PICOT Statement
Debriefing After Codes.
Among the nurses in the inpatient cancer unit, how do debriefing after codes improve care to both patients and improve the needs of the nurses in comparison to nurses in other units where no debriefs are conducted on the action of the nurses when a similar event occur in the future.
Population.
While undertaking the care of cancer patients for the patient that is admitted to the unit, various situations come about since there are myriad of conditions that prevail within the unit. The conditions of the patient can change depending on the treatment they are receiving as well as their states and stage of the condition. All these go on under the watch of nurses in the inpatient cancer unit, and they are mandated to ensure the needs of the patients are catered for. The nurse in this unit can encounter various events ranging from a heart attack from their patients in the case of a comorbid condition or have a death in the case of a terminally ill cancer patient. In one way or the other, the nurse within the unit are usually affected, and this forms the focus of change to avert this influence as well as improve their practice.
Intervention.
In improving the care and safety of patients as well as taking care of the experience that nurses in the inpatient cancer unit go through, the debriefing will be done after events that need evaluation. This will commence by setting rules governing the debriefing session. The facilitator will be notified and time, as well as a location for debriefing, will be allocated. Nurses will engage in a meaningful analysis of the vent and stick to the objective and the goals of the session in a strict manner (Austin et al., 2017). A balanced staff participation will be encouraged. Opportunities that need improvement will be captured and the information resolved will be shared with other team members.
Comparison.
Evaluation will be conducted to check on the impact of implementing debriefs after codes. The evaluation will revolve around the improvement of care and safety concerning the practices by the nurses in the case of events that need evaluation as well as reflection. Compliance with the honor to the debriefing session will be audited and compared with other units before and after the introduction of the debriefing after codes within the inpatient cancer unit (Runnacles et al., 2014). At the same time, the percentage of significant change in the care of patients and their safety before and the intervention will be computed.
Outcome.
Upon the debriefing sessions, the skills and knowledge of nurses within the inpatient cancer unit will improve. The nurses will be able to have a platform where they will share their experiences on a previous occurrence which will relieve them of the burden of stress and feelings about the event (Copeland & Liska, 2016). Similarly, they will improve the care regarding quality and safety especially when a similar event to the one that debrief was conducted occurs. At the same time, the best practices will be shared by the team members to adjust their practices. Self-satisfaction among the nurses will also improve due to the improved care as well as a sense of togetherness generated by implementing the debriefing after codes.
Timeframe.
The debriefing will be done after identifiable cases to reflect on what trespassed in the events. Data about the implementation will be collected for two months in various units and comparison made. During the occurrence of a similar event where debrief was conducted, an evaluation will be held after that to both the patient and the nurse to reflect on the impact of the debriefing sessions.
References:
Austin, D., Ferkins, L., Swann, J., & Smythe, E. (2017). After the event: Debrief to make a
difference. O&G Magazine, 19(2), 55.
Copeland, D., & Liska, H. (2016). Implementation of a Post-Code Pause: Extending Post-Event
Debriefing to Include Silence. Journal of Trauma Nursing, 23(2), 58-64.
Runnacles, J., Thomas, L., Sevdalis, N., Kneebone, R., & Arora, S. (2014). Development of a
tool to improve performance debriefing and learning: the paediatric Objective Structured
Assessment of Debriefing (OSAD) tool. Postgraduate medical journal, 90(1069), 613-
621.
