“Debriefing and Organizational Lessons Learned” (DOLL): A Qualitative Study to Develop a Classification Framework for Reporting Clinical Debriefing Results
BackgroundThe COVID-19 crisis has radically affected our healthcare institutions. Debriefings in clinical settings provide a time for the clinicians to reflect on the successes (pluses) and difficulties (deltas) encountered. Debriefings tend to be well-received if included in the broader management...
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| Format: | Article |
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Frontiers Media S.A.
2022-06-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.882326/full |
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| author | Méryl Paquay Méryl Paquay Nadège Dubois Anh Nguyet Diep Gwennaëlle Graas Tamara Sassel Justine Piazza Justine Piazza Jean-Christophe Servotte Alexandre Ghuysen Alexandre Ghuysen |
| author_facet | Méryl Paquay Méryl Paquay Nadège Dubois Anh Nguyet Diep Gwennaëlle Graas Tamara Sassel Justine Piazza Justine Piazza Jean-Christophe Servotte Alexandre Ghuysen Alexandre Ghuysen |
| author_sort | Méryl Paquay |
| collection | DOAJ |
| description | BackgroundThe COVID-19 crisis has radically affected our healthcare institutions. Debriefings in clinical settings provide a time for the clinicians to reflect on the successes (pluses) and difficulties (deltas) encountered. Debriefings tend to be well-received if included in the broader management of the unit. The goal of this study was to develop a framework to categorize these debriefings and to assess its worthiness.MethodsA qualitative approach based on a grounded theory research method was adopted resulting in the “Debriefing and Organizational Lessons Learned” (DOLL) framework. Debriefings were conducted within two Emergency Departments of a Belgian University Hospital during an 8-week period. In the first step, three researchers used debriefing transcripts to inductively develop a tentative framework. During the second step, these three researchers conducted independent categorizations of the debriefings using the developed framework. In step 3, the team analyzed the data to understand the utility of the framework. Chi-square was conducted to examine the associations between the item types (pluses and deltas) and the framework's dimensions.ResultsThe DOLL is composed of seven dimensions and 13 subdimensions. Applied to 163 debriefings, the model identified 339 items, including 97 pluses and 242 deltas. Results revealed that there was an association between the frequency of pluses and deltas and the dimensions (p < 0.001). The deltas were mainly related to the work environment (equipment and maintenance) (p < 0.001) while the pluses identified tended to be related to the organization of the unit (communication and roles) (p < 0.001). With leadership's support and subsequent actions, clinicians were more enthusiastic about participating and the researchers anecdotally detected a switch toward a more positive organizational learning approach.ConclusionThe framework increases the potential value of clinical debriefings because it organizes results into actionable areas. Indeed, leadership found the DOLL to be a useful management tool. Further research is needed to investigate how DOLL may work in non-crisis circumstances and further apply the DOLL into incident reporting and risk management process of the unit. |
| first_indexed | 2024-12-12T17:19:11Z |
| format | Article |
| id | doaj.art-17eacbb4a4a94f5f853584926bbe7db9 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-12-12T17:19:11Z |
| publishDate | 2022-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-17eacbb4a4a94f5f853584926bbe7db92022-12-22T00:17:42ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-06-01910.3389/fmed.2022.882326882326“Debriefing and Organizational Lessons Learned” (DOLL): A Qualitative Study to Develop a Classification Framework for Reporting Clinical Debriefing ResultsMéryl Paquay0Méryl Paquay1Nadège Dubois2Anh Nguyet Diep3Gwennaëlle Graas4Tamara Sassel5Justine Piazza6Justine Piazza7Jean-Christophe Servotte8Alexandre Ghuysen9Alexandre Ghuysen10Department of Emergency, Quartier Hôpital, University Hospital of Liege, Liège, BelgiumCenter for Medical Simulation of Liege, Quartier Hôpital, University of Liege, Liège, BelgiumCenter for Medical Simulation of Liege, Quartier Hôpital, University of Liege, Liège, BelgiumBiostatistics Unit, Quartier Hôpital, University of Liège, Liège, BelgiumCenter for Medical Simulation of Liege, Quartier Hôpital, University of Liege, Liège, BelgiumCenter for Medical Simulation of Liege, Quartier Hôpital, University of Liege, Liège, BelgiumDepartment of Emergency, Quartier Hôpital, University Hospital of Liege, Liège, BelgiumCenter for Medical Simulation of Liege, Quartier Hôpital, University of Liege, Liège, BelgiumNamur Simulation, Namur-Liege-Luxembourg University College, Namur, BelgiumDepartment of Emergency, Quartier Hôpital, University Hospital of Liege, Liège, BelgiumCenter for Medical Simulation of Liege, Quartier Hôpital, University of Liege, Liège, BelgiumBackgroundThe COVID-19 crisis has radically affected our healthcare institutions. Debriefings in clinical settings provide a time for the clinicians to reflect on the successes (pluses) and difficulties (deltas) encountered. Debriefings tend to be well-received if included in the broader management of the unit. The goal of this study was to develop a framework to categorize these debriefings and to assess its worthiness.MethodsA qualitative approach based on a grounded theory research method was adopted resulting in the “Debriefing and Organizational Lessons Learned” (DOLL) framework. Debriefings were conducted within two Emergency Departments of a Belgian University Hospital during an 8-week period. In the first step, three researchers used debriefing transcripts to inductively develop a tentative framework. During the second step, these three researchers conducted independent categorizations of the debriefings using the developed framework. In step 3, the team analyzed the data to understand the utility of the framework. Chi-square was conducted to examine the associations between the item types (pluses and deltas) and the framework's dimensions.ResultsThe DOLL is composed of seven dimensions and 13 subdimensions. Applied to 163 debriefings, the model identified 339 items, including 97 pluses and 242 deltas. Results revealed that there was an association between the frequency of pluses and deltas and the dimensions (p < 0.001). The deltas were mainly related to the work environment (equipment and maintenance) (p < 0.001) while the pluses identified tended to be related to the organization of the unit (communication and roles) (p < 0.001). With leadership's support and subsequent actions, clinicians were more enthusiastic about participating and the researchers anecdotally detected a switch toward a more positive organizational learning approach.ConclusionThe framework increases the potential value of clinical debriefings because it organizes results into actionable areas. Indeed, leadership found the DOLL to be a useful management tool. Further research is needed to investigate how DOLL may work in non-crisis circumstances and further apply the DOLL into incident reporting and risk management process of the unit.https://www.frontiersin.org/articles/10.3389/fmed.2022.882326/fullclinical debriefingteamworkquality of carepatient safetyhospital managementdebriefing |
| spellingShingle | Méryl Paquay Méryl Paquay Nadège Dubois Anh Nguyet Diep Gwennaëlle Graas Tamara Sassel Justine Piazza Justine Piazza Jean-Christophe Servotte Alexandre Ghuysen Alexandre Ghuysen “Debriefing and Organizational Lessons Learned” (DOLL): A Qualitative Study to Develop a Classification Framework for Reporting Clinical Debriefing Results Frontiers in Medicine clinical debriefing teamwork quality of care patient safety hospital management debriefing |
| title | “Debriefing and Organizational Lessons Learned” (DOLL): A Qualitative Study to Develop a Classification Framework for Reporting Clinical Debriefing Results |
| title_full | “Debriefing and Organizational Lessons Learned” (DOLL): A Qualitative Study to Develop a Classification Framework for Reporting Clinical Debriefing Results |
| title_fullStr | “Debriefing and Organizational Lessons Learned” (DOLL): A Qualitative Study to Develop a Classification Framework for Reporting Clinical Debriefing Results |
| title_full_unstemmed | “Debriefing and Organizational Lessons Learned” (DOLL): A Qualitative Study to Develop a Classification Framework for Reporting Clinical Debriefing Results |
| title_short | “Debriefing and Organizational Lessons Learned” (DOLL): A Qualitative Study to Develop a Classification Framework for Reporting Clinical Debriefing Results |
| title_sort | debriefing and organizational lessons learned doll a qualitative study to develop a classification framework for reporting clinical debriefing results |
| topic | clinical debriefing teamwork quality of care patient safety hospital management debriefing |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2022.882326/full |
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