Impact of a Nurse-Driven Patient Empowerment Intervention on the Reduction in Patients' Anxiety and Depression During ICU Discharge: A Randomized Clinical Trial.

OBJECTIVES: To assess the impact of a nurse-driven patient empowerment intervention on anxiety and depression of patients during ICU discharge. DESIGN: A prospective, multicenter, randomized clinical trial. SETTING: Three ICUs (1 medical, 1 medical and surgical, and 1 coronary) of three tertiary hospitals. PATIENTS: Adults admitted to the ICU greater than 18 years old for greater than or equal to 48 hours with preserved consciousness, the ability to communicate and without delirium, who were randomized to receive the nurse-driven patient empowerment intervention (NEI) (intervention group [IG] or standard of care [control group (CG)]) before ICU discharge. INTERVENTION: The NEI consisted of an individualized intervention with written information booklets, combined with verbal information, mainly about the ICU process and transition to the ward, aimed at empowering patients in the transition process from the ICU to the general ward. MEASUREMENTS AND RESULTS: Patients completed the Hospital Anxiety and Depression Scale before and after (up to 1 wk) ICU discharge. IG ( n = 91) and CG ( n = 87) patients had similar baseline characteristics. The NEI was associated with a significant reduction in anxiety and depression ( p < 0.001) and the presence of depression ( p = 0.006). Patients with comorbidities and those without family or friends had greater reductions in anxiety and depression after the NEI. After the intervention, women and persons with higher education levels had lower negative outcomes. CONCLUSIONS: We found that a NEI before ICU discharge can decrease anxiety and depression in critically ill survivors. The long-term effect of this intervention should be assessed in future trials. TRIAL REGISTRATION: NCT04527627 ( https://clinicaltrials.gov/ct2/show/NCT04527627 ).

[Analysis and recording of aggressions in the ICU]. / Análisis y registro de las agresiones en UCI.

The objectives of this study are to determine if aggressions occur by the family or patient against the nursing staff of the Intensive Care Units (ICU), identify if the aggressions received are recorded; specify if the nurses know about the existence of resources available by the hospital site and verify if the nurses understand aggression to be the same thing. We have conducted a descriptive study using a questionnaire done between November and December 2004 regarding aggressions suffered at work. The study sample includes 150 nurses who work in the ICU and Coronary Unit of the Hospital Universitario de Bellvitge (HUB). Inclusion criteria is the nursing staff of the ICU of HUB. The results of the surveys show that there are aggressions in the ICU (62% of those surveyed have been physically assaulted and 68% verbally). Most of these aggressions were only reported verbally (73% in verbal aggressions, 75% in physical aggressions), these hardly being recorded in written form (2.5% of those assaulted verbally and 40% of those assaulted physically). The conclusions of this study are that a high percentage of the ICU nurses have suffered aggressions in their work, with repercussions in their personal and work life. They normally comment the aggressions with colleagues or bosses, although they do not put it in writing.

Análisis y registro de las agresiones en UCI / Analysis and recording of aggressions in the ICU

Los objetivos de este estudio son determinar si se producen agresiones, por parte de la familia o del enfermo, al personal de enfermería de las unidades de cuidados intensivos (UCI); identificar si se registran las agresiones recibidas; concretar si las enfermeras conocen la existencia de los recursos disponibles por parte del centro hospitalario y comprobar si las enfermeras entienden lo mismo por agresión. Se ha llevado a cabo un estudio descriptivo, mediante un cuestionario realizado entre noviembre y diciembre de 2004 respecto a las agresiones sufridas en el trabajo. La muestra a estudio es de 150 enfermeras que trabajan en la UCI y la Unidad Coronaria del Hospital Universitario de Bellvitge (HUB). El criterio de inclusión es el personal de enfermería de UCI del HUB. Los resultados de las encuestas muestran que hay agresiones en UCI (el 62% de los encuestados ha sido agredido físicamente y el 68% verbalmente); la mayoría de estas agresiones sólo se comunican verbalmente (el 73% en agresiones verbales, el 75% en agresiones físicas), apenas se han registrado de forma escrita (el 2,5% de los agredidos verbalmente y el 40% de los agredidos físicamente). Las conclusiones de este estudio son que un alto porcentaje de las enfermeras de UCI ha sufrido agresiones en su trabajo, con repercusiones en su vida personal y laboral. Normalmente, comentan las agresiones a compañeros o superiores, aunque no las dejan por escrito

The objectives of this study are to determine if aggressions occur by the family or patient against the nursing staff of the Intensive Care Units (ICU), identify if the aggressions received are recorded; specify if the nurses know about the existence of resources available by the hospital site and verify if the nurses understand aggression to be the same thing. We have conducted a descriptive study using a questionnaire done between November and December 2004 regarding aggressions suffered at work. The study sample includes 150 nurses who work in the ICU and Coronary Unit of the Hospital Universitario de Bellvitge (HUB). Inclusion criteria is the nursing staff of the ICU of HUB. The results of the surveys show that there are aggressions in the ICU (62% of those surveyed have been physically assaulted and 68% verbally). Most of these aggressions were only reported verbally (73% in verbal aggressions, 75% in physical aggressions), these hardly being recorded in written form (2.5% of those assaulted verbally and 40% of those assaulted physically). The conclusions of this study are that a high percentage of the ICU nurses have suffered aggressions in their work, with repercussions in their personal and work life. They normally comment the aggressions with colleagues or bosses, although they do not put it in writing