Systematic Debriefing for Critical Events Facilitates Team Dynamics, Education, and Process Improvement.

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From: Journal of Nursing Care Quality(Vol. 37, Issue 2)
Publisher: Lippincott Williams & Wilkins, WK Health
Document Type: Brief article
Length: 217 words

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Abstract :

Byline: Paula M. Gabriel, Penn Presbyterian Medical Center, Philadelphia, Pennsylvania (Mss Gabriel and Smith and Drs Mullen-Fortino, Ballinghoff, and Cacchione); University of Pennsylvania School of Nursing, Philadelphia (Dr Cacchione); Leonard Davis Institute of Health Economics, Philadelphia, Pennsylvania (Dr Cacchione); and Department of Medicine, Penn Medicine Clinical Effectiveness and Quality Improvement, Philadelphia, Pennsylvania (Dr Holland).; Kirsten Smith; Margaret Mullen-Fortino; James Ballinghoff; Sara Holland; Pamela Z. Cacchione Abstract BACKGROUND: Debriefing is used in clinical settings to support interprofessional staff, improve processes, and identify educational needs. Nurses who lead debriefing sessions are empowered to improve processes. PROBLEM: Nurse leaders identified the need for debriefing outside the critical care areas due to the rising acuity levels. APPROACH: Two nurse leaders developed a debriefing initiative in one urban teaching hospital following rapid responses, codes, and stressful situations. Nurses developed a Debriefing Facilitation Guide to collect qualitative aspects of clinical emergencies to improve processes, education, and team dynamics. OUTCOMES: Following each debriefing session, we deductively purposively coded the qualitative data into 3 a priori themes: the American Heart Association's team dynamics, process improvement, and educational opportunities. We identified opportunities for improvement for these themes during our first 54 debriefing sessions. CONCLUSIONS: Following each debriefing session, the debriefing nurse leader intervened on all educational and process improvement opportunities identified and facilitated positive team dynamics.

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Gale Document Number: GALE|A694678305