Leçons apprises d’une nouvelle intervention de planification de soins virtuels ciblant les infirmières auxiliaires autorisées dans les foyers de soins de longue durée pendant la COVID-19
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Résumé
Introduction : L’approche PIECES est utilisée depuis plus de 25 ans dans divers milieux de soins de santé canadiens, y compris dans les foyers de soins de longue durée (SLD). PIECES favorise une approche d’équipe centrée sur la personne pour apaiser les comportements réactifs (ex. : cris, agitation) souvent liés à des besoins non satisfaits.
Objectif : Cette étude visait à explorer, avec la mise en œuvre de la version virtuelle de PIECES : (a) les expériences du personnel en SLD, en particulier les défis, les facilitateurs et les recommandations; et (b) la résilience et la collaboration interprofessionnelle au sein de ce personnel.
Méthodes : Une approche convergente de méthodes mixtes a été utilisée. Des groupes de discussion (infirmières auxiliaires autorisées (IAA), gestionnaires, championnes IAA formées à PIECES, mentors PIECES) ont permis de recueillir leurs expériences. Des questionnaires avant et après l’intervention ont évalué la résilience individuelle et organisationnelle, et la collaboration en équipe.
Résultats : L’analyse thématique réflexive a montré une collaboration d’équipe et une efficacité accrues envers les comportements réactifs. Des processus formalisés ont amélioré la capacité des IAA à prodiguer les soins nécessaires aux comportements réactifs. Les principaux défis : la méconnaissance de la technologie et le manque de personnel. Les recommandations incluaient l’utilisation de la technologie dans les soins courants, un soutien continu au processus, ainsi qu’une formation continue en PIECES virtuelle. Les mesures de résultats standards ont révélé une réduction de la résilience personnelle et organisationnelle ainsi que de la collaboration en équipe.
Discussion et conclusion : L’approche virtuelle PIECES a réuni le personnel en SLD pendant la période difficile de la COVID, mettant à l’épreuve leurs compétences et connaissances de la technologie.
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