Visit our, Debrief and post-incident support: views of staff, patients and carers, 100 years: Centenary of the nursing register, 2020: International Year of the Nurse and Midwife, Nursing Times Workforce Summit and Awards, The ‘Talk 1st’ and ‘Positive and Safe’ approaches, Positive and Proactive Care: Reducing the Need for Restrictive Interventions, Violent and aggressive behaviours in people with mental health problems, Supporting Staff Wellbeing with Stress Management, Mindfulness and Trauma-Debriefing, Incident Policy Practice Guidance Note: Supporting Staff Involved in an Incident V04.1, Positive and Safe Care Annual Report 2017, 180829 debrief and post incident support views of staff patients and carers, Don’t miss your latest monthly issue of Nursing Times, Winners of the Nursing Times Workforce Awards 2020 unveiled, Announcing our Student Nursing Times editors for 2020-21, Creating an electronic solution for early warning scores, Reducing the cognitive load on nursing staff, How best to meet the complex needs of people with interstitial lung disease, New blended learning nursing degree offers real flexibility, Clap for Heroes: Nurses say they do not want return of applause, Covid surge prompts NMC to fast-track more overseas nurses onto temp register, Final year student nurses remobilised to Covid-19 response, Whistleblower nurse calls for new body to tackle bullying in NHS, Resources: NHS People ‘supporting our people’, Resources: RCN Foundation mental health and wellbeing repository, Funding pledged to introduce e-rostering across more trusts, More hospitals needed for pioneering Covid-19 nursing study, Research Nurses required to run clinical trials in healthy volunteers, This content is for health professionals only, This article has been double-blind peer reviewed. One tool that is frequently used is called a “debrief.”. 1. Mérineau-Côté J, Morin D (2014) Restraint and seclusion: the perspective of service users and staff members. Each participant was able to answer a questionnaire and agreed to find time to do it. Two healthcare organizations located just 60 miles apart decided to train their personnel on how to debrief — but for completely different reasons. If there was no pre-existing positive relationship with the person facilitating the debrief or providing the support, all participants were generally more reluctant to engage, but they would usually be happy to engage with anyone they had a positive relationship with. Inclusion in the evaluation was based on availability and willingness of participants, so this would have limited the size and representativity of the sample. How are debrief and … Data collection took place between June and September 2017 in five wards: three medium secure mental health services, one low secure mental health service, and one learning disability acute admission service. If you need to, skim this article beforehand. Carers spoke of a lack of mutual expectations being a barrier when communicating with staff and receiving support. Complete the form to download the meeting notes and keep a look out for upcoming webinars and meetings to further the discussions. Giving leaders the superpowers of Leverage, Intent, and Fellowship. So here’s my challenge to you: Open up your calendar and find your next meeting, then commit in advance to debriefing it. Department of Health (2014) Positive and Proactive Care: Reducing the Need for Restrictive Interventions. Staff spoke of having paperwork to complete as well as having to deal with the immediate aftermath and practical outcomes of the incident. This states that debriefing should occur immediately following an incident – or shortly after. This is where you put everything on the table and ask “How did we do?” A thorough and honest event debrief will help you identify what went right, what went wrong, and (often the biggest category) what could be better next time. Now, fast-forward a couple weeks. This article will share the top seven strategies for how to conduct a debrief. Ilkiw-Lavalle O, Grenyer BF (2003) Differences between patient and staff perceptions of aggression in mental health units. One awareness session has been held for carers but no carers attended, possibly due to snow. Mary shared that she enjoys RV trips with her husband over the summer. Post-incident support is an integral part of the Department of Health’s Positive and Proactive Care (DH, 2014) guidance, as well as the ‘Safewards’ approach, which aims to reduce aggression, violence and the need for physical interventions in psychiatric wards. Key points to explore after an incident, Box 2 Post-incident support and debrief: definitions and differences. Simply use your phone to record a verbal debrief. Let the team know you’ll be doing this long before you arrive onsite. Debriefing started in the military as a way of checking facts and reflecting on outcomes. And you probably uncover information like this in almost every meeting you have. Is it debrief or brief? Data is used to encourage staff to consider antecedents and patterns. Although not a requirement, all participants had some experience to draw upon from being directly involved in an incident in their current or a previous setting or having witnessed an incident. The joint sessions emphasise the similarities of emotions felt by staff, patients and carers, creating mutual empathy and respect. Holmes D et al (2012) (Re)Thinking Violence in Health Care Settings – A Critical Approach. By capturing any commitments you make and any commitments made to you, you can turn your good intentions into good actions. This enables staff to think about why these patterns may occur and discuss how to address them. You walk into the room, shake hands, and the first thing she says is, “Hey, last we talked you mentioned that your grandmother wasn’t doing so well. The findings informed reflective groups for staff and joint awareness training sessions for staff and patients. 2. I would aim for a debrief to be completed within 24 hours of an incident. He has two daughters: Mary, age 3, and Catherine, age 5. Imagine this: You’re meeting with Erin, an up-and-coming startup CEO whom you haven’t talked with in six months. What type of incident should trigger debrief and/or post-incident support? debrief definition: 1. to question someone in detail about work they have done for you: 2. to question someone in…. The literature on clinical events debriefing is less robust. Debriefing is about proactively engaging the environment you work in. There are no hard and fast rules, but these points will help you squeeze more out of your discussions. It is gathered through incident reporting and enables staff to view the number of incidents that have taken place for their ward on a dashboard, the nature of these incidents and restraints as well as patterns. They also stressed the importance of the debrief or support being facilitated by someone they had a good relationship with. By the same token, when you’re back in the home office, you can create a standard of holding a weekly debrief every Friday at 4 p.m. Different questionnaires were put together for staff, patients and carers. critical debriefing a conference or discussion held after an intense event or catastrophe; all aspects of … Some staff spoke of a work culture where debrief was ‘just not the done thing’ and where incidents were considered inevitable due to ‘the nature of the job’. Joint staff/patient awareness sessions were a new concept and received mixed responses at first, but ultimately most people found them positive and helpful in breaking down barriers. The rationale was that it would be easier to disseminate information and implement training and support in these wards thanks to the existing links between them. Debrief and post-incident support after incidents in mental health inpatient settings are known to have benefits for staff and patients. Feedback is collected after each awareness session and has been predominantly positive. Then, once you have time at the end of the day, you can sit down and process your debriefs. My 2021 Resolutions: Simple, Pragmatic Habits for a Happier, More Connected Year, How to Use Asana to Create a Flawless Scheduling System with Your EA (Step-by-Step Guide with Screenshots), Master List: 58 Pragmatic Mindfulness Practices to Reduce Stress, Increase Focus, and Create A Better Life. The National Institute for Health and Care Excellence quality standard on how to prevent and manage violent behaviour among people with mental health problems (NICE, 2017) only mentions carers once, and only in relation to what patients can expect (it says that “the person with a mental health problem […] should be offered the opportunity to contribute to the immediate debrief and discuss the incident with a member of staff, an advocate or a carer”. The sessions are reactive: what is discussed is directly fed back to participants. Several patients expressed the wish to be approached more often after an incident to discuss what had happened. Your first response would probably be a thought like, “Wow, she has incredible memory!” But afterwards, you’d probably think something like, “If she remembered my grandmother’s health, she must really care about me.”. What kind of an impact would that have on your relationships? Here’s a few examples: Finding common ground with someone causes us to think, “I am like you.” But our brain translates that thought to, “I like you;” immediately laying a strong foundation for the relationship. Journal of Applied Research in Intellectual Disabilities; 27: 5, 447-457. I think you’ll be surprised by the positive effect it’ll have on your relationship. Next time you meet with them, leverage some of the information you learned. It has also unearthed concerns that staff may not always have the time, resources and confidence to take part in debriefing or post-incident support. If something extraordinary happens, a person feels the urge to tell this to a friend. Debriefing is therefore an important strategy for teaching and learning in health care. He says Mary looks like her mother while Catherine looks more like him. What participants understood by ‘debrief’ and ‘post-incident support’ and what their experience of these tools had been; How often debrief and post-incident support took place, how effectively they were used and whether provision was consistent; Participants’ preferences on how debrief and post-incident support are carried out, including when, where and by whom; Usually occurs immediately after an incident, Is a way of ‘checking in’ with all those involved, Can include dealing with practicalities, such as injuries, Is a genuine enquiry capturing key issues, Aims to understand what has happened and why, Is sometimes referred to as ‘cold debrief’ if a longer period of time has passed since the incident, Debrief and post-incident support are known to benefit staff and patients in mental health care, Debrief is often limited to serious incidents, but what counts as a ‘serious’ incident is subjective, A quiet space and a facilitator with whom all have a good relationship are conducive to debrief and post-incident support, Barriers to debrief and post-incident support include embarrassment, cultural attitudes and low staffing levels or a lack of staff time, Joint staff and patient training can be helpful in breaking down barriers and creating mutual understanding and empathy. Of the 28 staff members who took part in the evaluation, 14 reported rarely or never being offered a team debrief, while eight said that team debrief was regularly offered after incidents. ‘Talk 1st’ aims to minimise restrictive interventions with preventative strategies and primary interventions (Northumberland, Tyne and Wear Trust, 2017b). Conducting the Debrief. Think tasks, to do lists, or next steps for anything involved. All staff who have given feedback have reported that the training has changed the way they now experience or facilitate debriefing or post-incident support. health care professionals in their care of dying children. Debriefing is an excellent tool to support organizational learning for continuous learning and improvement. One of them was embarrassed at being seen to need support after an incident. Debriefing is about proactively engaging the environment you work in. debriefing: [ de-brēf´ing ] in health care research, informing the subjects of a study of the purpose of the study and the results that were obtained after the study is completed. They could not take part in debrief or post-incident support because of pressing mandatory tasks. For example: This formula makes it incredibly easy to reference in the future and find exactly what you need. After all: The ones who experience the most success are most often those who have proven themselves most trustworthy. Ward team members who knew carers helped recruit them. Journal of Psychosocial Nursing and Mental Health Services; 48: 7, 35-40. Now, here’s the question: What if you could deliver experiences like that to practically everyone in your network, almost every time? If you feel like you won’t have time to type it into your phone or computer, no problem: Consider dictating your debriefs instead. Some staff reported only being offered a team debrief when an incident was deemed ‘serious’. Debriefing is a report of a mission or project or the information so obtained. You can debrief a meeting with two questions: What did you do well? Then, once you leave the room, capture that information immediately. Debriefing really works! Participants have described the awareness sessions as helping them to understand a different perspective and being highly informative; 78% reported that the sessions have been very helpful. Driving True Greatness through relationships. The awareness sessions encourage staff to discuss with carers, preferably in advance, how the latter would like to be informed and supported after an incident. Imagine the impact that simple question would have on yours and John’s relationship. Traditionally, in psychiatric inpatient settings, debriefing is used after incidents involving restraint, rapid tranquillisation or seclusion, but there are other types of incidents that may warrant debriefing; for example, absconsion. John committed to introducing me to Mike Jones of Rapple. You can decide to make your template anonymous but, if you do at the very least you’d like to know the role the person played. Innovation at the point of care enabled by 3D printing is accelerating. Here are a few tips to set the stage for a fast, yet effective debrief: 1. 2. At clinically busy times, it was more difficult to speak to staff on the wards. after this horrendous project #de-brief #debrief #debrief meeting #pub lunch #project by CrispArc May 01, 2015 You call a meeting or two, set objectives, put a plan together, and start to execute. Staff commented that they appreciated dedicated reflective groups and ‘positive and safe’ meetings as well as incident-specific debriefing. 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