Weak Correlation Between Perceived and Measured Intensive Care Unit Nursing Workload: An Observational Study.

BACKGROUND: Efficient management of nursing workload in the intensive care unit (ICU) is essential for patient safety, care quality, and nurse well-being. Current ICU-specific workload assessment scores lack comprehensive coverage of nursing activities and perceived workload. PURPOSE: The purpose of this study was to assess the correlation between ICU nurses' perceived workload and the Nine Equivalents of Nursing Manpower Use Score (NEMS). METHODS: In a 45-bed adult ICU at a tertiary academic hospital, nurses' perceived shift workload (measured with an 11-point Likert scale) was correlated with the NEMS, calculated manually and electronically. RESULTS: The study included 1734 observations. The perceived workload was recorded for 77.6% of observations. A weak positive correlation was found between perceived and objectively measured workload. CONCLUSION: Findings indicate a need to consider the multifaceted nature of nursing activities and individual workload perceptions in the ICU.

[Post-traumatic growth of critical care nursing teams after the Covid-19 pandemic]. / Croissance post-traumatique des équipes soignantes de soins critiques après la pandémie de Covid-19.

As the negative psychological impact of Covid-19 is no longer in doubt, the aim of the study presented here was to quantify the post-traumatic growth (PTC) of caregivers working in critical care. To this end, a paper questionnaire was distributed in the critical care department of the Lyon-Sud hospital. Among the care team, 67% had developed PTC, showing that despite the difficulties experienced during the trauma, the team had managed to grow from this crisis.

Burnout Syndrome During COVID-19 Second Wave on ICU Caregivers.

Objective: The main objective of this article is to evaluate the prevalence of burnout syndrome (BOS) among the Intensive Care Unit (ICU) healthcare workers. Methods: The COVID-impact study is a study conducted in 6 French intensive care units. Five units admitting COVID patient and one that doesn't admit COVID patients. The survey was conducted between October 20th and November 20th, 2020, during the second wave in France. A total of 208 professionals responded (90% response rate). The Maslach Burnout Inventory scale, the Hospital Anxiety and Depression Scale and the Impact of Event Revisited Scale were used to study the psychological impact of the COVID-19 Every intensive care unit worker. Results: The cohort includes 208 professionals, 52.4% are caregivers. Almost 20% of the respondents suffered from severe BOS. The professionals who are particularly affected by BOS are women, engaged people, nurses or reinforcement, not coming willingly to the intensive care unit and professionals with psychological disorders since COVID-19, those who are afraid of being infected, and people with anxiety, depression or post-traumatic stress disorder. Independent risk factors isolated were being engaged and being a reinforcement. Being a volunteer to come to work in ICU is protective. 19.7% of the team suffered from severe BOS during the COVID-19 pandemic in our ICU. The independent risk factors for BOS are: being engaged (OR = 3.61 (95% CI, 1.44; 9.09), don't working in ICU when it's not COVID-19 pandemic (reinforcement) (OR = 37.71 (95% CI, 3.13; 454.35), being a volunteer (OR = 0.10 (95% CI, 0.02; 0.46). Conclusion: Our study demonstrates the value of assessing burnout in health care teams. Prevention could be achieved by training personnel to form a health reserve in the event of a pandemic.

[Intensive Care Nurses, Psychological Disorders and COVID-19. The COVID IMPACT NATIONAL STUDY]. / Infirmiers en Réanimation, troubles psychologiques et COVID-19 : l'enquête nationale COVID IMPACT.

The COVID-19 pandemic has turned hospital under tension. Front-line staff, those most heavily exposed to the virus, are also those most at risk of developing psychological disorders. The aim of this national survey was to determine the prevalence of psychological disorders among the nurses working in intensive care unit during the pandemic. We developed an electronic questionnaire distributed by email between June 17th and July 17th, 2020. The responders were 381 health care professionals (nurses, anaesthetists nurse, operating room nurses and health managers). The Hospital Anxiety and Depression Scale and the Impact Event Scale Revisited were used to assess the prevalence of anxiety, depression and post-traumatic stress disorder. Operating Room Nurses were those who suffered the most from psychological disorders: anxiety disorder (64%) (P = 0.055), depression (45%) (P = 0.004) and post-traumatic stress disorder (45%) (P = 0.008). Nurses usually working in intensive care were the least affected by psychological disorders: anxiety disorder (30%), depressive disorder (11%) and post-traumatic stress (20%). The risk factors for developing a psychological disorder are the low level of training in intensive care unit (ICU), not being volunteer for working in ICU and having a burnout history. This study describes a profile of professionals at risk of developing psychological disorders in this setting. Prevention should be based on staff training and psychological support.

[Involving families in intensive care]. / Impliquer les familles dans les soins en réanimation.

The place of families in intensive care is still too often underestimated. However, the involvement of family members would have multiple benefits for patients, but also for those around them. Family participation is a promising concept that needs to be studied on the ground and on a large scale, in order to prove itself and guide health professionals in their daily practice.

Psychological Impact of COVID-19 on ICU Caregivers.

SUBJECT AND PURPOSE: Just as every pandemic, COVID-19 could lead to emotional and psychological disturbances among caregivers, especially in the Intensive Care Unit (ICU), where significant stress related to the influx of patients, exposure to the virus and the lack of documentation on this new SARS occurred. The present study aimed at assessing the psychological impact of COVID-19 on the caregivers at the peak of the "crisis period". MATERIALS AND METHODS: A survey using the Hospital Anxiety and Depression Scale (HADS) and Impact of Event Scale - Revised (IES-R) was proposed to the persons working in 5 ICUs of a French teaching hospital (8th of April to the 21st of April 2020). Logistic regression was performed to find independent risk factors for anxiety and post-traumatic stress disorder (PTSD). A value of p < 0.05 was considered significant. RESULTS: The incidence of anxiety and depression were 48% and 16%, respectively. PTSD symptoms were present in 27% of respondents. The independent risk factors for developing anxiety syndrome were being assigned in COVID-19 + ICU (OR = 2.081 [95% confident interval (CI), 1.035-4.184)], and not be trained in intensive care medicine, OR = 2.570 [95% CI, 1.344-4.901]. The independent risk factors for PTSD are having a history of burn-out (OR = 4.591 [95% CI, 1.464-14.397] and not being trained in ICU, (OR = 2.155 [95% CI, 1.047-4.440]). CONCLUSION: COVID-19 could have a strong impact on ICU workers. These findings should lead to prevention procedures (ICU training sessions) in persons at risk.