Simulcast Journal Club is a monthly series that aims to encourage simulation educators to explore and learn from publications on Healthcare Simulation Education. Inspired by the ALiEM MEdIC Series, each month we publish a case and link a paper with associated questions for discussion. We moderate and summarise the discussion at the end of the month in pdf and podcast format, including opinions of experts from the field.
In order for the journal club to thrive we need your comments! Some participants report feeling nervous about their initial posts, but we work hard at ensuring this is a safe online space where your thoughts are valued and appreciated. To ensure this, all posts are reviewed prior to posting. We look forward to learning from you.
Title : “First Aid”
“I was wondering if you could arrange a debrief for the team, Cath?” said Christine quietly. “I know it was a week ago, but I’m getting a lot of questions from my staff about the outcome for the patient and the choices we made on the day.”
Cath swiveled her chair towards the window and frowned.
“I agree it’d be a good idea, and I’ve been wanting to get some critical event debriefs happening for months, but we don’t have anyone trained in that area! I can debrief a simulation pretty well, but there’s some evidence that doing this badly could worsen PTSD symptoms! And the times I’ve tried to get one going, people are off shift or unable to come in and anyway it’s frankly uncomfortable debriefing an event that I was in charge for. I think we need to wait until we’ve got some trained professionals to do this sort of thing. I’m sorry Christine.”.
Christine eyes flared with frustration. “I don’t think you quite understand. I’m having trouble staffing Resus! A few nurses have asked to just do short stay only for a while, Andrew’s called in sick twice this week, and that’s not like him, and there are also some systems issues that came up with that trauma that frankly we need to acknowledge and fix before the next serious paediatric trauma comes in.”.
“I agree that physicians shouldn’t always be in charge of debriefing.” She continued. “But you guys are the only ones who get leave and enough pay to cover an expensive debriefing course. Surely there has to be another way we can do this?”.
The Article :
Clinical educators are increasingly being asked to participate or contribute to the development of critical event debriefings in the hospital environment, but numerous barriers can get in the way. In this month’s article from Stuart Rose & Adam Cheng, we examine a system implemented in 3 hospitals in Calgary, Canada that utilised Charge nurses to facilitate over 200 critical event debriefs in their emergency departments.
For the journal clubbers this month, what did you think of the article? Have you been asked to get involved in critical event debriefing? What have been the barriers for you? Does this article point you towards another potential solution?