Critical Incident Stress Debriefing for Health Care Workers

1994 ◽  
Vol 28 (4) ◽  
pp. 301-315 ◽  
Author(s):  
Pamela S. Lane
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Critical Incident ◽  
Medical Center ◽  
The United States ◽  
Critical Incident Stress Debriefing ◽  
Critical Incident Stress ◽  
Care Workers ◽  
Stress Debriefing ◽  
The Impact

A critical incident may be defined as a life-threatening crisis that requires rescue or emergency care. These incidents evoke strong emotional responses from health care workers. Some of the responses produced are normal and some are pathological stress and grief reactions. The Critical Incident Stress Debriefing process (CISD) is a model designed to mitigate the impact of such incidents on health care workers, to facilitate their return to routine functioning, and to prevent pathological responses to the trauma that is an inherent aspect of their profession. CISD is relied upon by hospital and emergency rescue professionals throughout the United States. The process was observed at St. Joseph's Hospital and Medical Center/Barrow Neurological Institute in Phoenix. This article examines the development of CISD and explores its implementation at St. Joseph's. Interviews conducted with health care workers who participated in the debriefing process following critical incident deaths are excerpted. Implications for death educators/counselors are discussed.

Critical Incident Stress Intervention After Loss of an Air Ambulance: Two-year Follow Up

1999 ◽  
Vol 14 (1) ◽  
pp. 15-19 ◽  
Author(s):  
Andrew J. Macnab ◽  
James A. Russell ◽  
John P. Lowe ◽  
Faith Gagnon
Keyword(s):  
Stress Management ◽  
Critical Incident ◽  
Controlled Trial ◽  
Abnormal Behavior ◽  
Critical Incident Stress Debriefing ◽  
Air Ambulance ◽  
Critical Incident Stress ◽  
Stress Intervention ◽  
Stress Debriefing ◽  
The Impact

AbstractObjective:Following an air ambulance crash with five fatalities, critical incident stress debriefing (CISD) was provided for involved paramedics, physicians, and nurses. A study was conducted to evaluate the long-term effects of a critical incident with critical incident stress debriefing according to the Mitchell model.Methods:Six months following the incident, empirically designed questionnaires were mailed to all transport paramedics and directly involved medical staff, and a random sample of both nurses from the dispatch/receiving institution and paramedics from around the province. Twenty-four months post-incident, all members of the transport paramedics completed the Impact of Events Scale and the General Health Questionnaires.Results:There were no differences between groups on any scores, except for disturbed sleep patterns, bad dreams, and the need for personal counseling being greater among transport paramedics at one day. There was no correlation between how well the deceased individuals were known, amount of debriefing, and symptom severity. A trend was seen for those with pre-existing stress management routines to have less severe symptoms at six months (p = 0.07). At two years, 16% of transport paramedics still had significant abnormal behavior.Conclusion:CISD did not appear to affect the severity of stress symptoms, whereas having pre-existing stress management strategies may. These findings give justification for proceeding to a randomized, controlled trial of different levels of critical incident stress intervention.

scholarly journals Pertussis Vaccination for Health Care Workers

2008 ◽  
Vol 21 (3) ◽  
pp. 426-434 ◽  
Author(s):  
Thomas J. Sandora ◽  
Courtney A. Gidengil ◽  
Grace M. Lee
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
The United States ◽  
Childhood Vaccination ◽  
Vaccination Programs ◽  
Health Care Settings ◽  
Care Workers ◽  
Increased Risk ◽  
Adolescents And Adults ◽  
The Impact

SUMMARY Pertussis, an acute respiratory infection caused by Bordetella pertussis, classically manifests as a protracted cough illness. The incidence of pertussis in the United States has been increasing in recent years. Immunity wanes after childhood vaccination, leaving adolescents and adults susceptible to infection. The transmission of pertussis in health care settings has important medical and economic consequences. Acellular pertussis booster vaccines are now available for use and have been recommended for all adolescents and adults. These vaccines are safe, immunogenic, and effective. Health care workers are a priority group for vaccination because of their increased risk of acquiring infection and the potential to transmit pertussis to high-risk patients. Health care worker vaccination programs are likely to be cost-effective, but further research is needed to determine the acceptability of pertussis vaccines among health care workers, the duration of immunity after booster doses, and the impact of vaccination on the management of pertussis exposures in health care settings.

scholarly journals Attacks on Health Care Workers in Historical Pandemics and COVID-19

2021 ◽  
Author(s):  
Brett van Stekelenburg ◽  
Harald De Cauwer ◽  
Dennis Barten ◽  
Luc Mortelmans
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Health Care Organizations ◽  
The United States ◽  
Care Providers ◽  
Viral Pathogens ◽  
American President ◽  
Care Workers ◽  
The Impact

Previous pandemics have been used/misused for (geo)political reasons, in wars/genocides and for terrorism. COVID-19 has been no exception with the former American president challenging the relations with China calling it the ‘Chinese virus’, and Russia and China setting up cyberterrorist actions against health care organizations in the United States and Europe. Aside from state-driven factors, both left and right-wing activists and anti-vaxxers adhering conspiracy theories are a threat for health care organizations and patients. Socioeconomic and religious/cultural factors also play a role in why health caregivers are a possible target. Fear of viral pathogens, fear of losing jobs by lockdown measures, anger because of quarantine and proper burials of the beloved being denied, are amongst the reasons people revolt against health care providers. We provide a review of the impact of violence against health care workers during the COVID-19 pandemic and earlier pandemics and suggest preventative strategies.

Duty-Related Stressors and PTSD Symptoms in Suburban Police Officers

1997 ◽  
Vol 81 (3) ◽  
pp. 835-845 ◽  
Author(s):  
Holly M. Robinson ◽  
Melissa R. Sigman ◽  
John P. Wilson
Keyword(s):  
Police Officers ◽  
Critical Incident ◽  
Stressful Event ◽  
Critical Incident Stress Debriefing ◽  
Critical Incident Stress ◽  
Stress Debriefing ◽  
Dsm Iv ◽  
Related Stress ◽  
The Impact ◽  
Suburban Police

This study examined the effects of duty-related stress on police officers. Using a sample of 100 suburban police officers, an anonymous questionnaire requested demographic information and included a measure of duty-related stressors, SCL-90–R, the Posttraumatic Stress Disorder scale of the Impact of Events Scale-Revised, and a locus of control scale. Also assessed was whether Critical Incident Stress Debriefing was experienced. The results showed significant correlations between scores on duty-related stress, somatization, and symptoms of PTSD. 13% of the sample met the DSM-IV (1994) diagnostic criteria for PTSD. Results of the regression analysis showed the best predictors for the diagnosis of PTSD were associated with the factor of Exposure to Death and Life Threat, which corresponds to the DSM-IV AI criteria. Finally, 63% of the respondents stated that a critical incident debriefing would be beneficial following an extremely stressful event related to duty.

A Study On Impact Of Work Life Related Factors On Employee Engagement In Health Care Sector Workers In Dindigul District.

2019 ◽  
Vol 118 (7) ◽  
pp. 20-26
Author(s):  
S. JAYARAMAN ◽  
R. Sindhya ◽  
P. Vijiyalakshmi
Keyword(s):  
Health Care ◽  
Path Analysis ◽  
Employee Engagement ◽  
Health Care Workers ◽  
Health Care Sector ◽  
Work Life ◽  
Primary Data ◽  
Related Factors ◽  
Care Workers ◽  
The Impact

this research aims to find out the intensity of Employee Engagement of the health care sector workers and the relationship between the Work life factors and Employee Engagement of Health care sector workers in Dindigul District. Primary data were used in this research, were collected from 298 Health care workers from Dindigul District. Questionnaire was the major tool used to gather the primary data from the selected sample respondents. For this purpose, a well structured questionnaire was constructed with the help of professionals and the practiced employees of various health care units in Dindigul District. The health care employees were chosen by simple random sampling method. The investigative measures of regression Path analysis, and simple percentage analysis were utilized to find the impact of work life related factors with the Employee Engagement. The maximum Health care workers were generally satisfied with their jobs. The analytical procedure of path analysis multiple regressions was utilized to determine the predicting strength among Work life factors and the employee engagement. This study provides an another view about the importance of Work life factors and Employee engagement for organizational effectiveness and performance .

scholarly journals COVID-19 Psychological Impact on Health Care Workers in Saudi Arabia

2021 ◽  
Vol 18 (11) ◽  
pp. 6076
Author(s):  
Hasan S. Alamri ◽  
Wesam F. Mousa ◽  
Abdullah Algarni ◽  
Shehata F. Megahid ◽  
Ali Al Bshabshe ◽  
...  
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Health Care Workers ◽  
Psychological Impact ◽  
Psychological Outcomes ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Care Workers ◽  
The Impact

Objective: Little is known about the impact of Coronavirus (COVID-19) among the health care workers in Saudi Arabia. Therefore, the present study aimed to assess the psychological impact of COVID-19 among the health care workers. Methods: A cross-sectional survey was conducted from May till mid-July among 389 health care workers from government and private hospitals in Saudi Arabia. Data was collected using a pre-structured online questionnaire that measured adverse psychological outcomes, including the Patient Health Questionnaire-9 (PHQ-9) scale and the Generalized Anxiety Disorder 7-item (GAD-7) scale. The Pearson chi-square test was used to assess the distribution of depression and anxiety among health care workers. Results: A high level of anxiety was recorded among the health care workers, and 69.3% of health care workers below the age of 40 were found to have depression. There was a significant increase in depression among staff with chronic health problems (72.1% vs. 61.9%; p = 0.048). High anxiety levels were detected among young staff compared to others (68.7% vs. 43.8%; p = 0.001). Moreover, 82.1% of the female staff were anxious, as compared to 55.6% of the males (p = 0.001). Conclusions: We found increased prevalence of adverse psychological outcomes among the health care workers in Saudi Arabia during the outbreak of COVID-19. Therefore, there is a need for proper screening and development of corresponding preventive measures to decrease the adverse psychological outcomes.

scholarly journals 460. Point-of-Care, In-Home SARS-CoV-2 IgG Antibody Testing to Assess Seroprevalence in At-Risk Health Care Workers

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S297-S297
Author(s):  
Eric G Meissner ◽  
Christine Litwin ◽  
Tricia Crocker ◽  
Elizabeth Mack ◽  
Lauren Card
Keyword(s):  
Health Care ◽  
At Risk ◽  
Health Care Workers ◽  
Medical Center ◽  
Point Of Care ◽  
Academic Medical Center ◽  
Significant Risk ◽  
Documented Infection ◽  
Inconclusive Result ◽  
Care Workers

Abstract Background Health care workers are at significant risk for infection with the novel coronavirus SARS-CoV-2. Methods We utilized a point-of-care, lateral flow SARS-CoV-2 IgG immunoassay (RayBiotech) to conduct a seroprevalence study in a cohort of at-risk health care workers (n=339) and normal-risk controls (n=100) employed at an academic medical center. To minimize exposure risk while conducting the study, consents were performed electronically, tests were mailed and then self-administered at home using finger stick blood, and subjects uploaded a picture of the test result while answering an electronic questionnaire. We also validated the assay using de-identified serum samples from patients with PCR-proven SARS-CoV-2 infection. Results Between April 14th and May 6th 2020, 439 subjects were enrolled. Subjects were 68% female, 93% white, and most were physicians (38%) and nurses (27%). In addition, 37% had at least 1 respiratory symptom in the prior month, 34% had cared for a patient with known SARS-CoV-2 infection, 57% and 23% were worried about exposure at work or in the community, respectively, and 5 reported prior documented SARS-CoV-2 infection. On initial testing, 3 subjects had a positive IgG test, 336 had a negative test, and 87 had an inconclusive result. Of those with an inconclusive result who conducted a repeat test (85%), 96% had a negative result. All 3 positive IgG tests were in subjects reporting prior documented infection. Laboratory validation showed that of those with PCR-proven infection more than 13 days prior, 23/30 were IgG positive (76% sensitivity), whereas 1/26 with a negative prior PCR test were seropositive (95% specificity). Repeat longitudinal serologic testing every 30 days for up to 4 times is currently in progress. Conclusion We conducted a contact-free study in the setting of a pandemic to assess SARS-CoV-2 seroprevalence in an at-risk group of health care workers. The only subjects found to be IgG positive were those with prior documented infection, even though a substantial proportion of subjects reported significant potential occupational or community exposure and symptoms that were potentially compatible with SARS-COV-2 infection. Disclosures All Authors: No reported disclosures

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