Revisión sistemática sobre la reducción de efectos emocionales negativos en trabajadores del área de emergencias y catástrofes mediante técnicas de catarsis

  1. Prieto-Callejero, Blanca 1
  2. Gómez-Salgado, Juan 2
  3. Alvarado-Gómez, Francisco 3
  4. Dias, Adriano 4
  5. García-Iglesias, Juan Jesús 2
  6. Ruiz-Frutos, Carlos 5
  1. 1 Hospital Virgen de la Bella, Lepe, Huelva
  2. 2 Departamento de Sociología, Trabajo Social y Salud Pública, Facultad de Ciencias del Trabajo, Universidad de Huelva, Huelva
  3. 3 Hospital Universitario Juan Ramón Jiménez, Huelva
  4. 4 Department of Public Health, Botucatu Medical School, Universidade Estadual Paulista, Botucatu, Sao Paulo
  5. 5 Universidad Espíritu Santo, Guayaquil
Revista:
Archivos de prevención de riesgos laborales

ISSN: 1138-9672 1578-2549

Año de publicación: 2020

Volumen: 23

Número: 1

Páginas: 52-67

Tipo: Artículo

DOI: 10.12961/APRL.2020.23.01.05 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Archivos de prevención de riesgos laborales

Objetivos de desarrollo sostenible

Resumen

Aim: To analyze catharsis techniques used with professionals assisting victims of emergencies and disasters. Methods: Systematic review carried out in seven bibliographic databases: MEDLINE-Pubmed, Web of Science, Cochrane Library, CINAHL, Scopus, PsycINFO, and other secondary sources, for articles published between 2008 and 2017, with the terms “catharsis”, “emergencies”, “debriefing” y “post-traumatic stress”. Publication and selection biases were taken into account. Results: Five reviews met the study inclusion criteria. Distress and traumatic experiences following an emergency or disaster are very common among health professionals, with adverse repercussions at the physical, psychological and cognitive levels. . Some authors find that debriefing offers an opportunity for emotional release and toreduce the impact of stress on the lives of emergency responders, acting as a support network where they can reconstruct their experiences, express their thoughts and feelings, and reduce the impact on their lives. For other authors, however, this technique is not always effective for all professionals and may lead to negative consequences. Conclusions: Debriefing is a common intervention that promotes catharsis. However, there is considerable controversy over its implementation and effectiveness. This study identified a diversity of catharsis techniques applied to staff responding to emergencies and disasters.

Referencias bibliográficas

  • Calderón JH. La salud mental en los desastres. La salud mental en los desastres: Colombia. Cruz Roja Colombiana. Dirección General de Salud; 2002.
  • Forneris CA, Gartlehner G, Brownley KA, Gaynes BN, Sonis J, Coker-Schwimmer E, et al. Interventions to prevent post-traumatic stress disorder: a systematic review. Am J Prev Med. 2013; 44: 635-50.
  • Mamani-Encalada A, Obando-Zegarra R, Uribe-Malca AM, Vivanco-Tello M. Factores que desencadenan el estrés y sus consecuencias en el desempeño laboral en emergencia. Rev Per Obst Enf. 2007; 3: 50-7.
  • Lerones MJF, de la Fuente A. Evaluación de riesgos laborales para el personal sanitario de los servicios de urgencias de atención primaria. 2010; 22: 445-50.
  • González-Cabrera J, Fernández-Prada M, Molina-Ruano R, Blázquez A, Guillén-Solvas J, Peinado JM. Riesgo psicosocial en el trabajo, estrés auto-percibido y cortisol en saliva en una muestra de médicos de urgencias de Granada. Emergencias. 2012; 24: 101-6.
  • Healy S, Tyrrell M. Importance of debriefing following critical incidents: Sonya Healy and Mark Tyrrell discuss the strategies doctors and nurses think they need to cope with stressful events in emergency departments. Emergency nurse. 2013; 20: 32-7.
  • Burns B. Caring for colleagues through debriefing. Kai Tiaki Nursing New Zealand. 2016; 22: 12-42.
  • Magyar J, Theophilos T. Debriefing critical incidents in the emergency department. Emerg Med Australas. 2010; 22: 499-506.
  • Mitchell JT, Everly G. Critical incident stress debriefing: An operations manual for the prevention of traumatic stress among emergency services and disaster workers. Chevron Publishing: Ellicott City MD; 1996.
  • Pender DA, Prichard KK. ASGW best practice guidelines as a research tool: A comprehensive examination of the critical incident stress debriefing. Journal for Specialists in Group Work. 2009; 34: 175-92.
  • Escudero JMS. Una revisión acerca del debriefing como intervención en crisis y para la prevención del TEPT (trastorno de estrés postraumático). Rev Colomb Psiquiatr. 2008; 37: 198-205.
  • Cantrell MA. The importance of debriefing in clinical simulations. Clin Simul Nurs. 2008; 4: e19-e23.
  • Lavoie P, Pepin I, Boyer L. Reflective debriefing to promote novice nurses’ clinical judgment after high-fidelity clinical: A pilot test. Dynamics. 2013; 24: 36-41.
  • Nadir NA, Bentley S, Papanagnou D, Bajaj K, Rinnert S, Sinert R. Characteristics of Real-Time, Non-Critical Incident Debriefing Practices in the Emergency Department. West J Emerg Med. 2017; 18: 146-51.
  • Urrútia G, Bonfill X. Declaración PRISMA: una propuesta para mejorar la publicación de revisiones sistemáticas y metaanálisis. Med Clin (Barc). 2010; 135: 507–11.
  • Santamaría Olmo RJN. Programa de Habilidades en Lectura Crítica Español (CASPe). NefroPlus. 2017; 9: 100-1.
  • Tuckey MR, Scott JE. Group critical incident stress debriefing with emergency services personnel: a randomized controlled trial. Anxiety Stress Coping. 2014; 27: 38-54.
  • Keene EA, Hutton N, Hall B, Rushton C. Bereavement debriefing sessions: an intervention to support health care professionals in managing their grief after the death of a patient. Pediatr Nurs. 2010; 36: 185-9.
  • Walsh DS. Interventions to reduce psychosocial disturbance following humanitarian relief efforts involving natural disasters: An integrative review. Int J Nurs Pract. 2009; 15: 231-40.
  • Rose SC, Bisson J, Churchill R, Wessely S. Psychological debriefing for preventing post traumatic stress disorder (PTSD). Cochrane Database Syst Rev. 2002;(2): CD000560.
  • Roberts NP, Kitchiner NJ, Kenardy J, Bisson J. Multiple session early psychological interventions for the prevention of post‐traumatic stress disorder. Cochrane Database Syst Rev. 2009;(3): CD006869.
  • Maloney C. Critical incident stress debriefing and pediatric nurses: an approach to support the work environment and mitigate negative consequences. Pediatr Nurs. 2012; 38: 110.
  • Werry J. Informal debriefing: Underutilization in critical care settings. Can J Crit Care Nurs. 2016; 27: 22-6.
  • Baack S, Alfred D. Nurses’ preparedness and perceived competence in managing disasters. J Nurs Scholarsh. 2013; 45: 281-7.
  • Pelham B. Saving our heroes: A longitudinal study of mental disorders within the fire service. Claremont: Claremont Graduate University; 2016.
  • Sattler DN, Boyd B, Kirsch J. Trauma‐exposed firefighters: Relationships among posttraumatic growth, posttraumatic stress, resource availability, coping and critical incident stress debriefing experience. Stress Health. 2014; 30: 356-65.
  • Couper K, Salman B, Soar J, Finn J, Perkins GD. Debriefing to improve outcomes from critical illness: a systematic review and meta-analysis. Intensive Care Med. 2013; 39: 1513-23.
  • Nash WP. Review of VA/DOD clinical practice guideline on management of acute stress and interventions to prevent posttraumatic stress disorder. J Rehabil Res Dev. 2012; 49: 637-48.