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1. A systematic scoping review on the evidence behind debriefing practices for the wellbeing/emotional outcomes of healthcare workers

Author

Thomas Rhys Evans, Calvin Burns, Ryan Essex, Gina Finnerty, Ella Hatton, Andrew James Clements, Genevieve Breau, Francis Quinn, Helen Elliott, Lorraine D. Smith, Barry Matthews, Kath Jennings, Jodie Crossman, Gareth Williams, Denise Miller, Benjamin Harold, Philip Gurnett, Lee Jagodzinski, Julie Smith, Wendy Milligan, Marianne Markowski, Peter Collins, Yuki Yoshimatsu, Jordi Margalef Turull, Mark Colpus, Mark L. Dayson, and Sharon Weldon

Subjects
voice, healthcare, debriefing, emotion, wellbeing, systematic review, Psychiatry, RC435-571
Abstract

IntroductionDebriefings give healthcare workers voice through the opportunity to discuss unanticipated or difficult events and recommend changes. The typical goal of routine debriefings has been to improve clinical outcomes by learning through discussion and reflection of events and then transferring that learning into clinical practice. However, little research has investigated the effects of debriefings on the emotional experiences and well-being of healthcare workers. There is some evidence that debriefings are a multi-faceted and cost-effective intervention for minimising negative health outcomes, but their use is inconsistent and they are infrequently adopted with the specific intention of giving healthcare workers a voice. The purpose of this systematic scoping review is therefore to assess the scope of existing evidence on debriefing practices for the well-being and emotional outcomes of healthcare workers.MethodsFollowing screening, 184 papers were synthesised through keyword mapping and exploratory trend identification.ResultsThe body of evidence reviewed were clustered geographically, but diverse on many other criteria of interest including the types of evidence produced, debriefing models and practices, and outcomes captured.DiscussionThe current review provides a clear map of our existing understanding and highlights the need for more systematic, collaborative and rigorous bodies of evidence to determine the potential of debriefing to support the emotional outcomes of those working within healthcare.Systematic Review Registrationhttps://osf.io/za6rj.

Published
2023
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2. Improving evidence-based practice through preregistration of applied research: Barriers and recommendations

Author

Andrew Clements, Thomas Rhys Evans, Ella Hatton, and Peter Branney

Subjects
Evidence-based practice, Computer science, Context (language use), General Medicine, Grey literature, L1, Library and Information Sciences, Data science, Transparency (behavior), Education, ZA, Political science, Accountability, Credibility, Relevance (law), Applied research, Engineering ethics
Abstract

Preregistration is the practice of publicly publishing plans on central components of the research process before access to, or collection, of data. Within the context of the replication crisis, open science practices like preregistration have been pivotal in facilitating greater transparency in research. However, such practices have been applied nearly exclusively to basic academic research, with rare consideration of the relevance to applied and consultancy-based research. This is particularly problematic as such research is typically reported with very low levels of transparency and accountability despite being disseminated as influential grey literature to inform practice. Evidence-based practice is best served by an appreciation of multiple sources of quality evidence, thus the current review considers the potential of preregistration to improve both the accessibility and credibility of applied research towards more rigorous evidence-based practice. The current three-part review outlines, first, the opportunities of preregistration for applied research, and second, three barriers - practical challenges, stakeholder roles, and the suitability of preregistration. Last, this review makes four recommendations to overcome these barriers and maximise the opportunities of preregistration for academics, industry, and the structures they are held within - changes to preregistration templates, new types of templates, education and training, and recognition and structural changes.

Published
2021

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