Pratiques des infirmières et des préposés aux bénéficiaires dans la prise en charge de patients présentant un délirium en soins aigus : protocole de l’étude PRACTICE
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Résumé
Introduction : Peu d’études ont porté sur la pratique infirmière relativement au délirium en soins aigus et aucune ne s’est intéressée à la participation des préposés aux bénéficiaires (PAB) dans ce contexte. Il devient dès lors complexe de soutenir la prestation de soins optimaux et l’amélioration de l’état des patients présentant un délirium.
Objectif : Présenter le développement de deux instruments d’enquête et le protocole d’une étude qui vise à (1) décrire les pratiques des infirmières et PAB en contexte de soins infirmiers auprès de patients présentant un délirium et à (2) décrire les barrières et les facilitateurs à la prestation de soins optimaux dans ce contexte.
Méthodes : Cette étude multi-méthode vise à recruter des infirmières et des PAB. Au cours d’une première phase quantitative, les participants rempliront les questionnaires d’enquête spécifiques respectivement aux infirmières et aux PAB. Ces outils ont été développés selon une méthode inspirée de la technique Delphi et un guide basé sur les travaux de Burns et al. (2008) et Eysenbach (2004). Ils comprennent des composantes concernant les connaissances, la pratique, la collaboration, la confiance, et les conséquences de la pandémie de la COVID-19 sur la pratique relative au délirium. Des analyses descriptives et inférentielles seront effectuées sur ces données. La phase qualitative comprendra des groupes de discussion et des entretiens, afin d’explorer en profondeur les sujets du questionnaire. Une analyse de contenu sera effectuée sur les transcriptions.
Discussion et retombées anticipées : Cette étude sera la première à rendre compte des soins offerts par des PAB pour des patients présentant un délirium. Le questionnaire développé pourra être utilisé pour décrire les pratiques des infirmières et des PAB, ainsi que les barrières et facilitateurs à une prise en charge optimale de ces personnes.
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