phenomenologic analysis of healthcare worker perceptions of intensive care unit diariesphenomenologic分析医疗工作者对重症监护室日记的看法.pdfVIP

Perier et al. Critical Care 2013, 17:R13 /content/17/1/R13 RESEARCH Open Access Phenomenologic analysis of healthcare worker perceptions of intensive care unit diaries 1,2† 2,3† 4 4 4 4 Antoine Perier , Anne Revah-Levy , Cédric Bruel , Nathalie Cousin , Stéphanie Angeli , Sandie Brochon , 4,5 4 4 4,5 4,6* François Philippart , Adeline Max , Charles Gregoire , Benoit Misset and Maité Garrouste-Orgeas Abstract Introduction: Studies have reported associations between diaries kept for intensive care unit (ICU) patients and long-term quality-of-life and psychological outcomes in patients and their relatives. Little was known about perceptions of healthcare workers reading and writing in the diaries. We investigated healthcare worker perceptions the better to understand their opinions and responses to reading and writing in the diaries. Methods: We used a phenomenologic approach to conduct a qualitative study of 36 semistructured interviews in a medical-surgical ICU in a 460-bed tertiary hospital. Results: Two domains of perception were assessed: reading and writing in the diaries. These two domains led to four main themes in the ICU workers’ perceptions: suffering of the families; using the diary as a source of information for families but also as generating difficulties in writing bad news; determining the optimal interpersonal distance with the patient and relatives; and using the diary as a tool for constructing a narrative of the patient’s ICU stay. Conclusions: The ICU workers thought that the diary was beneficial in communicating the sufferin