Background

Debriefing is increasingly used in clinical environments. Surveys indicate staff support for debriefing clinical events, but little is known about the specific effects of debriefing on healthcare workers in the workplace. INFO (Immediate, Not for personal assessment, Fast facilitated feedback, and Opportunity to support and ask questions) is a charge nurse facilitated clinical event debriefing program implemented in 2016 and currently used in five Emergency Departments (ED) in Calgary, Alberta, Canada. There have been more than 840 documented INFO debriefings.

Methods

Thirty interprofessional ED healthcare workers were recruited through posters and email to take part in voluntary one-on-one interviews using a standardized question script that asked participants about their experience with INFO debriefing assessments. Specifically, participants were asked to provide demographic information, give feedback about their involvement in INFO clinical debriefings, impact of debriefings on their clinical practice, stress levels and wellbeing. Interviews were transcribed and analysed using NVivo software.

Results

Forty-five healthcare workers replied to the initial recruitment methods with fifteen not responding to follow-up communication. Overall, staff satisfaction with INFO debriefing was highly rated. A qualitative thematic analysis to saturation approach was used to analyse the data. Five main themes were identified: 1.Effect of debriefing on clinical practice and patient care. 2. Psychological safety and teamwork. 3. Emotional acknowledgment after critical events. 4. Managing work stress in the ED. 5. Barriers to debriefing.

Conclusions

In this study, debriefing in the ED helped interprofessional healthcare workers manage stress, provide improved patient care and teamwork while acknowledging emotions. This study specifically involved INFO, however, there are similarities that make our findings applicable to other clinical event debriefing programs. We believe this study provides further evidence supporting debriefing in clinical care areas.

中文翻译：

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跨专业临床事件汇报——有什么不同吗？急诊科护理人员对 INFO 临床事件汇报的态度

背景

汇报越来越多地用于临床环境。调查表明工作人员支持汇报临床事件，但对于汇报对工作场所医护人员的具体影响知之甚少。INFO（即时、不用于个人评估、快速促进反馈以及支持和提问的机会）是一项护士长促进临床事件汇报计划，于 2016 年实施，目前在加拿大阿尔伯塔省卡尔加里的五个急诊科 (ED) 使用。已经有超过 840 份记录在案的 INFO 汇报。

方法

通过海报和电子邮件招募了 30 名跨专业的 ED 医护人员，他们使用标准化的问题脚本参加自愿的一对一访谈，询问参与者他们在 INFO 汇报评估方面的经验。具体来说，参与者被要求提供人口统计信息，就他们参与 INFO 临床汇报、汇报对他们的临床实践、压力水平和健康的影响提供反馈。使用 NVivo 软件转录和分析访谈。

结果

45 名医护人员回复了最初的招聘方式，15 名医护人员未回复后续沟通。总体而言，员工对 INFO 简报的满意度评价很高。饱和度方法的定性主题分析用于分析数据。确定了五个主要主题： 1. 汇报对临床实践和患者护理的影响。2. 心理安全和团队合作。3. 重大事件后的情感承认。4. 管理急诊部的工作压力。5.汇报的障碍。

结论

在这项研究中，急诊室的汇报帮助跨专业医护人员管理压力，提供更好的患者护理和团队合作，同时承认情绪。这项研究特别涉及 INFO，但是，有一些相似之处使我们的研究结果适用于其他临床事件汇报计划。我们相信这项研究提供了进一步的证据支持在临床护理领域进行汇报。