Introduction
In the realm of critical care, the psychological aftermath of ICU stays is a pressing concern. Over a third of critical illness survivors experience mental health issues post-hospitalization, often linked to memories of delusional experiences. A recent pilot study explored an innovative approach: utilizing trained ICU doulas to provide early psychological support through positive suggestion interventions. This blog delves into the study's findings and offers insights for practitioners aiming to enhance their skills and improve patient outcomes.
Study Overview
The pilot study, conducted at a tertiary care center, involved adult ICU patients receiving a positive suggestion intervention from trained doulas. The intervention aimed to mitigate the formation of negative memories during critical illness, a significant risk factor for post-intensive care syndrome (PICS). The doulas, trained extensively in ICU operations and positive suggestion techniques, provided daily sessions to patients, focusing on reframing ICU experiences positively.
Key Findings
- The intervention was feasible, delivered on 71% of ICU days, meeting the study's feasibility goal.
- Patients who received the intervention showed lower scores on the Hospital Anxiety and Depression Scale (HADS) compared to historical controls.
- The intervention was particularly effective in reducing anxiety among mechanically ventilated patients.
Implications for Practitioners
The study highlights the potential of non-traditional roles, such as doulas, in providing psychological support in ICU settings. Practitioners can draw several insights:
- Incorporate Positive Suggestion: Training in positive suggestion techniques can be a valuable addition to the skill set of healthcare providers, helping to alleviate patient anxiety and depression.
- Multidisciplinary Approach: Collaboration with non-traditional healthcare roles, like doulas, can enhance patient care and address psychological needs effectively.
- Further Research: Practitioners are encouraged to explore and participate in further research to validate and refine these interventions, potentially leading to standardized practices in critical care settings.
Conclusion
This study underscores the feasibility and potential benefits of integrating psychological support into ICU care through trained doulas. While the findings are promising, they are preliminary and warrant further investigation through randomized controlled trials. Practitioners are encouraged to consider these insights and explore innovative approaches to enhance patient outcomes in critical care environments.
To read the original research paper, please follow this link: A pilot study of trained ICU doulas providing early psychological support to critically ill patients.
