One method of coping: Resident debriefing after the death of a patient

Research output: Contribution to journalArticle

Abstract

Objective To describe residents' exposure and reactions to pediatric deaths, their debriefing experiences, and factors associated with debriefing. Study design Cross-sectional survey completed at the end of residency. The survey reflected experiences from the prior 18 months concerning number, type, and setting of deaths; resident reactions; whether resident debriefed and with whom after a patient's death. Results Seventy-four residents (84%) completed the survey over 4 academic years accounting for 363 deaths; 59% were inpatient deaths of patients with chronic diseases, 22% were inpatient, 18% were emergency department (ED) deaths of previously healthy patients, and 1% were deaths of patients with chronic diseases who died in the ED or in their home. Mean number of deaths experienced per resident was 4.6 (range, 0-19). Thirty-one percent of residents expressed guilt, and 74% stated they had debriefed at least one time, but debriefings took place after only 30% of deaths. Resident debriefing was associated with an inpatient death of a previously healthy child, OR 5.3 (95% CI: 1.31, 22.3), P=.01, whereas there was not an association with number of previous deaths, acute outpatient or chronic inpatient deaths, or resident guilt. Conclusions Pediatric residents were involved in a small number but varying types of death experiences. Debriefing took place after a minority of deaths. Future research needs to investigate the potential benefits of debriefing.

Original languageEnglish (US)
Pages (from-to)229-234
Number of pages6
JournalJournal of Pediatrics
Volume145
Issue number2
DOIs
StatePublished - Aug 2004

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Inpatients
Guilt
Hospital Emergency Service
Chronic Disease
Pediatrics
Internship and Residency
Outpatients
Cross-Sectional Studies
Surveys and Questionnaires

Keywords

  • ED
  • Emergency department

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

One method of coping : Resident debriefing after the death of a patient. / Serwint, Janet Rose.

In: Journal of Pediatrics, Vol. 145, No. 2, 08.2004, p. 229-234.

Research output: Contribution to journalArticle

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abstract = "Objective To describe residents' exposure and reactions to pediatric deaths, their debriefing experiences, and factors associated with debriefing. Study design Cross-sectional survey completed at the end of residency. The survey reflected experiences from the prior 18 months concerning number, type, and setting of deaths; resident reactions; whether resident debriefed and with whom after a patient's death. Results Seventy-four residents (84{\%}) completed the survey over 4 academic years accounting for 363 deaths; 59{\%} were inpatient deaths of patients with chronic diseases, 22{\%} were inpatient, 18{\%} were emergency department (ED) deaths of previously healthy patients, and 1{\%} were deaths of patients with chronic diseases who died in the ED or in their home. Mean number of deaths experienced per resident was 4.6 (range, 0-19). Thirty-one percent of residents expressed guilt, and 74{\%} stated they had debriefed at least one time, but debriefings took place after only 30{\%} of deaths. Resident debriefing was associated with an inpatient death of a previously healthy child, OR 5.3 (95{\%} CI: 1.31, 22.3), P=.01, whereas there was not an association with number of previous deaths, acute outpatient or chronic inpatient deaths, or resident guilt. Conclusions Pediatric residents were involved in a small number but varying types of death experiences. Debriefing took place after a minority of deaths. Future research needs to investigate the potential benefits of debriefing.",
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