The Prevalence of Second Victim Syndrome and Emotional Distress in Pediatric Intensive Care Providers

2021 ◽  
Author(s):  
Michael Wolf ◽  
Kathleen Smith ◽  
Mohua Basu ◽  
Kurt Heiss
Keyword(s):  
Intensive Care ◽  
Peer Support ◽  
Emotional Distress ◽  
High Stress ◽  
Pediatric Intensive Care ◽  
Well Being ◽  
Care Providers ◽  
Support Tool ◽  
Survey Tool ◽  
Second Victim

AbstractPediatric critical care providers are at higher risk of second victim syndrome (SVS) and emotional distress after a poor patient outcome, unanticipated adverse event, medical error, or patient-related injury. We sought to determine the prevalence of SVS within our intensive care units (ICUs) and evaluate the adequacy of current institutional peer support. A validated survey tool, the second victim experience and support tool was sent electronically to all ICU providers in our pediatric health care system. Of 950 recipients, there were 266 respondents (28%). Sixty-one per cent of respondents were nurses; 19% were attending physicians, advanced practice providers, and fellows; 88% were females; 42% were aged 25 to 34 years; and 43% had worked in the ICU for 0 to 5 years. The most common emotion experienced was psychological distress (42%) and one-third of respondents questioned their self-efficacy as a provider after a second victim event. Support from colleagues, supervisors, and the institution was perceived as low. Support from a respected peer was the most desired type of support by 81% of respondents. Emotional distress and SVS are commonly found among pediatric ICU providers and the level of support is perceived as inadequate. Developing and deploying a peer support program are crucial to staff's well-being and resilience in the high-stress ICU environment.

scholarly journals The sound of potency: An observation study of nurses’ approach to sound in a pediatric intensive care unit

2017 ◽  
Vol 5 (2) ◽  
pp. 46
Author(s):  
Emma Mellgren ◽  
Janet Mattsson
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Well Being ◽  
High Tech ◽  
Noise Levels ◽  
Observation Study ◽  
Care Environment ◽  
High Noise

Objective: The objective of this study was to investigate the nurses’ approach to three sources of sound that contribute to high noise levels; alarms, doors that open and conversation.Methods: Methods used derived from a theoretical perspective based on interpretive phenomenology and caring culture. In the pediatric intensive care, the caregivers of the children work in a high-tech environment as they are surrounded by sound from several sources. How caregivers understand and acknowledge how these sounds negatively affect a child’s well-being depends on their individual knowledge and awareness of how children are affected by sound. In most cases, coming into an intensive care unit is a new experience for a child. This causes greater stress, both from the environment itself as well as from sound levels. The method was built on a phenomenological perspective and an interpretive non-participation, semi-structured observations were conducted in a pediatric intensive care unit (PICU) of one of Sweden’s metropolitan regions in the winter of 2014-2015.Results: The results show that noise is an overlooked phenomenon in the pediatric intensive care environment as it has given way to other priorities in the nurse’s work. It is also apparent that this depends on the department’s caring culture as it prioritizes other things, resulting in normalizing high levels of noise as a part of the pediatric intensive care environment.Conclusions: Noise levels are not a priority in the department’s caring culture. High noise levels are permitted unreflectedly and appears to be a token of potency and an accepted part of the health care environment.

Visitation in the Pediatric Intensive Care Unit: Controversy and Compromise

1994 ◽  
Vol 5 (3) ◽  
pp. 289-295 ◽  
Author(s):  
Nancy E. Page ◽  
Nancy M. Boeing
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Health Care Providers ◽  
Pediatric Intensive Care ◽  
Care Providers ◽  
The Family ◽  
Centered Care ◽  
Family Centered

Much controversy has arisen in the last few decades regarding parental and family visitation in the intensive care setting. The greatest needs of parents while their child is in an intensive care unit include: to be near their child, to receive honest information, and to believe their child is receiving the best care possible. The barriers that exist to the implementation of open visitation mostly are staff attitudes and misconceptions of parental needs. Open visitation has been found in some studies to make the health-care providers’ job easier, decrease parental anxiety, and increase a child’s cooperativeness with procedures. To provide family-centered care in the pediatric intensive care unit, the family must be involved in their child’s care from the day of admission. As health-care providers, the goal is to empower the family to be able to advocate and care for their child throughout and beyond the life crisis of a pediatric intensive care unit admission

Spiritual care for the critically ill

1995 ◽  
Vol 4 (1) ◽  
pp. 77-81 ◽  
Author(s):  
C Clark ◽  
T Heidenreich
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Spiritual Care ◽  
Well Being ◽  
Nursing Interventions ◽  
Negative Feeling ◽  
Technical Competence ◽  
Care Providers ◽  
Spiritual Assessment ◽  
Spiritual Well Being

BACKGROUND: Spiritual well-being is the center of a healthy lifestyle and enables holistic integration of one's inner resources. However, the professional education process does not adequately provide socialization of nurses in the provision of spiritual care. Few studies exist that adequately address the spiritual aspect of nursing care. PURPOSE: To identify factors that contribute to providing spiritual care for patients in intensive care units. METHODS: A descriptive research design was used for this replication study conducted on a convenience sample of 63 patients in the critical care unit of a large midwestern military hospital. A trained interviewer asked each participant three open-ended questions regarding events that had created hope or meaning, created negative feeling, and could have contributed to hope or meaning. The interview took place 1 to 2 days after discharge from the intensive care unit. Predominant patterns were determined by content analysis. RESULTS: Three themes were identified as integral to the spiritual well-being of critical care patients: care providers, family/friends, and religion/faith. Nursing interventions identified for the three themes include establishing trusting relationships, providing in-depth spiritual assessment, conveying technical competence, and acting as facilitator among family, clergy, and other providers. CONCLUSIONS: We conclude that the key nursing interventions derived from this study include listening to patients' concerns and maintaining and conveying technical competence.

scholarly journals Evaluating a handheld decision support device in pediatric intensive care settings

JAMIA Open ◽  
2019 ◽  
Vol 2 (1) ◽  
pp. 49-61
Author(s):  
Tera L Reynolds ◽  
Patricia R DeLucia ◽  
Karen A Esquibel ◽  
Todd Gage ◽  
Noah J Wheeler ◽  
...  
Keyword(s):  
Intensive Care ◽  
Decision Support ◽  
Cognitive Load ◽  
Risk Perceptions ◽  
Implementation Strategies ◽  
Pediatric Intensive Care ◽  
User Acceptance ◽  
End User ◽  
Support Tool ◽  
Support Device

Abstract Objective To evaluate end-user acceptance and the effect of a commercial handheld decision support device in pediatric intensive care settings. The technology, pac2, was designed to assist nurses in calculating medication dose volumes and infusion rates at the bedside. Materials and Methods The devices, manufactured by InformMed Inc., were deployed in the pediatric and neonatal intensive care units in 2 health systems. This mixed methods study assessed end-user acceptance, as well as pac2’s effect on the cognitive load associated with bedside dose calculations and the rate of administration errors. Towards this end, data were collected in both pre- and postimplementation phases, including through ethnographic observations, semistructured interviews, and surveys. Results Although participants desired a handheld decision support tool such as pac2, their use of pac2 was limited. The nature of the critical care environment, nurses’ risk perceptions, and the usability of the technology emerged as major barriers to use. Data did not reveal significant differences in cognitive load or administration errors after pac2 was deployed. Discussion and Conclusion Despite its potential for reducing adverse medication events, the commercial standalone device evaluated in the study was not used by the nursing participants and thus had very limited effect. Our results have implications for the development and deployment of similar mobile decision support technologies. For example, they suggest that integrating the technology into hospitals’ existing IT infrastructure and employing targeted implementation strategies may facilitate nurse acceptance. Ultimately, the usability of the design will be essential to reaping any potential benefits.

scholarly journals A Mixed Method research on experience of stress among mothers of children admitted in Paediatric Intensive Care Unit

2019 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Qualitative Interviews ◽  
High Stress ◽  
Pediatric Intensive Care ◽  
Structured Interview ◽  
Assessment Instruments ◽  
Mixed Method Research ◽  
Mixed Approach

Introduction: The aim of the study was to assess and explore the stress experienced in the form of stress levels and various themes derived from the qualitative interviews of mothers of children admitted in pediatric Intensive Care Unit (PICU). Materials and Methods: A Mixed approach i.e. gathering data from mothers of children admitted in PICU in both quantitative and qualitative way was adopted to assess and explore the level of stress experienced by mothers of children admitted in pediatric Intensive Care Unit (PICU) of Govt. Hospital Anantnag Jammu & Kashmir. Quantitative assessment will help to identify the level of stress and qualitative findings on the other hand will help the investigator to explore the mothers stress on deeper level; as a result their needs can be addressed in future. The data collection was done in regional language (Kashmiri) by face to face interview method using Structured Interview Schedule. Results: The present study revealed that out of 30, 25(83.3%) mothers has very high stress and 5(16.7%) has high stress and no mother falls in the category of very low, low and average stress. Conclusion: The study concluded that Implementation of triangulation technique explores many hidden areas of mothers stress which generally cannot be explored by the stress assessment instruments e.g. Belief and spirituality, transportation issues, communication problems, comparison of illness to disaster and many others.

scholarly journals Patient- and Family-Centered Video Rounds in the Pediatric Intensive Care Unit

2020 ◽  
Author(s):  
Ryan L. DeSanti ◽  
Diane H. Brown ◽  
Sushant Srinivasan ◽  
Tom Brazelton ◽  
Michael Wilhelm
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Successful Implementation ◽  
Care Providers ◽  
Team Members ◽  
Social Distancing ◽  
Work From Home ◽  
Family Centered

Objective: Management of the coronavirus disease 2019 (COVID-19) pandemic has required social distancing requirements and personal protective equipment shortages, which have forced hospitals to modify patient care rounds. We describe our process developing telemedicine rounds to maintain synchronous, multidisciplinary, pediatric intensive care unit rounds. By adapting available resources using rapid process improvement (PI), we were able to develop patient- and family-centered video rounds (PFCVR). Design: When rounding team members were forced to work from home, we adapted an existing telemedicine platform (VidyoConnect) to perform PFCVR. A quality improvement (QI) team developed an initial standard process, which underwent rapid PI using a small multidisciplinary team. Setting: A 21-bed, mixed medical/surgical/cardiac pediatric intensive care unit. Participants: Critical care patients, families, physicians, consultants, nurses, and ancillary staff. Interventions: The QI team initially met daily, then weekly, sought feedback from nurses, families, and other care providers, and utilized small tests of change to improve the rounding process. Results: We established standardized, socially distanced rounds using VidyoConnect to allow synchronous, multidisciplinary PFCVR. Implementation of a schedule and rounding script facilitated efficient and effective team communication, optimized participation by the entire team, and decreased interruptions. Conclusions: The COVID-19 pandemic compromised the feasibility of the previous rounding process. PFCVR is a safe and effective tool to facilitate communication while adhering to social distancing guidelines. Use of available platforms and team-based PI is critical for successful implementation.

Validation of the Second Victim Experience and Support Tool-Revised in the Neonatal Intensive Care Unit

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Adrien M. Winning ◽  
Jenna Merandi ◽  
Joseph R. Rausch ◽  
Nancy Liao ◽  
James M. Hoffman ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Support Tool ◽  
Second Victim
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