Survey on the perception of sanitary icu aou cagliari on open resuscitation
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Abstract
The ICU (intensive care unit) open-door is understood as the abolition of all temporary, physical and relational barriers not strictly necessary for the care of the patient, in the perspective of the promotion of a person centred care, which takes into account several dimensions as: physical, psychological and relational. This approach is supported by the scientific literature that establishes the benefits and negative effects of this form of healthcare. Many studies show the benefits for patients, families and health staff. In Italy, this type of service modality is starting to be carried out, finding resistances in health workers due to the presence of relatives in the intensive care units. Azienda Ospedaliera Universitaria di Cagliari has started at the end of 2016 a formative, informative and organizational process with the purpose of implementing this organizational model. This research study wants to find out what is the opinion of the health staff of the ICU of Azienda Ospedaliera Universitaria of Cagliari in relation to the open-door modality
Aim
To know the opinions of the health staff of the ICU. The Azienda Ospedaliera Universitaria di Cagliari in relation to the open door organizational model, so to plan contextualized interventions to favor the introduction of the open doors model in the ICU of the Azienda Ospedaliera Universitaria.
Method
The design of the study foresees the participative observation and the evaluation of the perception of the health group in relation to the ICU open doors. La azienda Ospedaliera universitaria di Cagliari
Population: health staff of the Azienda Ospedaliera Universitaria of Cagliari.
Convenience sampling made up by 3 doctors, 5 nurses and 2 health assistants.
Method and technique of data collection: focus group, field diary and participatory observation
Data analysis
Transcription of the focal group and the field diary
coding and categorization of the data with Atla.ti software, methodological triangulation.
Conclusions
The analysis of the data of the focus group has shown a common vision of the beneficial effect for the family - patient interaction, for the clinical and mental conditions of the patient and for the quality of care. On the other hand, as critical points prevail the fear that family members can be an obstacle in the routine management of the assistance to the patient and the perception of lack of skills in the management of human and group relationships; Moreover, the group demands rules, transparency and homogeneity in the rules of conduct, including adequate spaces for family members and the support of a psychologist for the staff members, family and patient.
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References
Giannini A, Berwick DM, Kotagal M. Open intensive care units: the case in favour. minerva Anestesiol. 2007 ;7373(299):299–306.
Bioetica CN per la. terapia intensiva “aperta”alle visite dei familiari. quotidianosanità.it. 2013.
Sims DC, Jacob J, Mills MM, Fett PA, Novak G. Evaluation and Development of Potentially Better Practices to Improve the Discharge
Process in the Neonatal Intensive Care Unit. Pediatrics.2006 Nov 1;118(Supplement_2):S115–23.
Fumagalli S, Boncinelli L, Lo Nostro A, Valoti P, Baldereschi G, Di Bari M, et al. Reduced Cardiocirculatory Complications With
Unrestrictive Visiting Policy in an Intensive Care Unit: Results From a Pilot, Randomized Trial. Circulation. 2006 Feb 21;113(7):946–52.
Knutsson SEM, Otterberg CL, Bergbom IL, Juknialis B, Jackson DL, Tinteniac A De, et al. Visits of children to patients being cared forin
adult ICUs: policies, guidelines and recommendations. Intensive Crit care Nurs. 2004 Oct;20(5):264–74.
Malacarne P, Corini M, Petri D. Health care-associated infections and visiting policy in an intensive care unit. Am J Infect Control
[Internet]. 2011 Dec ;39(10):898–900.
Malacarne P, Langer M, Nascimben E, Moro ML, Giudici D, Lampati L, et al. Building a continuous multicenter infection surveillance
system in the intensive care unit: findings from the initial data set of 9,493 patients from 71 Italian intensive care units. Crit Care Med . 2008 Apr;36(4):1105–13.
AnzolettiAB, Buja A, Bortolusso V, Zampieron A, Jackson DL, TinténiacA de. Access to intensive care units: a survey in North-East Italy.
Intensive Crit care Nurs. 2008 Dec;24(6):366–74.
Whitton S, Pittiglio LI. Critical care open visiting hours. Crit Care Nurs Q. 2011 ;34(4):361–6.
S Haghbin, Z Tayebi. Visiting hour policies in ICU. Iran Red Crescent Med J [Internet]. 2011;13(9):684–6.
Berti D, Ferdinande P, Moons P. Beliefs and attitudes of intensivecare nurses toward visits and open visiting policy. Intensive Care
Med. 2007 May 24;33(6):1060–5.
Marco L, Bermejillo I, Garayalde N, Sarrate I, Margall MA, Asiain MC. Intensive care nurses’ beliefs and attitudes towards the effect
of open visiting on patients, family and nurses. Nurs Crit Care.;11(1):33–41.
Pochard F, Darmon M, Fassier T, BollaertP-E, Cheval C, Coloigner M, et al. Symptoms of anxiety and depression in family members
of intensive care unit patients before discharge or death. A prospective multicenter study. J Crit Care. 2005 Mar 2017 Mar 4;20(1):90–6
Riley BH, White J, Graham S, Alexandrov A. Traditional/restrictive vs patient-centered intensive care unit visitation: perceptions
of patients’ family members, physicians, and nurses. Am J Crit Care. 2014 Jul;23(4):316–24.
Giannini A. The " open " ICU: not just a question of time. MINERVA Anestesiol 89 MINERVA ANESTESIOL.2010;7676(2):89–90.
Azoulay E, Pochard F, Kentish-Barnes N, Chevret S, Aboab J, Adrie C, et al. Risk of post-traumatic stress symptoms in family members
of intensive care unit patients. Am J Respir Crit Care Med. 2005 May 1 ;171(9):987–94.
Ciufo D, Hader R, Holly C. A comprehensive systematic review of visitation models in adult critical care units within the context of
patient- and family-centred care. Int J Evid Based Healthc . 2011 Dec ;9(4):362–87.
Garrouste-Orgeas M, Philippart F, Timsit JF, Diaw F, Willems V, Tabah A, et al. Perceptions of a 24- hour visiting policy in the intensive
care unit. Crit Care Med [Internet]. 2008 Jan;36(1):30–5.
Slota M, Shearn D, Potersnak K, Haas L. Perspectives on family-centered, flexible visitation in the intensive care unit setting. Crit
Care Med. 2003 May;31(5 Suppl):S362-6.
Hardin SR, Bernhardt-Tindal K, Hart A, Stepp A, Henson A. Critical-Care Visitation. Dimens Crit Care Nurs. 2011 Jan;30(1):53–61.
Cypress BS. Using the Synergy Model of Patient Care in Understanding the Lived Emergency DepartmentExperiences of Patients,
Family Members and Their Nurses During Critical Illness. Dimens Crit Care Nurs. 2013;32(6):310–21.
Biancofiore G, Bindi LM, Barsotti E, Menichini S, Baldini S. Open intensive care units: a regional survey about the beliefs and attitudes
of healthcare professionals. MINERVA Anestesiol. 2010 ;76(2):93–9.
Thompson DR, Hamilton D, Kirk Cadenhead, e al. Guidelines for intensive care unit design. Critical Care Medicine. 2012;40
(5):1586:1600.
Lautrette A, Darmon M, Megarbane B, Joly LM, ChevretS, Adrie C, et al. A Communication Strategy and Brochure for Relatives of
Patients Dying in the ICU. N Engl J Med . 2007 Feb ;356(5):469–78.
Baldrey A. Focus group in azione. 1st ed. Faber C, editor. 2005.
Amaducci G, Iemmi M, Saffioti A, Carpanoni M, Mecugni D. La pratica infermieristica basata sui modelli teorici : uno studio qualitativo sullapercezionedegli. Professioni infermieristiche. 2013;66:99–108.
De Marinis M G, Piredda M, Tartaglini D, Pascanella M G, Il Focus Group: una tecnica per la ricerca qualitativa. Int Nurs Persp.
;4 (3): 123-131.