6257 Clinical debriefing; let’s TALK more!

Objectives Clinical debriefing is known to improve leadership facilitation, enhance teamwork, communication, provide peer support and boost morale.1 2 It can highlight training needs and learning points to improve practice.1 2 However, it tends occur after adverse events and doctors rarely receive formal teaching on clinical debriefing.3 We aimed for junior doctors to clinical debrief regularly and to assess the impact of this. We also aimed to evaluate doctors' confidence at leading debriefs whilst practicing them regularly. Methods A pre-survey was sent to junior doctors within a Paediatric department to review confidence in facilitation of clinical debriefing. The department was given a teaching session and emailed resources on using the TALK clinical debriefing tool.4 This tool was developed to allow clinical debriefing in 10 minutes with minimal training.4 We asked clinical teams in their respective areas (Ward or Emergency Department) to complete a clinical debriefing form prior to their day-to-night handover over a month period. Forms were analysed by qualitative document analysis. Phrases were initially categorised into categories in keeping with the Interprofessional Collaborative Practice core competencies,5 6 including values and ethics, roles and responsibilities, communication, teams and teamwork. Two additional categories were formed on analysis which were organisational and environmental, and individual learning. Key learning points were shared with the department and a post-survey was completed after 1 month. Results The pre-survey demonstrated that 5% of doctors had received teaching on clinical debriefing but none knew of a structured debriefing tool. 6 debriefing forms were completed over 1 month. Qualitative analysis revealed that the most commonly discussed challenges were associated with communication, organisational and environmental issues. Teamwork was most commonly highlighted as the positive feature. Learning objectives were shared amongst the department and contributed towards improving the departmental induction. The graphs attached display a significant increase in doctors' confidence at leading a clinical debrief in the post-project survey (Graph 2) in comparison to the pre-survey (Graph 1). Post survey revealed that 100% felt that clinical debriefing improved their wellbeing and opportunity for feedback, 75% reported improvement in communication. Conclusion There was poor uptake of clinical debriefing forms prior to handovers due to time constraints in a busy Paediatric department and missing the departmental teaching. However, encouraging regular clinical debriefing can improve junior doctors' wellbeing, communication, opportunity for feedback and confidence in leading clinical debriefs. It can also lead to identification of departmental issues and empower junior doctors to find resolution. References Snowdon K. Exploring the clinical debrief: benefits and barriers. Journal of Paramedic Practice, 2021;13(1):1–7. Johnson, et al. Use of a team immediate debrief tool to improve staff well-being after potentially traumatic events. Anaesthesia, 2019;76(7):10–11. Bisheswar R. Clinical Debriefing; Let's talk more! 2023. Diaz-Navarro, et al. Clinical debriefing: TALK© to learn and improve together in healthcare environments. Trends in Anaesthesia and Critical Care, 2021;40:4–8. Core competencies for interprofessional collaborative practice: 2016 update. Interprofessional Education Collaborative, 2016. Core competencies for interprofessional collaborative practice: Preliminary updates. Interprofessional Education Collaborative, 2023.