Grieving Children' Death in an Intensive Care Unit: Implementation of a Standardized Process.
Claudia Delgado-CorcoranSarah E WawrzynskiKelly MansfieldErin FuchsChelsea YeatesBrian F FlahertyMark HarousseauLawrence CookJake Van EppsPublished in: Journal of palliative medicine (2023)
Background: The grief that accompanies witnessing the death of a child puts health care professionals at risk of secondary trauma, burnout, and turnover when left unaddressed. Objective: Support staff well-being and promote resiliency. Methods: Descriptive implementation of a structured, peer-to-peer bereavement support program for intensive care unit (ICU) staff at a tertiary children's hospital. Results: Thirty-five virtual sessions were held over the period of one year.Through these sessions, participants shared perspectives and normalized reactions, and explored potential coping strategies. Post-session feedback surveys demonstrated the negative impact of a death on the personal or work life of ICU staff. Additionally, nearly all reported some level of burnout. Conclusions: The sessions were feasible and positively impacted staff coping and well-being. Barriers and facilitators to session attendance, as well as suggestions for improvement, were also explored. Implications for practice and future research are discussed. No clinical trial registration is applicable.
Keyphrases
- intensive care unit
- healthcare
- quality improvement
- mechanical ventilation
- primary care
- clinical trial
- long term care
- young adults
- depressive symptoms
- social support
- high intensity
- transcranial direct current stimulation
- open label
- randomized controlled trial
- acute respiratory distress syndrome
- double blind
- social media
- risk assessment
- health insurance
- climate change
- acute care
- adverse drug
- postmenopausal women
- extracorporeal membrane oxygenation
- trauma patients