Glotta, Andrea and Duca, Carlo and Pollizzi, Maria Pia and Bianchi, Monica (2019) ESICM LIVES 2019. In: UNSPECIFIED.

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INTRODUCTION. The visits that patients receive promote feelings of support, help and reassurance. On the other hand, there is little literature regarding the wishes of patients on intensive care unit (ICU) visits. In recent years is the trend to liberalize access for visits to patients admitted to the ICU. Experience has demonstrated that neither the patient's clinical situation nor the structural barriers of the ICU impede restriction-free visits, but it is due mainly to cultural factors. OBJECTIVES. Explore the topic of visits during ICU hospitalization by analysing patients’ wishes and the nurses’ points of view. METHODS. Qualitative research with thematic analysis of the collected data was done in an ICU. The sample involved in the study was 8 patients and 12 nurses. Informed consent was signed by everyone. Data were collected through 8 semi-structured interviews for patients and 2 focus groups (FG) for nurses. The data analysis was performed with the NVivo 10 software. RESULTS. From the analysis of the data have been identified 22 nodes from interviews and 28 nodes from FG. The nodes have been grouped into themes and macro-themes. It emerged: 2 macro-themes from interviews: Patient experiences related to visits: highlights the presence of strong emotions, often negative, sometimes in conflict with each other. Patients’ thoughts on visits: ideas and advice for nurses who could help the patient in managing visits or making changes to approach. 3 macro-themes from FG: Patient visits seen by nurses: the behaviours, seen and interpreted by the nurses, that the patients showed with their relatives or staff, the perceptions during the visits, the patients’ experience or wishes. Patients’ visit experiences seen by nurses: the team's perspective was privileged then attitudes, behaviours and perceptions regarding patient visits were included. Needs/suggestions offered by nurses: the improvement ideas emerged from the team compared to those derived from the patients to fully understand the problem. CONCLUSION. The ICU is seen by patients and nurses as a place where the management of emotions and feelings is complicated. The patients want the visits because they help to face emotions and to overcome the physical and psychological insult created in ICU. The visits maintain contact with the world outside. The nurses emphasize the importance of clear information to regulate the access. It would be desirable during the admissions in ICU prompted patients their wishes, wherever possible, about the visits and that this cannot be taken for granted and absolutely necessary. Ideally, every structure, follow a path of awareness of this issue in order to adequately support the wishes of patients without neglecting the suggestions and needs of healthcare staff.

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