Background: Healthcare systems must adapt iteratively in response to external and local challenges while keeping patients and staff safe. Clinical debriefing is a cost-effective contributor to safety culture, facilitating learning and team adaptations that lead to improved processes, patient outcomes, and staff resilience. In the aftermath of the COVID-19 pandemic, an interest has emerged in adopting TALK© to guide clinical debriefing to promote safety, mutual support, and cultural change within healthcare teams in Latin American contexts.
Aims: To evaluate the quality and applicability of TALK© debriefing training in Latin American settings and the willingness to debrief after an educational intervention.
Methods: Retrospective and descriptive study, examining anonymous data collected over 18 months after completing a "TALK© Debriefing Course for Healthcare Professionals" face-to-face or online. Data collected included participant characteristics, course details, quality and applicability of the intervention, and willingness to debrief.
Results: Five hundred and forty-five participants were enrolled, most from Argentina and Mexico. The overall quality of the intervention scored 19.62/20 points, obtaining 4.86/5 points for applicability. There were no significant differences between virtual and face-to-face sessions. After the intervention, ≥93.76% of participants felt able to engage in clinical debriefing, and 97.06% reported willingness to debrief.
Conclusions: Dissemination of multi-professional clinical debriefing training in Latin America is feasible and easily scalable. The quality of the educational intervention was rated excellent in both virtual and face-to-face settings, supporting the value of remote educational diffusion. Most participants in this study intervention felt prepared and willing to debrief following the intervention.
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http://dx.doi.org/10.1016/j.arcmed.2024.103060 | DOI Listing |
Br J Anaesth
January 2025
Medical Education Directorate, NHS Lothian, Edinburgh, UK.
Alzheimers Dement
December 2024
Cognitive Neuroscience Division, Columbia University, New York, NY, USA.
Neurol Educ
December 2024
From the Department of Neurology (M.R., C.P.), Medical University of South Carolina, Charleston; Department of Neurology (T.G.), Boston Medical Center, MA; Department of Neurology (G.S.P.), University of California San Francisco; Department of Neurology (R.V.A.), University of Colorado Anschutz Medical Campus, Aurora; Department of Neurology (A.F., M.G.), The University of Texas Southwestern Medical Center, Dallas; Department of Neurology (R.A.C.), University of Massachusetts Medical School, Worcester; Mass General Brigham Neurology Residency Program (G.G.), Brigham and Women's Hospital and Massachusetts General Hospital, Boston; and Neurocognitive Division (M.P.H.S.), Tufts Medical Center, Boston.
Background And Objectives: Perhaps stemming from the central role of detailed examinations and a focus on the subjective sphere that grounds their clinical practice, neurologists have frequently opined on experiences traditionally a province of humanities. The increasingly technological focus on medical education and care can be seen to devalue the subjective aspects of medicine. As a counter to this, we report on the existence of neurohumanities curricula within neurology residency training.
View Article and Find Full Text PDFSociol Health Illn
January 2025
Department of Global Health and Social Medicine, King's College London, London, UK.
The National Institute for Health and Care Excellence (NICE) was established a quarter of a century ago in 1999 to regulate the cost-effectiveness of pharmaceuticals (and other health technologies) for the NHS. Drawing on medical sociology theories of corporate bias, neoliberalism, pluralism/polycentricity and regulatory capture, the purpose of this article is to examine the applicability of those theories to NICE as a key regulatory agency in the UK health system. Based on approximately 7 years of documentary research, interviews with expert informants and observations of NICE-related meetings, this paper focuses particularly on NICE's relationship with the interests of the pharmaceutical industry compared with other stakeholder interests at the meso-organisational level.
View Article and Find Full Text PDFMidwifery
December 2024
Southern Cross University, Gold Coast Airport, Terminal Dr, Bilinga QLD 4225 Australia. Electronic address:
Introduction: In Australia, birth debriefing (BD) practices have primarily focused on clinical PTSD-FC, often neglecting the needs of mothers who describe their birth as traumatic but do not meet PTSD-FC criteria. The cessation of routine BD has overlooked a significant cohort- mothers experiencing subjective birth trauma (SBT). Their perceptions and wellbeing during the postpartum period remain poorly understood, and the lack of targeted interventions limits options for these mothers.
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