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  1. Huetsch, Michael MHA
  2. Green, Jeremy PhD


OBJECTIVE: The aim of this study was to identify leadership awareness of emotional stress and employee support efforts in pediatric hospitals.


BACKGROUND: The current pediatric environment has seen increases in treatment intensity, care duration, and acuity of patients resulting in increased likelihood of being exposed to emotional events.


METHODS: Mail survey was sent to chief nursing officers at 87 pediatric hospitals.


RESULTS: A total of 49 responses (56%) were received. Hospitals with less than 250 beds were significantly more likely to rate emotional stress as a large to very large problem, whereas ANCC Magnet(R) hospitals felt better about support efforts after patient deaths. Most commonly used support offerings focused on staff recovery after a traumatic event as opposed to training for prevention of emotional stress.


CONCLUSIONS: Emotional stress is a well-recognized issue in pediatric hospitals with comparatively large resource commitment. Further focus on caregiver prevention training and unit leadership recognition of stress may be needed.