N Kentish-Barnes

S Cabon

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POSTER PRESENTATION Open Access
Hospitality in the intensive care unit, welcoming
the patient
S Cabon1*, N Kentish-Barnes2
From ESICM LIVES 2015
Berlin, Germany. 3-7 October 2015
Introduction
Admission in the I.C.U. is a major but very challenging
time to create hospitality. During those first few minutes,
caregivers are absorbed by admission procedures and emer-
gency treatments whereas patients experience a high level
of anxiety and fear of death is often involved. I.C.U. patients
have a high risk of developping PTSD and admission in I.C.
U. can be a schock, but however, the notion of hospitality
during the admission in intensive care is poorly studied.
Objectives
To evaluate specificities of the welcoming moment in inten-
sive care and assess how caregivers try and overcome
difficulties.
Methods
We conducted 16 semi-open interviews among ICU
nurses from 3 different french MICUs. Each interview
was conducted for 30-90 minutes using a semi-struc-
tured discussion guide to explore 5 main fields:
i) profile and experience of the nurses interviewed,
ii) anticipation of the patient admission,
iii) intensive care welcome and its specificities,
iv) place of the patient in the welcoming moment,
v) welcoming the family.
Analysis of the interviews involved the identification of
obstacles to a satisfactory welcome in the I.C.U.
Results
We interviewed 16 nurses (14 women, 2 men) with
diverse ICU experience.
Analysis of interviews led to the identification of 5 pri-
mary obstacles:
i) an ubiquitous feeling of emergency,
ii) the threat of unexpected incidents,
iii) a very technical work,
iv) a heavy workload and
v) a high level of stress were expressed in all interviews.
Half of the caregivers interviewed added:
vi) their lack of experience and
vii) the crowd of caregivers present during some
admissions.
We identified simultaneously strategies implemented
by nurses to overcome those obstacles: trying and antici-
pate as much as possible, improve organisation, commu-
nicate with fellow caregivers, and mutual assistance.
Conclusions
Caregivers are ambiguous: they like the « good » stress an
emergency admission gives them, but they are conscious
of the violence of an admission in the I.C.U. and they
express their regrets about not being able to greet their
patients in a more human way. The first moment of the
welcome is a quick, standardized and technical instant
during which caregivers have a lot of matters to concen-
trate on. Nevertheless, a second moment is often created
later, which can become a long period if the patient is
waking up from a coma and has cognitive issues.
Authors’ details
1Hospital Cochin, Paris, France. 2Saint Louis Hospital, Paris, France.
Published: 1 October 2015
References
1. Hilde Myhren, et al: Patients’ memory and psychological distress after ICU
stay compared with expectations of the relatives, Intensive Care Med.
2009, 35:2078-2086.
2. Patricia Jabre , et al: Family presence during cardiopulmonary
resuscitation. N Engl J Med 2013, 368:1008-18.
doi:10.1186/2197-425X-3-S1-A723
Cite this article as: Cabon and Kentish-Barnes: Hospitality in the
intensive care unit, welcoming the patient. Intensive Care Medicine
Experimental 2015 3(Suppl 1):A723.1Hospital Cochin, Paris, France
Full list of author information is available at the end of the article
Cabon and Kentish-Barnes Intensive Care Medicine Experimental 2015, 3(Suppl 1):A723
http://www.icm-experimental.com/content/3/S1/A723
© 2015 Cabon et al.; This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://
creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the
original work is properly cited.


HOSPITALITY IN THE INTENSIVE CARE UNIT, WELCOMING THE PATIENT

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HOSPITALITY IN THE INTENSIVE CARE UNIT, WELCOMING THE PATIENT

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