Keywords

debriefing, stress, critical incident, pediatric intensive care, nursing, burnout, burnout p/c

Abstract

Burnout is prevalent among pediatric intensive care unit (PICU) nurses, impacting between 42-77% of them. High emotional burden, physical demand, and cognitive overload contribute to significant PICU nurse burnout prevalence. Burnout is linked to increased job turnover, compromised patient care, and decreased staff mental well-being. Addressing burnout is crucial to ensure patient safety and maintain care quality. Burnout in adult ICU nurses is well documented but less so with PICU nurses, and they face stressors unique to their setting, such as a vulnerable patient population and unique dynamics with families and providers. This scoping review includes 9 articles examining the use of post-incident stress debriefings as an emotional intervention to address burnout in PICU nurses. They included five pre-post intervention quality improvement studies, two descriptive survey studies, one cross-sectional study, and one case study. Evidence quality was evaluated using the Polit-Beck Evidence Hierarchy/Level of Evidence Scale for Therapy Questions. Post-incident stress debriefings were found to alleviate at least one of three burnout experiences, exhaustion, job dissatisfaction, and reduced professional and personal efficacy, in all nine articles. Debriefings were shown to improve compassion satisfaction and resilience among nurses, though variations in implementation and survey timing may have influenced results. Utilizing standardized burnout measures would provide better insight into the effectiveness of debriefings.

Thesis Completion Year

2025

Thesis Completion Semester

Spring

Thesis Chair

Peach, Brian

College

College of Nursing

Thesis Discipline

Nursing

Language

English

Access Status

Open Access

Length of Campus Access

None

Campus Location

Orlando (Main) Campus

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Rights Statement

In Copyright