress of ventilating a non-breathing baby often led to poor resuscitation performance. Additionally, they experienced difficulties assessing the baby’s condition and providing appropriate clinical responses to initial interventions at birth; hence, further necessary actions and timely initiation of ventilation were delayed. Conclusions: Efforts should be focused on improving labour monitoring, birth preparedness and accurate assessment immediately after birth, to decrease intrapartum-related hypoxia. Midwives should be well prepared to treat a non-breathing baby through high-quality and frequent simulation training with an emphasis on teamwork training.

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Section: Discussionmentioning

confidence: 99%

Factors affecting effective ventilation during newborn resuscitation: a qualitative study among midwives in rural Tanzania

Moshiro

Ersdal

Mdoe

et al. 2018

Global Health Action

View full text Add to dashboard Cite

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“…Finally, the fourth module focuses on department-wide prevention of SVS through culture change and the use of routine, group debriefings following difficult resuscitations. 17 – 21 A standardized post-resuscitation debriefing template is introduced.…”

Section: Resultsmentioning

confidence: 99%

Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation, and Positive Psychology: The 2017 Resident Wellness Consensus Summit

Chung

Smart

Zdradzinski

et al. 2018

WestJEM

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IntroductionBurnout, depression, and suicidality among residents of all specialties have become a critical focus of attention for the medical education community.MethodsAs part of the 2017 Resident Wellness Consensus Summit in Las Vegas, Nevada, resident participants from 31 programs collaborated in the Educator Toolkit workgroup. Over a seven-month period leading up to the summit, this workgroup convened virtually in the Wellness Think Tank, an online resident community, to perform a literature review and draft curricular plans on three core wellness topics. These topics were second victim syndrome, mindfulness and meditation, and positive psychology. At the live summit event, the workgroup expanded to include residents outside the Wellness Think Tank to obtain a broader consensus of the evidence-based toolkits for these three topics.ResultsThree educator toolkits were developed. The second victim syndrome toolkit has four modules, each with a pre-reading material and a leader (educator) guide. In the mindfulness and meditation toolkit, there are three modules with a leader guide in addition to a longitudinal, guided meditation plan. The positive psychology toolkit has two modules, each with a leader guide and a PowerPoint slide set. These toolkits provide educators the necessary resources, reading materials, and lesson plans to implement didactic sessions in their residency curriculum.ConclusionResidents from across the world collaborated and convened to reach a consensus on high-yield—and potentially high-impact—lesson plans that programs can use to promote and improve resident wellness. These lesson plans may stand alone or be incorporated into a larger wellness curriculum.

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“…Educationalists are tasked with minimising attrition, through supporting student midwives through challenging events. Hot debriefing5 is becoming instrumental in supporting the multiprofessional team following a traumatic and often emergency event. However, this study has highlighted that it is not just emergency situations that can cause stress or trauma for practitioners.…”

Section: Commentarymentioning

confidence: 99%

Greater support and debriefing may help student midwives to process traumatic birth experiences

Kitson-Reynolds

2015

Evid Based Nurs

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Implications for practice and research▪ Incorporating resilience training and a multidisciplinary debriefing approach within clinical and academic environments would develop a culture of support and compassion for the workforce and ultimately effective care for women using maternity services.▪ Further research surrounding the effectiveness of resilience education for student midwives is required to elicit greater understanding of the effect on woman-centred care. ContextThe definition of a midwife is 'being with woman'. Student midwives typically embark on a 156-week education programme developing knowledge and skills predominantly in 'normality' and within the context of normal birth. The reality for many students encompasses exposure to more high-risk complex cases and to services that are resource constrained. Students are immersed into the 'real' world of midwifery care provision from day 1 of their clinical experiences. Davies and Coldridge elicit the experiences of traumatic birth on the emotional impact for student midwives which is commensurate with the growing body of evidence surrounding students 1 and newly qualified midwives 2 in this topic area. MethodsThe purpose of the study was to explore what student midwives' perceived to be traumatic for them and elicit how they were supported with such events. The study is linked to the women's care therefore; the focus is primarily within the clinical context. The study used a qualitative descriptive approach with 11 participants recruited from one university in the North West of England. Participants were recruited from an undisclosed total number of second-year and third-year student midwives by poster campaign displayed on a local website and distributed by midwifery lecturers. Data were gathered through audio-recorded semistructured interviews, field notes, prose and images and analysed using an Interpretive Phenomenological Analysis. FindingsBoth researchers conducted an iterative process of theme identification from the transcribed interviews and looked for convergence across participants. Five final themes encompassing participants' perceptions of traumatic events include: wearing your blues; no man's land; get the red box; the aftermath; and learning to cope. These indicate that students often have conflicting and competing demands between caring for women, acting as their advocates and completing the requirements of an often busy stressful working environment. These participants identified coping strategies to survive the stressors and the tensions of being a student and 'being with woman'. CommentaryExperiences gleaned as student midwives impact on shaping practitioners and the profession of the future. These experiences also determine whether the student will progress to registering with the professional body or decide to leave the profession, 2 which is akin to seminal research concerning reality shock. The importance of this study links to supporting a future workforce that is fit for purpose and able to meet the competing demands of the ever c...

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Debriefing in pediatrics

Cited by 13 publications

References 32 publications

Factors affecting effective ventilation during newborn resuscitation: a qualitative study among midwives in rural Tanzania

Factors affecting effective ventilation during newborn resuscitation: a qualitative study among midwives in rural Tanzania

Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation, and Positive Psychology: The 2017 Resident Wellness Consensus Summit

Greater support and debriefing may help student midwives to process traumatic birth experiences

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