06 Aug Title: Implementing Debriefing Sessions for Nurses and Technicians After Grand Mal Seizures (GTC) and Psychogenic Non-Epileptic Seizures (PNES) on a Neurological Floor
12895Title: Implementing Debriefing Sessions for Nurses and Technicians After Grand Mal Seizures (GTC) and Psychogenic Non-Epileptic Seizures (PNES) on a Neurological Floor
Background: Debriefing sessions following critical incidents, such as seizures, are crucial in healthcare settings to promote learning, improve teamwork, and enhance patient care outcomes. Grand Mal Seizures (GTC) and Psychogenic Non-Epileptic Seizures (PNES) present unique challenges on neurological floors, requiring coordinated efforts between nurses and technicians for effective management. Despite their prevalence, there is limited formalized debriefing after these events in many healthcare institutions.
Objectives:
To implement structured debriefing sessions for nurses and technicians following GTC and PNES incidents on a neurological floor.
To assess the impact of debriefing sessions on communication, teamwork, stress management, and perceived preparedness among nurses and technicians.
To evaluate the overall satisfaction and perceived usefulness of debriefing sessions among participants.
Methods: Design: This project will employ a pre-post intervention design to assess the effects of debriefing sessions. Setting: The neurological floor of [Hospital Name], where GTC and PNES incidents frequently occur. Participants: Nurses and technicians directly involved in the care of patients experiencing GTC or PNES. Intervention:
Implementation Phase: Introduction of structured debriefing sessions immediately following GTC and PNES incidents.
Debriefing Structure: Facilitated debriefing sessions led by a trained facilitator, focusing on communication during the event, teamwork dynamics, emotional reactions, and stress management strategies.
Content: Sessions will include a structured framework such as GATHER (Gather, Analyze, Teach, Help, Encourage, Report), ensuring comprehensive discussion and learning.
Duration: Debriefing sessions will last approximately 30-45 minutes, conducted within 24 hours of the incident.
Data Collection:
Pre-Intervention Phase: Baseline assessment using validated tools to measure communication, teamwork, stress levels, and perceived preparedness among nurses and technicians.
Post-Intervention Phase: Repeat assessment following implementation of debriefing sessions to measure changes in outcomes.
Data Sources: Surveys, structured observations, and focus group discussions will be used to collect qualitative and quantitative data.
Analysis: Quantitative data will be analyzed using descriptive statistics and paired t-tests. Qualitative data will undergo thematic analysis to identify emerging themes related to communication, teamwork, and stress management.
Evaluation:
Outcome Measures: Changes in communication, teamwork, stress levels, and perceived preparedness among nurses and technicians.
Satisfaction: Participants’ satisfaction with debriefing sessions will be evaluated through surveys and qualitative feedback.
Impact: The project aims to achieve a 20% improvement in perceived preparedness and stress management skills among nurses and technicians.
Implementation Plan:
Training: Facilitators will be trained in debriefing techniques and the GATHER framework.
Pilot Testing: Conduct a pilot debriefing session and gather feedback to refine the intervention.
Rollout: Implement debriefing sessions on a larger scale, ensuring consistent participation and adherence to the debriefing protocol.
Ethical Considerations:
Ensure confidentiality and anonymity of participants.
Obtain informed consent from participants for data collection and participation in debriefing sessions.
Dissemination:
Present findings at nursing and healthcare conferences.
Publish results in nursing journals to contribute to evidence-based practice.
Timeline:
Preparation: 1 month
Implementation: 3 months
Data Collection and Analysis: 2 months
Evaluation and Reporting: 1 month
References: Provide a list of references supporting the use of debriefing sessions in healthcare settings and their impact on communication, teamwork, and stress management.
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