Résumés
Résumé
Introduction : Les unités de soins intensifs (USI) accueillent les personnes dont la condition de santé est critique. Au congé, celles-ci peuvent conserver plusieurs séquelles incapacitantes. Cet ensemble de symptômes physiques, cognitifs et psychologiques constitue le syndrome post soins intensifs (Post Intensive Care Syndrome [PICS]). Les proches peuvent également souffrir d’une forme du PICS (Post Intensive Care Syndrome – Family [PICS-F]). Le journal de bord permettrait de réduire les symptômes de santé mentale du PICS ou du PICS-F. Ce document, qui contient des informations narratives sur le séjour de la personne hospitalisée à l’USI, vise à combler les trous dans sa mémoire et à contextualiser les souvenirs perturbants qui seraient à l’origine de la souffrance psychologique. Or, cette intervention préventive demeure peu utilisée et étudiée en contexte québécois (Canada).
Objectifs : Cette étude vise à évaluer l’acceptabilité prospective du journal de bord dans 2 USI québécoises par les personnes recevant des soins de santé, les proches significatifs, le personnel soignant et les membres de l’équipe multidisciplinaire. Un second objectif sera d’explorer les recommandations de ces acteurs clés entourant les modalités de l’intervention.
Méthodes : Cette étude mixte se déroulera dans 2 USI d’un hôpital quaternaire situé dans la ville de Québec. Des entretiens semi-dirigés seront conduits auprès de 4 groupes de 6 à 8 participants représentant les acteurs clés de l’intervention. L’entretien individuel pourra également être appliqué. Par la suite, les participants répondront à un questionnaire d’acceptabilité.
Discussion et retombées anticipées : Cette étude guidera l’adaptation de cette intervention de façon à optimiser son adoption par les acteurs clés concernés et promouvoir leur implication dans le développement de l’intervention.
Mots-clés :
- sciences infirmières,
- journal de bord,
- soins intensifs,
- méthodes mixtes,
- acceptabilité
Abstract
Introduction: Intensive care units (ICUs) cater for the most critically ill patients. On discharge, these patients may be left with several incapacitating sequelae. This combination of physical, cognitive, and psychological symptoms is known as Post-Intensive Care Syndrome (PICS). Relatives may also suffer from a form of PICS (Post Intensive Care Syndrome – Family [PICS-F]). A diary could help reduce the mental health symptoms of PICS or PICS-F. This document, containing narrative information about the patient’s stay in the ICU, aims to fill in the gaps in the patient’s memory and to contextualize disturbing memories, which are thought to be at the root of psychological suffering. This preventive intervention remains underused or studied in Quebec (Canada).
Objectives: This study aims to evaluate the acceptability of the ICU diary in 2 Quebec ICUs by patients discharged from the designated ICU, relatives, nurses, and members of the multidisciplinary team. A second objective will be to explore the recommendations of those stakeholders surrounding the modalities of the intervention.
Methods: This mixed-methods study will take place on 2 ICUs in a tertiary hospital located in Quebec City. Semi-structured interviews will be conducted with 4 groups of 6 to 8 participants representing the stakeholders of the intervention. An acceptability questionnaire will be administered to participants.
Discussion and Research Spin-offs: This study will guide the application of this intervention and advocates active participant involvement in the development of the tool.
Keywords:
- nursing sciences,
- ICU diary,
- critical care,
- mixed methods,
- acceptability
Parties annexes
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