Ignite Creation Date:
2024-05-06 @ 4:06 PM
Last Modification Date:
2024-10-26 @ 2:03 PM
Study NCT ID:
NCT04874272
Status:
COMPLETED
Last Update Posted:
2023-02-23
First Post:
2021-04-30
Brief Title:
Feasibility and Acceptability of a Chaplain-Led Post-Code Debrief Intervention
Sponsor:
Indiana University
Organization:
Indiana University
Study Overview
Official Title:
Feasibility and Acceptability of a Chaplain-Led Post-Code Debrief Intervention
Status:
COMPLETED
Status Verified Date:
2023-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
PCD
Brief Summary:
The objective of this study is to increase the frequency and effectiveness of post code debriefs by piloting a novel intervention tool and partnering clinicians with board certified chaplains trained to facilitate group processes A post code debrief will involve two aspects a technical debrief a discussion to process the technical procedural aspects of a medical codecardiopulmonary arrest which will be led by a clinician and an emotional debrief a discussion to process the emotional existential impact of a medical codecardiopulmonary arrest which will be led by a chaplain
Detailed Description:
Technical debriefs already are a familiar part of practice the novel portion of this study is the introduction of the chaplain-led portion of emotional debrief Also novel is the combination of the technical and emotional debriefs As part of the study debrief participants are asked to be present for and engaged in the discussion reviewing the code event though there is no expectation or requirement for providing verbal input Data about the content of the code debrief and the interventions provided during the debrief will be recorded by the Code Blue Chaplain in REDCap Data about participants will be self-reported in their REDCap survey responses
Clinicians who participate in resuscitation attempts during cardio-pulmonary arrests CPA experience psychological emotional and moral distress including feelings of anxiety grief and regret These experiences directly impact feelings of burnout which is a leading cause in staff turnover While debriefing soon after the experience has been shown to increase positive coping and reduce acute stress post code debriefs are rarely conducted Current models rely on physicians to facilitate debriefs and do not provide a standard tool Physicians often feel untrained and uneasy with this role To address these findings we seek to implement a standardized post-code debriefing process that is co-led by a clinician and a chaplain
Specific Aim 1 Evaluate and describe current stress of clinical staff who participate in CPA events During the first six months of the grant period a staff chaplain will respond to all Code Blues The chaplain will recruit at least five clinical staff participants from at least two different disciplines to complete surveys one-week and six-weeks after the CPA event
Specific Aim 2 Pilot intervention to debrief CPA experience During the second six months of the grant period the research team will pilot the new debrief tool on the Cardiac Medical Critical Care Unit CMCC The designated Code Blue Chaplain will respond to all code blues on CMCC The Code Blue Chaplain will be responsible for establishing the time and location of the Post Code Debrief providing the technical debrief tool to a qualified clinician and facilitating the emotional debrief following the semi-structured debrief tool The Code Blue Chaplain will recruit participants to complete follow up surveys one-week and six-weeks following the CPA event
Specific Aim 3 Assess feasibility and acceptability Describe team member experience During the final year of the grant period the research team will expand the intervention tool throughout IU Health Methodist Hospital The Code Blue Chaplain will respond to all overhead code blue pages and proceed with the intervention and recruiting as stated above
Clinicians who participate in resuscitation attempts during cardio-pulmonary arrests CPA experience psychological emotional and moral distress including feelings of anxiety grief and regret These experiences directly impact feelings of burnout which is a leading cause in staff turnover While debriefing soon after the experience has been shown to increase positive coping and reduce acute stress post code debriefs are rarely conducted Current models rely on physicians to facilitate debriefs and do not provide a standard tool Physicians often feel untrained and uneasy with this role To address these findings we seek to implement a standardized post-code debriefing process that is co-led by a clinician and a chaplain
Specific Aim 1 Evaluate and describe current stress of clinical staff who participate in CPA events During the first six months of the grant period a staff chaplain will respond to all Code Blues The chaplain will recruit at least five clinical staff participants from at least two different disciplines to complete surveys one-week and six-weeks after the CPA event
Specific Aim 2 Pilot intervention to debrief CPA experience During the second six months of the grant period the research team will pilot the new debrief tool on the Cardiac Medical Critical Care Unit CMCC The designated Code Blue Chaplain will respond to all code blues on CMCC The Code Blue Chaplain will be responsible for establishing the time and location of the Post Code Debrief providing the technical debrief tool to a qualified clinician and facilitating the emotional debrief following the semi-structured debrief tool The Code Blue Chaplain will recruit participants to complete follow up surveys one-week and six-weeks following the CPA event
Specific Aim 3 Assess feasibility and acceptability Describe team member experience During the final year of the grant period the research team will expand the intervention tool throughout IU Health Methodist Hospital The Code Blue Chaplain will respond to all overhead code blue pages and proceed with the intervention and recruiting as stated above
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None