Abstract

AbstractBackground: Recent surveys of our pediatric emergency department staff showed a decrease in staff morale related to increased stress, indicating the need for intervention. Animal-assisted therapy has been shown to have multiple other positive effects in various populations including decreased stress and anxiety reduction. Our existing dog therapy program was unpredictable and inconsistent, resulting in limited staff involvement. Objectives: The purposes of this project were to determine whether a consistently offered dog therapy program in our pediatric emergency department would be utilized by staff and to elicit staff feedback on the program.Methods: A therapy dog was scheduled for one hour twice weekly for staff to visit when they were available. All staff in the ED were encouraged to attend these sessions.Results: Staff responses were collected via pre- and post-intervention questionnaires. The percentage of staff who were not able to visit the dogs pre-intervention was 33%, decreasing to 15% post-intervention. Prior to project initiation, 60% of staff indicated that dog therapy was not offered enough, compared to only 37% after project completion. Staff reported the program was a morale booster and added positivity to the unit. Barriers to participation and suggested improvements were identified.Conclusions: Staff were able to participate in dog therapy more often during the project than prior to project implementation, meeting the overall goal of providing more accessible dog therapy to staff. The program was well-received and has now become a standard offering for our emergency department staff.Keywords: animal assisted therapy, professional burnout, emergency departments, job-related stress, complementary therapy, compassion fatigue

Highlights

  • Emergency departments (ED) are stressful environments that require staff members to make difficult, complex decisions

  • While research regarding nursing was heavily evaluated in our planning, this quality improvement (QI) project was made available to all ED staff, due to the stress perceived by all disciplines in this specialty

  • Dog Therapy Program Participation in this QI project was open to all ED staff in both clinical and non-clinical areas

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Summary

Introduction

Emergency departments (ED) are stressful environments that require staff members to make difficult, complex decisions. Our existing dog therapy program was unpredictable and inconsistent, resulting in limited staff involvement. The purposes of this project were to determine whether a consistently offered dog therapy program in our pediatric emergency department would be utilized by staff and to elicit staff feedback on the program. Prolonged work-related stress among healthcare staff can contribute to compassion fatigue and job burnout, leading to increased turnover rates and additional costs for healthcare facilities (Ginex, et al, 2018; Abrahamson, et al, 2016). According to Kline et al (2020), 55% to 70% of ED healthcare professionals are at risk of leaving their jobs due to burnout Burnout scores in these healthcare professionals are inversely correlated with self-perception of empathy, leading to loss of empathy and compassion towards patients (Kline et al, 2020).

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