Literature Evaluation Table
Student Name:
Change Topic (2-3 sentences): Debriefing after code events has various implications, effects as well as aspects in the clinical set-ups. This has been demonstrated via various research activities as displayed in the synopses in this literature evaluation table.
| Criteria | Article 1 | Article 2 | Article 3 | Article 4 |
| Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
|
Runnacles, J., Thomas, L., Sevdalis, N., Kneebone, R., & Arora, S. http://pmj.bmj.com/content/90/1069/613.short | Wolfe, H., Zebuhr, C., Topjian, A. A., Nishisaki, A., Niles, D. E., Meaney, P. A., … & Apkon, M
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4092119/ |
Kassutto, S. M., Kayser, J. B., Kerlin, M. P., Lipschik, G., Upton, M., & Schweickert, W. D
http://www.atsjournals.org/doi/abs/10.1164/ajrccm-conference.2016.193.1_MeetingAbstracts.A3208 |
Blankenship, A. C., Fernandez, R. P., Joy, B. F., Miller, J. C., Naguib, A., Cassidy, S. C., … & Yates, A. R. |
| Article Title and Year Published
|
Development of a
tool to improve performance debriefing and learning: the pediatric Objective Structured Assessment of Debriefing (OSAD) tool, Published in 2014 |
Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes, 2014 | Analysis of Recording Methods to Facilitate Debriefing After Cardiac Arrest Resuscitation, 2016. | Multidisciplinary Review of Code Events in a Heart Center. American Journal of Critical Care, 2016 |
| Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
|
The study aimed at developing a tool that would be used to guide and assess debriefings following simulations in serious pediatric situations. | To evaluate the effectiveness of a novel, interdisciplinary, post event quantitative debriefing program in improving the survival outcomes. | To improve structured debriefing from a video recording. | Todetermine cause of clinical deterioration, examine resuscitation efforts identifying system issues by use of multidisciplinary code review process. |
| Design (Type of Quantitative, or Type of Qualitative)
|
Case study qualitative research. | Prospective qualitative improvement interventional trial | Observational study. | Retrospective study. |
| Setting/Sample
|
The study was conducted in pediatric unit with the sample population constituting of pediatrician, debriefing facilitators and learners within the unit. | Intensive care unit. | Inpatient wards and sampling 108video reviews. | Pediatric heart center. |
| Methods: Intervention/Instruments
|
It used literature review and semi structured interviews. | Structured, quantitative, audiovisual, interdisciplinary debriefing of chest compression events. | Direct observation, real time charting with two researchers and Google Glass recording. | Retrospective analysis of code events and review of surgical-cardiac data. |
| Analysis
|
Emergent theme analysis was applied in identifying the key components of effective debriefing. | Used Q-CPR review software to collect CPR quality data with statistical analysis completed using Stata. | 6 independent nurse and physician specialists analyzed each video for the distinct characteristics determining their visibility and audibility. | Retrospective analysis. |
| Key Findings
|
The study identified 307 features of a debriefing. They were grouped into eight dimensions that represented the components of pediatric debriefing. | Chest compressions quality improved after the implementation of the program. The percentage of epochs meetings also increased. | 9 events were successfully recorded with two failing | 60% of reviewed arrest led to educationalinitiatives and 47% led to policy changes. Issues pertaining to communication, environment/culture/policy, patient care and equipment also emerged from the review. |
| Recommendations
|
A structured approach such as the Objective Structured Assessment of Debriefing tool should be used in simulation of the debriefing to improve the process. | Use of interdisciplinary, post event quantitative debriefing program in improving quality of resuscitation events and the survival. | Video recording ought to be used to facilitate debriefing after cardiopulmonary resuscitation. | For improvement of care and development of educational initiatives, there is need for a multidisciplinary code review committee. |
| Explanation of How the Article Supports EBP/Capstone Project
|
Coming up with the assessment tool to impact simulation debriefing based on evidence from published literature and views of facilitators and learners supported the application of evidence d based practices. This so because the information represented the experience by other users of debriefing as well as review from related articles. | It supports EBP by advocating for implementation of one of the best practices- interdisciplinary debriefing program. | With positive results from the video recording, its usage for debriefing exemplifies application of best practice. | With the study geared towards analysis of events and advocating for use multidisciplinary code review committee which already led to improved care shows its support for EBP. |
| Criteria | Article 5 | Article 6 | Article 7 | Article 8 |
| Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
|
Blankenship, A. C., Fernandez, R. P., Joy, B. F., Miller, J. C., Naguib, A., Cassidy, S. C., … & Yates, A. R
http://www.emeraldinsight.com/doi/abs/10.1108/LODJ-12-2013-0169 |
Nerovich, C., Thime, K., Manzardo, J., & Derrington, S. | Sjöberg, F., Schönning, E., & Salzmann‐Erikson, M
http://onlinelibrary.wiley.com/doi/10.1111/jocn.12844/full |
Sandhu, G., Colon, J., Barlow, D., & Ferris, D |
| Article Title and Year Published
|
Debriefing a rescue mission during a terror attack, 2015 | DESIGNING AND IMPLEMENTING A DEBRIEFING TOOL TO REDUCE COMPASSION FATIGUE AND BURNOUT IN THE PICU,
2016 |
Nurses’ experiences of performing cardiopulmonary resuscitation in intensive care units, 2015 | Daily Informal Multidisciplinary Intensive Care Unit Operational Debriefing Provides Effective Support for Intensive Care Unit Nurses, 2016 |
| Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
|
To explore a better understanding of holistic debriefing processes | To measure burnout and compassionate fatigue and develop a debriefing process to reduce them among the pediatric intensive care unit staff. | To describe the nurses’ experiences of carrying out cardiopulmonary resuscitation. | To determine the perception of attendees in relation to the implementation of daily operational debriefings. |
| Design (Type of Quantitative, or Type of Qualitative)
|
Case study design. | Descriptive. | Qualitative descriptive design. | Descriptive study. |
| Setting/Sample
|
Search and Rescue crew in a terror attack. | Pediatric intensive care unit. 222 | Intensive care units. n=8 | Intensive care unit. |
| Methods: Intervention/Instruments
|
Crew participated in an interview to give their experience. | Surveys were sent to PICU staff. | Semi-structured interviews were used. | Anonymous voluntary surveys were used. |
| Analysis
|
Analyzedinformation via content analysis. | Used SPSS | Content analysis was used. | Content analysis was used. |
| Key Findings
|
Positive experience from holistic debriefing for social support and emotions. | High scores for ProQRL indicating high stress and fatigue levels. In 9 months, 33 deaths occurred with 21 debriefing conducted with nurses responding on their positive impact in relieving themselves. | The staff found it necessary to practice resuscitation hence required training on it as well as debriefing after such events. | A good number felt that the daily debriefings were efficient inproviding a support system, care and sense of togetherness amongst themselves.50% felt that the debriefing reduced their stress levels and 98% wanted the program to continue. |
| Recommendations
|
Adoption of holistic debriefing for rescue teams and security forces in the disaster cases. | PICU staff ought to conduct short debriefing after a code containing both medical and emotional content. | Post cardiopulmonary resuscitation debriefing need to be viewed in the light of staff experience and emotion and not only for error identification. | Modified model for debriefing could be developed for non-ICU units. |
| Explanation of How the Article Supports EBP/Capstone
|
From the positive outcome of debriefing, its application enhances use of best practice. | With the result showing a high measure of stress and burn out that is reduced by debriefing, it translates to an implementation from a positive practice. | Since such a practice leads to positive impact on the staff, it will impact to quality and safety of care provided to patient s that is in line with EBP. | The development of a model for non-ICU units would be an indicator of best practice that yielded great outcome form the ICU hence based on evidence. |
References:
Blankenship, A. C., Fernandez, R. P., Joy, B. F., Miller, J. C., Naguib, A., Cassidy, S. C., … &
Yates, A. R. (2016). Multidisciplinary Review of Code Events in a Heart Center.
American Journal of Critical Care, 25(4), e90-e97.
Firing, K., Johansen, L. T., & Moen, F. (2015). Debriefing a rescue mission during a terror
attack. Leadership & Organization Development Journal, 36(6), 778-789.
Kassutto, S. M., Kayser, J. B., Kerlin, M. P., Lipschik, G., Upton, M., & Schweickert, W. D.
(2016). Analysis Of Recording Methods To Facilitate Debriefing After Cardiac Arrest
Resuscitation. In B35. INNOVATIONS IN MEDICAL EDUCATION (pp. A3208-
A3208). American Thoracic Society.
Nerovich, C., Thime, K., Manzardo, J., & Derrington, S. (2016). 1267: DESIGNING AND
IMPLEMENTING A DEBRIEFING TOOL TO REDUCE COMPASSION FATIGUE
AND BURNOUT IN THE PICU. Critical Care Medicine, 44(12), 392.
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.
Sandhu, G., Colon, J., Barlow, D., & Ferris, D. (2016). Daily Informal Multidisciplinary
Intensive Care Unit Operational Debriefing Provides Effective Support for Intensive Care
Unit Nurses. Dimensions of Critical Care Nursing, 35(4), 175-180.
Sjöberg, F., Schönning, E., & Salzmann‐Erikson, M. (2015). Nurses’ experiences of performing
cardiopulmonary resuscitation in intensive care units: a qualitative study. Journal of
clinical nursing, 24(17-18), 2522-2528.
Wolfe, H., Zebuhr, C., Topjian, A. A., Nishisaki, A., Niles, D. E., Meaney, P. A., … & Apkon,
- (2014). Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes.
Critical care medicine, 42(7), 1688.
