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  • 18 - The concept of debriefing and its application to staff dealing with life-threatening illnesses such as cancer, AIDS and other conditions

  • from Part III - Adaptations of debriefing models
  • Edited by Beverley Raphael, New South Wales Health Department, Sydney, John Wilson, Cleveland State University
  • Book:
    Psychological Debriefing
    Published online:
    06 January 2010
    Print publication:
    12 October 2000, pp 254-271

  • Summary

    This chapter reviews concepts of stress as applied to health care professionals, and the perceived extent of the problem. It discusses factors that have been identified as contributing to the psychological symptoms and distress of health care professionals. The chapter also explains the models of interventions that have been used in some settings, as part of a critical evaluation of the role of Critical Incident Stress Debriefing (CISD) in these settings. The applicability of traumatic stress models to experience in health care fields is evidenced by the nature of stressors themselves. Several studies have described the extent of concerns experienced by staff working in the area of HIV, documenting varying levels of stress. Training needs to provide appropriate recognition of the emotional vulnerability of health care professionals and appropriate mechanisms of support and intervention that are readily available and nonstigmatizing.