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Abstract PD-034: PICU UNDER PRESSURE? THE PSYCHOLOGICAL IMPACT OF WORKING IN PICU ON STAFF

Jones, G.A.L.1; Heward, Y.2; Savage, A.3; Morrison, R.2; Wilson, P.3; Fraser, J.4; Griksaitis, M.3; Inwald, D.P.1

Pediatric Critical Care Medicine: June 2018 - Volume 19 - Issue 6S - p 40
doi: 10.1097/01.pcc.0000537436.04902.58
Poster Discussion Abstracts
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1Imperial Healthcare NHS Trust, Paediatric Intensive Care Unit, London, United Kingdom

2Birmingham Women’s and children’s NHS Foundation Trust, Paediatric Intensive Care Unit, Birmingham, United Kingdom

3University Hospital Southampton NHS Foundation Trust, Paediatric Intensive Care Unit, Southampton, United Kingdom

4University Hospitals Bristol NHS Foundation Trust, Paediatric Intensive Care Unit, Bristol, United Kingdom

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Aims & Objectives:

Paediatric intensive care unit (PICU) staff are at risk of post traumatic stress disorder (PTSD). Staff may also experience ethical dilemmas, which can cause “moral distress”. These may impact upon staff mental health, staff retention and patient care. The aim of this study was to determine their prevalence in a single United Kingdom PICU as a pilot, before looking more widely across the United Kingdom.

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Methods

We used the Trauma Screening Questionnaire (TSQ) to look at PTSD and the Moral Distress Scale (Revised) (MDS-R). 100 staff at Imperial Healthcare NHS Trust PICU including nursing, medical allied healthcare and administrative staff were invited to take part in the study. Participation was via an online (Qualtrics LLC) or paper questionnaire over a 6 week period. Statistical significance was assessed using Mann-Whitney test.

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Results

61 (61%) completed the questionnaire, including 32 nurses, 14 doctors and 15 allied healthcare professionals. 12/61 (20%) were considering quitting work in PICU. Nurses had significantly higher MDS-R score (p=<0.0001) as seen in previous studies. Doctors had more PTSD related symptoms although this difference was not statistically significant. MDS-R score (p=0.001) and TSQ score (p=0.002) were significantly higher in those considering quitting working in PICU.

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Conclusions

The welfare of staff should be an important consideration for those managing PICUs. Further studies are needed to quantify this problem within the United Kingdom PICU network, to ascertain underlying causes and to determine strategies for prevention and to help those affected.

©2018The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies