None listed
Conditions
Brief summary
Healthcare providers may be vulnerable to psychological trauma in the aftermath of an adverse critical clinical incident, particularly if it is associated with a poor patient outcome. This may be especially evident amongst the medical fraternity, who often lead the management of the acutely deteriorating patient, and there is evidence of stress within this cohort in the literature, and the need for upstream preparation. This project will involve interviewing experienced intensive care doctors about adverse critical clinical incidents whereby patient management was potentially compromised secondary to human error. The aims of the interview will be to explore the impact of the events on them, in terms of their thoughts and feelings and also to explore the coping mechanisms they applied to enable them to emerge from the event with some deeper understanding and resolution. These personal recounts will be transcribed, reviewed and qualitatively analysed in order to identify common human factor gaps in clinical management during adverse critical clinical incidents, and the manner in which the personal effects of these events were mitigated. Results will inform the development of a framework of human factor training, possibly utilising simulation-based training that will aid in the upstream preparation of future critical care doctors.
Interventions
This study will
1. Analyse personal recounts of senior Intensivists where they each describe episodes of care where patient management was compromised secondary to human error.
2. Explore the manner in which the senior clinicians dealt with the personal effects of the particular clinical events they describe, thereby providing an overview of the manner by which they mitigated their own adverse mental response.
3. Explore a framework for human factor training that will aid in the upstream prepar
This study will 1. Analyse personal recounts of senior Intensivists where they each describe episodes of care where patient management was compromised secondary to human error. 2. Explore the manner in which the senior clinicians dealt with the personal effects of the particular clinical events they describe, thereby providing an overview of the manner by which they mitigated their own adverse mental response. 3. Explore a framework for human factor training that will aid in the upstream preparation of future intensive care doctors. Research personnel will undertake face-to-face interviews of individual Intensivists who have had more than 4 years of clinical experience working in the intensive care domain using a semi-scripted set of questions. There will be only one interview undertaken per participant, the duration of which will approximate 1 hour. Interviews will take place privately in office-space adjacent to the participants usual workplace, within their institution. All interviews will be audio-recorded. Each recording will be transcribed into an individually encrypted electronic word document by one of the investigators (DD). The complete unedited electronic transcript will then be sent to the participant via email. Participants will then have the opportunity to edit the transcript before it is de-identified and analysed.
Sponsors
Sir Charles Gairdner Hospital
Eligibility
Sex/Gender
All
Age
30 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Participants will need to be 1. Intensive Care Consultants (Intensivists) who have had a minimum of 4 years’ experience in the Intensive Care Unit environment. 2. Available to be interviewed within the period of time when Co-investigators are available to undertake site data collection.
Exclusion criteria
Participants who are 1. Intensive Care Consultants (Intensivists) who have had less than 4 years’ experience in the Intensive Care Unit environment. 2. Unavailable to be interviewed within the period of time when Co-investigators are available to undertake site data collection.
Outcome results
None listed