Debriefing in the Emergency department
Background
Emergency departments are areas that intense work in the hospital is performed because the patients have to be stabilized before discharge and before admission into the wards. Regardless of whether one is a student, nurse, doctor or other medical professionals, one must have dealt with patients in critical or life-threatening conditions. For some people, such as those working in the emergency department, life and death situations occur on a regular basis (Johnson, 2015). Healthcare professionals are always prepared for the best and the worst in patient care. In some cases, things go well, but in other encounters, mistakes occur. The mistakes in the medical field can be rectified by the aid of debriefing sessions. Reviewing the events can help medical workers provide the best care possible for the patients and improve efficiency at work. The emergency department is one of the areas that debriefing sessions are likely to produce better results in patient care and improve the patient satisfaction scores. This research discusses the effectiveness of debriefing in the emergency department and the differences in outcome of debriefed versus non –debriefed staffs.
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Problem Statement
The emergency departments are regularly faced with traumatic circumstances such as violence, aggression, failed resuscitation, cardiac or respiratory arrest, critically ill patients and death. These situations are often termed as ‘critical incidences,’ and they are part of the self-defined traumatic events that cause healthcare practitioners to experience strong emotional responses that lead to ineffective coping mechanisms (Johnson, 2016). Because of such incidences, the emergency department has been long recognized as the most stressful departments. The stress in the specialty leads to burnout and decreases….
Purpose of the Proposal
This proposal aims at providing critical evidence that debriefing sessions in the emergency departments improve patient satisfaction scores…
Literature Search Strategy
The literature used in this research is from recognized online journal review websites. The American Journal of Nursing (AJN) and the Journal of Nursing Research (JNR) were used to retrieve articles with relevant data….
Evaluation of the Literature
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Debriefing after a critical incident is a well-reorganized alternative to an informal social discussion…
Nursing Theory Utilized
Nursing theories provide a guide to the nursing research and education…
Implementation Plan
The implementation phase will start with the generation of a debriefing tool which will be used in the emergency department…
Potential Barriers
Implementation of a new practice into a big department as the emergency sector is cumbersome…
Conclusion
The emergency department is one of the areas where debriefing of staff is likely to improve the output of healthcare workers. The debriefing process does apply not only to the nursing team but also to the other physicians in the emergency department. The nature of the problems experienced in the department cannot be controlled by any other means apart from debriefing. The identification of amicable solutions to improve the patient score sheet starts with the debriefing process. As observed from the other research conducted on the topic, debriefing has helped reduce stress and improve quality of service in the emergency department. This research aims at observing whether debriefing will improve the patient satisfaction scores and the results produced will determine the course of action.
References
Bastos, M. H., Bick, D., Rowan, C. J., Small, R., & McKenzie-McHarg, K. (2015). Debriefing for the prevention of psychological trauma in women following childbirth. Cochrane Database Syst Rev, 2. Retrieved from http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007194/full
Centers for Medicare & Medicaid Services. (2013). HCAHPS: Patients’ perspectives of care survey. Retrieved November, 3. Retrieved from https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalHCAHPS.html
Hanna, D. R., & Romana, M. (2014). Debriefing after a crisis. Nursing management, 38(8), 38-42 Retrieved from https://journals.lww.com/nursingmanagement/Citation/2007/08000/Debriefing_after_a_crisis.11.aspx
Johnson Pivec, C. R. (2015). Debriefing after simulation: Guidelines for faculty and students. Retrieved from http://sophia.stkate.edu/ma_nursing/14/
Johnson, A. (2016). Debriefing in the Emergency Department. Retrieved from https ://repository.usfca.edu/capstone/424/
Punch, L. (2013). Nursing simulation: The art and science of debriefing with a demonstration for advanced education. Retrieved from https://research.wsulibs.wsu.edu:8443/xmlui/handle/2376/4252
Schmidt, M., & Haglund, K. (2017). Debrief in Emergency Departments to Improve Compassion Fatigue and Promote Resiliency. Journal of Trauma Nursing, 24(5), 317-322. Retrieved from https://journals.lww.com/journaloftraumanursing/Abstract/2017/09000/Debrief_in_Emergency_Departments_to_Improve.9.aspx
Talbot, C. (2016). Debriefing critical incidents in the Emergency Department. Retrieved from http://www.nursingjournal.co.nz/volume-two-1-2016/debriefing-critical-incidents-in-the-emergency-department/
Appendix
Lewin’s Change Model
