National Partnership for Maternal Safety: Consensus Bundle on Support After a Severe Maternal Event

Morton, Christine H.; Hall, Michelle Flaum; Shaefer, Sarah J. M.; Karsnitz, Deborah; Pratt, Stephen D.; Klassen, Miranda; Semenuk, Kisha; Chazotte, Cynthia

doi:10.1016/j.jogn.2020.09.160

Cited by 6 publications

(4 citation statements)

References 54 publications

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“…Because of the US's increased maternal morbidity and mortality rates, this shift places women at higher risk for adverse events throughout pregnancy, labor, delivery, and postpartum care. [13,14] As health care becomes more complex and patient acuity increases, unforeseen and adverse outcomes become more frequent. [7,14] Yet, there was little emotional or spiritual support offered to staff outside of chaplains in the primary author's organization and the Employee Assistance Program (EAP) to help process those negative experiences.…”

Section: Introductionmentioning

confidence: 99%

“…[13,14] As health care becomes more complex and patient acuity increases, unforeseen and adverse outcomes become more frequent. [7,14] Yet, there was little emotional or spiritual support offered to staff outside of chaplains in the primary author's organization and the Employee Assistance Program (EAP) to help process those negative experiences. [11] After two decades of experiencing adverse patient events and attempting to cope with the detrimental effects caused to HCPs, it became a mission and passion to help clinicians thrive instead of just survive.…”

Section: Introductionmentioning

confidence: 99%

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Beautifully broken: Implementing a peer support program to help healthcare providers heal

Webb

McNulty²

2023

JNEP

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Introduction: This evidence-based project aimed to determine the feasibility of implementing a peer support program to minimize trauma in healthcare professionals (HCP)s following unanticipated adverse events. Based on the forYOU Program designed by Sue Scott at the University of Missouri Health System, this program trained peers to offer real-time caring and support to other clinicians coping with such events. Most healthcare professionals are involved in at least one adverse event in their careers. Albert Wu, MD (2000) coined the term second victim to capture the essence of the trauma experienced by healthcare professionals when an unanticipated event negatively impacts a patient. When left unchecked, this trauma can result in moral distress, stress disorders, and burnout as the clinician ruminates over the event. Providing emotional support has improved second victims' emotional well-being and recovery. Therefore, healthcare leaders are encouraged to develop comprehensive programs to provide easy access to peer and social support when they experience an adverse event.Methods: Designed for implementation in the Women's Service Department of a 350-bed southwestern hospital, this project employed a pre-/post-evaluation of subjective outcomes using an online survey for nurses. A core group of trainers attended a two-day peer support train-the-trainer event hosted by the forYOU Program at the University of Missouri Health Care System. This group trained 26 peer supporters representing the four departments in Women's Services and both shifts. Baseline data was collected (n = 44) to assess the frequency and impact of unanticipated adverse events, the perceived support, and the type of support received. Following the four-month implementation in the Summer/Fall of 2020, post-data was obtained, including a program awareness assessment (n = 17).Results: Pre- and post-implementation of the Peer Support Program, nurses in Women's Services reported adverse events impacting their emotional well-being. Post-program, more nurses reported receiving support (86% post-program versus 43% pre-program). Before employment, 79% of nurses who received support received peer support, versus 86% receiving peer support post-implementation. The implementation occurred during the COVID pandemic, which may have resulted in a decreased post-assessment sample size. However, the peer supporters reported hesitancy in completing encounter forms feeling that providing support was “too personal”. The participants said that they found the peer support program worthwhile.Conclusions: Nurses on the implementation units indicated receiving more support after the peer support program was implemented and felt the program was beneficial. Since unanticipated events are inevitable in health care, the steering committee recommended sustaining and spreading the program to all the nursing departments. More data is needed to determine the full impact of the program.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Beautifully broken: Implementing a peer support program to help healthcare providers heal

Webb

McNulty²

2023

JNEP

View full text Add to dashboard Cite

show abstract

“…Birth trauma has traditionally been associated with medical interventions, medical emergencies, or severe maternal events for the birthing individual or baby [1][2][3][4]. More recently, it has been recognized that trauma may not always be apparent to the clinician [5].…”

Section: Introductionmentioning

confidence: 99%

“…The objective of this study was to elicit the perspectives of individuals who self-identify as having experienced a traumatic birth to elucidate (1) what support they did or did not receive in the obstetric setting and (2) what mental health support they would have wanted to receive. These findings can then inform interventions in obstetric settings to support individuals who have experienced a traumatic birth.…”

Section: Introductionmentioning

confidence: 99%

Perspectives on barriers and facilitators to mental health support after a traumatic birth among a sample of primarily White and privately insured patients

Boama-Nyarko

Masters

et al. 2021

General Hospital Psychiatry

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“We don’t really address the trauma”: Patients’ Perspectives on Postpartum Care Needs after Severe Maternal Morbidities

Niles,

Nack,

Eniola

et al. 2024

Matern Child Health J

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National Partnership for Maternal Safety: Consensus Bundle on Support After a Severe Maternal Event

Cited by 6 publications

References 54 publications

Beautifully broken: Implementing a peer support program to help healthcare providers heal

Beautifully broken: Implementing a peer support program to help healthcare providers heal

Perspectives on barriers and facilitators to mental health support after a traumatic birth among a sample of primarily White and privately insured patients

“We don’t really address the trauma”: Patients’ Perspectives on Postpartum Care Needs after Severe Maternal Morbidities

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