Date of Award

8-4-2017

Degree Name

Nursing (D.N.P.)

Department

College of Nursing

First Advisor

Cynthia Coviak

Second Advisor

Robert Johnson

Third Advisor

Geri Terry

Fourth Advisor

Sandy VanBrouwer

Abstract

Regular exposure to trauma, such as the act of bearing witness to intense suffering and pain of pediatric patients and families, has a significant effect on healthcare professionals. Despite the fact that traumatic situations in pediatrics are a reality, there is little education and few interventions focused on how to prepare and support healthcare providers to care for dying children and families or for other clinically challenging situations. Pediatric residency program directors within a large, freestanding children’s hospital identified a subjective need for support for their pediatric residents in dealing with clinically challenging situations faced during residency, motivating residency program directors to implement monthly debriefing sessions for pediatric residents following their pediatric intensive care (PICU) and neonatal intensive care (NICU) rotations. An appraisal of evidence further justified the need for provision of support and highlighted various methods for the provision of support. Utilizing the Model of Evidence-based Practice Change for evidence-based practice implementation, the purpose of this pilot program evaluation was to determine the efficacy and impact of these monthly, multidisciplinary debriefing sessions on resident emotional, social, and spiritual wellbeing and compassion fatigue. Outcomes showed that this pilot multidisciplinary debriefing session was a compelling example of a deliberative, routine, support measure for combating provider distress supported by both quantitative and qualitative outcome measures.

Available for download on Saturday, August 24, 2019

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