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The presence of psychological trauma symptoms in resuscitation providers and an exploration of debriefing practices
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Spencer, Stephen A., Nolan, Jerry P., Osborn, Mike and Georgiou, Andy (2019) The presence of psychological trauma symptoms in resuscitation providers and an exploration of debriefing practices. Resuscitation, 142 . pp. 175-181. doi:10.1016/j.resuscitation.2019.06.280 ISSN 0300-9572.
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WRAP-presence-psychological-trauma-resuscitation-debriefing-Nolan-2-2019.pdf - Accepted Version - Requires a PDF viewer. Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0. Download (1463Kb) | Preview |
Official URL: https://doi.org/10.1016/j.resuscitation.2019.06.28...
Abstract
Introduction
Witnessing traumatic experiences can cause post-traumatic stress disorder (PTSD). The true impact on healthcare staff of attending in-hospital cardiac arrests (IHCAs) has not been studied. This cross-sectional study examined cardiac arrest debriefing practices and the burden of attending IHCAs on nursing and medical staff.
Methods
A 33-item questionnaire-survey was sent to 517 doctors (of all grades), nurses and health-care assistants (HCAs) working in the emergency department, the acute medical unit and the intensive care unit of a district general hospital between April and August 2018. There were three sections: demographics; cardiac arrest and debriefing practices; trauma-screening questionnaire (TSQ).
Results
The response rate was 414/517 (80.1%); 312/414 (75.4%) were involved with IHCAs. Out of 1463 arrests, 258 (17.6%) were debriefed. Twenty-nine of 302 (9.6%) staff screened positively for PTSD. Healthcare assistants and Foundation Year 1 doctors had higher TSQ scores than nurses or more senior doctors (p = 0.02, p = 0.02, respectively). Debriefing was not associated with PTSD risk (p = 0.98). Only 8/67 (11.9%) of resuscitation leaders had prior debriefing training.
Conclusions
Nearly 10% of acute care staff screened positively for PTSD as a result of attending an IHCA, with junior staff being most at risk of developing trauma symptoms. Very few debriefs occurred, possibly because of a lack of debrief training amongst cardiac arrest team leaders. More support is required for acute care nursing and medical staff following an IHCA.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RC Internal medicine | ||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| SWORD Depositor: | Library Publications Router | ||||||||
| Library of Congress Subject Headings (LCSH): | Cardiac resuscitation, Cardiac arrest, Stress (Psychology), Post-traumatic stress disorder -- Research, Emergency medical personnel -- Job stress | ||||||||
| Journal or Publication Title: | Resuscitation | ||||||||
| Publisher: | Elsevier | ||||||||
| ISSN: | 0300-9572 | ||||||||
| Official Date: | September 2019 | ||||||||
| Dates: |
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| Volume: | 142 | ||||||||
| Page Range: | pp. 175-181 | ||||||||
| DOI: | 10.1016/j.resuscitation.2019.06.280 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| Date of first compliant deposit: | 9 December 2019 | ||||||||
| Date of first compliant Open Access: | 25 June 2020 |
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