No description available.

Mental stress resulting from a traumatic event in the workplace has a noteworthy impact on employees. Psychological debriefing is offered to TTC employees as a means of immediate trauma support, however, the usefulness of the intervention is unknown. This thesis explores the debriefing intervention using a mixed methods approach. TTC employees who have experienced a traumatic event were recruited. Post Traumatic Stress Disorder (PTSD) symptom development and time lost from work were compared between debriefed and not debriefed employees. In addition, purposively selected employees were qualitatively interviewed. The quantitative analysis showed no significant differences in PTSD symptomatology or lost time from work between the groups. Despite these results, however, employees who were debriefed had an overall positive perception of the intervention. Further exploration in this area of study would be beneficial to not only the TTC, but to all workplaces at high risk of exposure to traumatic events.

Mental stress resulting from a traumatic event in the workplace has a noteworthy impact on employees. Psychological debriefing is offered to TTC employees as a means of immediate trauma support, however, the usefulness of the intervention is unknown. This thesis explores the debriefing intervention using a mixed methods approach. TTC employees who have experienced a traumatic event were recruited. Post Traumatic Stress Disorder (PTSD) symptom development and time lost from work were compared between debriefed and not debriefed employees. In addition, purposively selected employees were qualitatively interviewed. The quantitative analysis showed no significant differences in PTSD symptomatology or lost time from work between the groups. Despite these results, however, employees who were debriefed had an overall positive perception of the intervention. Further exploration in this area of study would be beneficial to not only the TTC, but to all workplaces at high risk of exposure to traumatic events.

This thesis is an evaluation of an early intervention Employee Assistance Program (EAP) incorporating Critical Incident Stress Management (CISM) operating in the South Australian Ambulance Service (SAAS). The program was developed specifically for SAAS and is known as the Peer Support Program. The program was designed with the intention of mitigating the effects of cumulative and traumatic stress among SAAS personnel. It reflects the philosophy which has underpinned the concept of early intervention, which is to provide emotional first aid and identify individuals who have experienced traumatic stress in the course of performing their duties within the pre-hospital care environment. The program further aims to reduce psychological injuries through the combination of psycho-education incorporating practical coping skills, initial crisis intervention offered by in-house service providers, namely Peer Support Officers (PSOs) and, when needed, psychological intervention offered through referral to mental health professionals (MHPs). / For professional practice, the research shows that a CISM-based EAP is effective when used in its entirety, specifically pre-incident education, peer support selection and training, and confidentiality are key contributors to the success of CISM and CISM-based programs. Practitioners need to ensure that programs are appropriately developed and continually maintained. Researchers and practitioners must also acknowledge the emergency first aid philosophy underlying early intervention. In conclusion, the study demonstrated that a program developed with CISM guidelines can be effective in mitigating the effects of cumulative and traumatic stress among emergency service personnel in SAAS, thus disproving the claim that all such programs are ineffective and/or harmful. Furthermore, the study demonstrates the value of including qualitative evaluation techniques, and demonstrates that insightful data can be obtained through a multi-method approach. This undermines the argument that a quasi-experimental study is the only method suitable for evaluation and it is recommended that further EAP and CISM research focus on comprehensive, mulit-method evaluation. / Thesis (PhD)--University of South Australia, 2006.

Thesis (M. S. N.) --Florida State University, 2005. / Advisor: Deborah Frank, Florida State University, School of Nursing. Title and description from dissertation home page (viewed Feb. 6, 2006). Document formatted into pages; contains viii, 44 pages. Includes bibliographical references.

Thesis (Ph. D.)--Drexel University, 2006. / Includes abstract and vita. Includes bibliographical references (leaves 71-81).

Indiana University-Purdue University Indianapolis (IUPUI) / Simulation is an educational strategy used in prelicensure nursing education that has been demonstrated to effectively replace selected clinical experiences. Simulation experiences may include the use of differing roles including the active participant, who makes decisions during the simulation and the passive observer, who watches the simulation unfold. There is a lack of rigorous research testing whether students in the passive observer role during simulations demonstrate and retain knowledge similarly to those in active participant roles. In addition, differences in knowledge applied to a contextually similar case between those who actively participate and passively observe have not been studied. The purpose of this study was to explore the relationship between nursing student’s roles in simulation and cognitive knowledge demonstration, retention, and application about two contextually similar cases of respiratory distress. An experimental, pretest-multiple posttest, repeated measures study was conducted with a convenience sample of 119 baccalaureate prelicensure nursing students from a large multi-campus Southwestern university. Two knowledge instruments were administered throughout different stages of the simulation and four weeks later. Associations between role in simulation and scores on the knowledge instruments were examined using t-tests and mixed repeated measures-analysis of variance. Of the 59 active participants and 60 observers, there were no significant differences in knowledge demonstrated or retained after simulation, after debriefing, or four weeks later. Additionally, there were no significant differences in knowledge demonstrated when applied to a contextually similar case after debriefing or four weeks later between active participant and observer. Future research is needed to examine these relationships in larger and more diverse samples and different contextual clinical situations in simulation. These results will contribute to the further testing and implementation of using observation as a strategy for teaching and learning with simulation for nursing and health professions education.

No description available.

Magister Psychologiae - MPsych / South Africa is a country with one of the highest crime rates in the world, resulting in much violence and trauma. Trauma debriefing models are used with groups and individuals in an attempt to facilitate the trauma recovery process and prevent the development of post-traumatic stress disorder (PTSD). There has been much debate on the efficacy of trauma debriefing over the past two decades with few qualitative studies exploring the utility of debriefing. A phenomenological methodology was used in this study, with the aim of understanding how participants experienced the process of trauma debriefing and what aspects were perceived as helpful or unhelpful. Semi-structured in- depth interviews were conducted with six adults who received debriefing following a single traumatic event, by volunteer lay counsellors from the Community Intervention Centre (CIC) based at the Milnerton Medi-Clinic.

Bakgrund: Personalen är den viktigaste tillgången inom vården och därför är det viktigt att de får det stöd som de behöver för att undvika stress och psykisk utmattning. Personal som arbetar i arbetsmiljöer där kritiska och traumatiska händelser uppstår löper en större risk att drabbas av psykisk ohälsa i form av utbrändhet, depressioner samt stress och även posttraumatisk stressyndrom (PTSD). Personalstöd har visat sig leda till såväl lägre sjukfrånvaro som mindre personalomsättning. Det finns olika former av personalstöd, ute i verksamheterna används oftast kamratstöd, avlastningssamtal och debriefing. Syfte: Syftet med denna studie var att undersöka förekomst av riktlinjer samt att beskriva dess innehåll för personalstöd efter kritiska och traumatiska händelser på ett antal anestesiavdelningar i Sverige. Metod: Metoden som användes var av kvantitativ och kvalitativ ansats och analysen genomfördes med manifest innehållsanalys. Resultat: 28 frågeformulär skickades ut, av dessa erhölls fjorton svar och sju utav dessa hade avdelningsspecifika riktlinjer för personalstöd. Riktlinjerna granskades och tre kategorier urskiljdes; syfte och mål med riktlinjerna, förebygga och stödja samt arbetsmiljö. De stödåtgärder som framkom var avlastningssamtal, debriefing, krisstöd, enskilt krisstöd, ceremonier samt emotionellt stöd och eftersnack. Avlastningssamtal var den vanligaste stödåtgärden. Slutsats: Ungefär hälften av de anestesiavdelningarna som erhöll frågeformulär valde att inte medverka i studien. Endast sju anestesiavdelningar av de som medverkade hade riktlinjer trots att lagar och föreskrifter säger att arbetsgivaren ska tillhandahålla riktlinjer för personalstöd. Klinisk betydelse: Förhoppningen är att denna studie ska vara ett stöd för verksamheter vid utformning av riktlinjer samt vid uppdatering av befintliga riktlinjer för personalstöd efter kritiska och traumatiska händelser. / Background: The personnel are the most important asset in health care and it is therefore important that they receive the support they need to avoid stress and mental fatigue. Personnel which works in environments where critical and traumatic events occur is at a higher risk of mental illness in form of burnout, depression, stress and also post-traumatic stress disorder (PTSD). Support to personnel has been found to contribute both to lower absenteeism as well as a lower personnel turnover. There are various forms of personnel support, the most commonly used types within operations are co-worker support, relief conversations and debriefing. Aim: The aim of this survey was to investigate the presence of guidelines and its contents for personnel support after critical and traumatic events in a number of anesthesia departments in Sweden Method: The method used was quantitative and qualitative approach, and the analysis was performed with manifest content analyze. Result: 28 questionnaires were sent out, of these were fourteen responses received and seven of these had guidelines for personnel support. The guidelines were reviewed and three categories were distinguished; purpose and goals of the guidelines, prevention and support, and work environment. Support methods that emerged was relief conversations, debriefing, crisis support, individual crisis support, ceremonies, emotional support and after talk. Relief conversations were found to be the most common method. Conclusion: Approximately half of the anesthesia departments that received questionnaires decided to don’t participate in the study. Only seven anesthesia departments of those who participated had guidelines, despite the fact that laws and regulations say that the employer shall provide guidelines for personnel support. Clinical significance: It is wished that this study will provide support for activities when developing guidelines, and also when updating already existing guidelines for personnel support after critical and traumatic events.