Experience the power of being heard.

Healing for Nurses on the Front Lines

Through guided self reflection, debriefing offers clarity surrounding traumatic incidents and assists in establishing a process for recovering a sense of safety in the aftermath of trauma.

We respond to the cumulative toll experienced by nurses exposed to human suffering through heart centered compassionate energy, deep intentional listening, reflective questioning and evidenced-based holistic healing modalities.

Support for Nurses Who Give Their All

Nursing exposes you to repeated trauma—sometimes leaving you exhausted, overwhelmed, or questioning your path. Our Board Certified Nurse Coaches (NC-BC) provide a safe, non-judgmental space to:

  • Reflect on patient care events or workplace challenges

  • Process cumulative and childhood trauma

  • Restore emotional, physical, and spiritual balance

Confidential, compassionate debriefing to help you process trauma, restore balance, and reclaim your well-being.

Inside a Debriefing Session

Every session is guided, evidence-based, and tailored to your needs—so you can heal, regain clarity, and feel supported without any reporting obligations to your employer.

Book your 30 min Introduction to Debriefing

Debriefing the Front Lines is a non-profit organization with no affiliations or reporting obligations to your employer.

HOW WE CAN SUPPORT NURSES

Our Debriefing Nurses facilitate confidential sessions to support those experiencing

Fighting the decision to leave the profession and not look back?

Explore Debriefing

Nursing connects us.
There is an unspoken understanding and shared language. An energetic trust.

Cumulative Care Taking Trauma highlights the insidious nature of repeated exposure to trauma within the nursing profession.

Cumulative Care Taking Trauma often exacerbates personal, childhood and intergenerational trauma. We are here to support you through the depth of this work.

Cumulative Care Taking Trauma®

Overexposure of abnormal and traumatic events with no time for

  • Acknowledgement

  • Discussion

  • Processing

  • Recovering (a sense of internal safety)

  • Nourishment of oneself

  • Normalizing the use of support resources

That results in physical, emotional and spiritual suffering

Are you experiencing any of the following?

Not being able to delineate where one trauma ends and another begins - it all hurts.

Paralyzed in trauma manifesting as decision fatigue - simple decisions like what to eat for dinner feel daunting.

Shame, grief, guilt that spills over into life outside of work

Detachment, disconnection and isolation - often from things you once enjoyed

Episodes and flashbacks of personal and childhood trauma

Inability to be present in the moment, feelings of continual urgency, anxiety, panic and dread

Destructive behaviors, use of alcohol, benzos, stimulants and MJ in excess

Struggling to process layers of trauma that affect your work and life? You don’t have to face it alone.

Start Healing Today

Institutional Betrayal

Cumulative Care Taking Trauma® encompasses not only the overexposure but also the systemic factors that contribute to and perpetuate trauma, resulting in feelings of institutional betrayal.

Institutional betrayal is a concept described by psychologist Jennifer Freyd, referring to "wrongdoings perpetrated by an institution upon individuals dependent on that institution, including failure to prevent or respond supportively to wrongdoings.”

You are more than a number in the daily bed meeting.

Are you?

Questioning what you thought you knew

Memories of your career feel dislocated and unsafe

Feeling anger without compassion

Called to create systems change but aware you are in need of care first

Feeling let down by the system that should support you? Let’s restore your sense of safety and create a plan to move forward.

Find Your Support

Recurring Activation of Childhood Trauma

Those exposed to trauma in childhood develop an increase concern for leading them into the nursing profession. The dual nature of concern, both beautiful and challenging, often leads suffering.

If you have experienced childhood trauma, know you are not alone.

58%

of Debriefing the Front Lines clients note childhood trauma on their intake form without prompt.

(Debriefing the Front Lines, 2024)

68%

of healthcare workers have experienced childhood trauma.
33% before the age of 13

(UCLA-Duke University 2012)

After years of survival and caring for others, we invite you to experience what is like to be cared for by a nurse.

Years of caring for others shouldn’t leave your own wounds unattended. Experience the care you deserve.

Experience Care Now

We start with nursing but we don’t always stay there, we explore the trails tribulations and triumph of the human experience - bedside and beyond.

Debriefing the Front Lines Client Snap

298 clients in 2025 reported being in therapy

88

52

158

Clients by Specialty

5%

Other

13%

Perinatal Care

19%

Outpatient/Clinic

18%

Education+Leadership

45%

Critical Care

Practice Years

8-15

Average number of years in practice

0-3

Remainder of Clients

44

Longest number of clients years in practice

Find the Support You Need:
Short or Long Term

Whether it’s a single debrief, ongoing support, or reflective sessions, choose your path to healing with a compassionate nurse.

Short Term
Support

  • Discuss a patient care event, challenging interaction with a colleague or leadership you cannot stop thinking about.

Book Now

Long Term Support + Maintenance

  • Discuss the cumulative toll and occupational trauma within nursing and how it is manifesting physically, emotionally and spiritually within you.

    Come for deep conversations, non-pharmacological holistic healing modalities, resources and ongoing support with a board certified nurse coach.

Book Now

Schedule Once or Keep Coming Back

  • Experience being cared for by a nurse without a specific focus on occupational trauma.

    Reflective sessions are for the flooded, weary, confused, unrested, unsure and unsettled. Come for acknowledgement, validation, support, resources and presence away from the world.

Book Now

Scholarship
Session

  • Info Coming soon.

Book Now

Debriefing Scholarship Program

Our Scholarship Debriefing Program was created to ensure that nurses facing mental health or financial challenges have access to essential debriefing care.

Learn more

Debriefing the Front Lines provides support for nurses of all roles, specialties and tenure - everybody in, nobody out.

🤎

The debriefing hour invites discovery and the time in between allows for reflection and practice.

Schedule a Session

DOWNLOAD YOUR GUIDE TODAY

Post-Shift Support Toolkit

Designed for healthcare professionals, this guide offers practical steps to complete the stress cycle, reflect on patient care, and restore psychological balance after demanding shifts.

Download the Guide

Meet the team Debriefing the Front Lines

Tara Kosmas

MSN, RN, NC-BC, CHSE, SOAR

Michelle Oakley

MSN, RN, NC-BC, CHSE, SOAR

Kacie Salas

MSN, RN, NC-BC, CHSE, SOAR

Janaye Decker

MSN, RN, NC-BC, CHSE, SOAR

Our clients work in the ER, ICU, Pediatrics, L&D, outpatient and everywhere in between. They are coaches, entrepreneurs, educators and leaders .

They are nurses just like you. Just like us.

Book 30-Min Intro