From Code to Calm: Hot, Cold, and Spiritual Debriefing Implementation.

IF 1.7 Q3 NURSING

Dimensions of Critical Care Nursing Pub Date : 2026-09-01 Epub Date: 2026-07-28 DOI:10.1097/DCC.0000000000000778

Cailin Ford, Taryn Sheehy, Julie Mackenzie, Jeanne Hlebichuk

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引用次数: 0

Abstract

Background: Debriefing after critical clinical events is recognized as essential for supporting health care providers' emotional well-being and improving clinical care, yet its implementation remains inconsistent due to competing demands and logistical challenges.

Objectives: This quality improvement project aimed to evaluate the outcomes of nurse-led hot, cold, and spiritual debriefing practices in a surgical cardiovascular intensive care unit following resuscitation events.

Methods: The project was conducted in 2 plan-do-study-act cycles: cycle 1 introduced nurse-led hot debriefs (immediate postevent) and cold debriefs (delayed peer support), while cycle 2 added monthly spiritual care debrief sessions led by the unit chaplain. Outcome measures included the frequency of debriefs, nurse participation, nurses' comfort in code roles, perceived benefit of debriefs, and nurses' resilience scores.

Results: Since project initiation, there has been an increase in hot debriefing frequency, improved nurse comfort in code roles, and self-reported perceived benefits for both hot and cold debriefs. Fourteen spiritual debrief sessions were held, with resilience scores remaining consistent over 1 year and positive anecdotal feedback.

Discussion: Nurse-led debriefing practices enhanced emotional support, team cohesion, and unit culture, highlighting the importance of structured, adaptable approaches to foster psychological safety and well-being in critical care settings.

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从代码到平静：热，冷和精神汇报实施。

背景：关键临床事件后的汇报被认为是支持卫生保健提供者的情绪健康和改善临床护理的必要条件，但由于相互竞争的需求和后勤挑战，其实施仍然不一致。目的：本质量改进项目旨在评估在外科心血管重症监护病房复苏事件后护士主导的热、冷和精神报告实践的结果。方法：采用计划-研究-行动2个周期：第1周期引入护士主导的热汇报（事件后立即）和冷汇报（延迟同伴支持），第2周期增加由单位牧师领导的每月精神护理汇报。结果测量包括汇报的频率、护士的参与、护士对代码角色的舒适度、汇报的感知利益和护士的恢复力得分。结果：自项目启动以来，热汇报频率有所增加，编码角色的护士舒适度有所提高，自我报告的热汇报和冷汇报都有好处。进行了14次精神汇报，恢复力得分在1年内保持一致，并得到积极的轶事反馈。讨论：护士主导的述职实践增强了情感支持、团队凝聚力和单位文化，强调了结构化、适应性强的方法在重症监护环境中促进心理安全和福祉的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dimensions of Critical Care Nursing NURSING-

CiteScore

2.40

自引率

5.90%

发文量

102

期刊介绍： The primary purpose of Dimensions of Critical Care Nursing™ is to provide nurses with accurate, current, and relevant information and services to excel in critical care practice.