References

Andreatta P, Saxton E, Thompson M, Annich G. Simulation-based mock codes significantly correlate with improved pediatric patient cardiopulmonary arrest survival rates. Pediatr Crit Care Med. 2011; 12:(1)33-38 https://doi.org/10.1097/PCC.0b013e3181e89270

Ballantyne H. The future of nursing care plans in veterinary nursing. Veterinary nursing care plans: theory and practice.: Taylor and Francis; 2017

Bartram DJ, Baldwin DS. Veterinary surgeons and suicide: a structured review of possible influences on increased risk. Vet Rec. 2010; 166:(13)388-397 https://doi.org/10.1136/vr.b4794

Bhatnagar P. Debrief while it's HOT. Education & Quality Improvement.: CanidiEM; 2020

Gilmartin S, Martin L, Kenny S, Callanan I, Salter N. Promoting hot debriefing in an emergency department. BMJ Open Qual. 2020; 9:(3) https://doi.org/10.1136/bmjoq-2020-000913

Hamilton R. Nurses' knowledge and skill retention following cardiopulmonary resuscitation training: a review of the literature. J Adv Nurs. 2005; 51:(3)288-297 https://doi.org/10.1111/j.1365-2648.2005.03491.x

Lloyd C, Campion DP. Occupational stress and the importance of self-care and resilience: focus on veterinary nursing. Ir Vet J. 2017; 70:(1) https://doi.org/10.1186/s13620-017-0108-7

Mäkinen M, Niemi-Murola L, Kaila M, Castrén M. Nurses' attitudes towards resuscitation and national resuscitation guidelines--nurses hesitate to start CPR-D. Resuscitation. 200980:(12)1399-404 https://doi.org/10.1016/j.resuscitation.2009.08.025

McMichael M, Herring J, Fletcher DJ, Boller M. RECOVER evidence and knowledge gap analysis on veterinary CPR. Part 2: preparedness and prevention. J Vet Emerg Crit Care. 2012; 22:S13-S25 https://doi.org/10.1111/j.1476-4431.2012.00752.x

Moser DK, Coleman S. Recommendations for improving cardiopulmonary resuscitation skills retention. Heart Lung. 1992; 21:(4)372-80

Sinitsky DM, Gowda SB, Dawas K, Fernando BS. Morbidity and mortality meetings to improve patient safety: a survey of 109 consultant surgeons in London, United Kingdom. Patient Saf Surg. 2019; 13:(1) https://doi.org/10.1186/s13037-019-0207-3

Sjöberg F, Schönning E, Salzmann-Erikson M. Nurses' experiences of performing cardiopulmonary resuscitation in intensive care units: a qualitative study. J Clin Nurs. 2015; 24:(17-18)2522-2528 https://doi.org/10.1111/jocn.12844

Tomasi SE, Fechter-Leggett ED, Edwards NT, Reddish AD, Crosby AE, Nett RJ. Suicide among veterinarians in the United States from 1979 through 2015. J Am Vet Med Assoc. 2019; 254:(1)104-112 https://doi.org/10.2460/javma.254.1.104

Wolfe H, Zebuhr C, Topjian AA Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes. Crit Care Med. 2014; 42:(7)1688-1695 https://doi.org/10.1097/CCM.0000000000000327

Wolfe H, Wenger J, Sutton R Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality mprovement collaborative. Pediatr Qual Saf. 2020; 5:(4) https://doi.org/10.1097/pq9.0000000000000319

How debriefing post cardiopulmonary arrest and resuscitation can be used to improve training

02 June 2021
7 mins read
Volume 12 · Issue 5
Figure 1. Hale team debriefing after a crash simulation as a part of training to help improve cardiopulmonary resuscitation (CPR).

Abstract

Debriefing is a form of discussion used in human medicine following significant events, such as cardiopulmonary arrest (CPA) and resuscitation. There are no studies in veterinary medicine specifically exploring the benefits of debriefing post CPA, showing known knowledge gaps. However, there are studies in training for resuscitation and staff resilience that mention debriefing as tools, and there are studies in human medicine that look at different types of debriefing and benefits. This literature review discusses ways in which debriefing may be implemented into a veterinary environment as well as the impact it could have on staff training, wellbeing and patient outcome.

Debriefing is a process of communication that takes place between a team following a clinical case; often the case would involve a major event such as cardiopulmonary arrest (CPA) (Gilmartin et al, 2020). This discussion between the team will be about specific case details and events that occurred, including discussion around the role and actions of each of those involved (Gilmartin et al, 2020).

There is little research in veterinary medicine into how debriefing may affect training and how it can impact staff, and those studies that do exist only briefly look at debriefing but are focused on other areas. However, when discussing the history of veterinary nursing, Ballantyne (2017) described many aspects of veterinary nursing as ‘echoing’ human research.

This review will look at debriefing, which different types of debriefing may be best ued in a veterinary hospital environment, how it may impact staff training, the development of individual skills, as well as mental wellbeing in veterinary medicine.

Register now to continue reading

Thank you for visiting The Veterinary Nurse and reading some of our peer-reviewed content for veterinary professionals. To continue reading this article, please register today.