Technology and psychological care in the Intensive Care Unit
experience report
DOI:
https://doi.org/10.57167/Rev-SBPH.2025.v28.685Keywords:
Intensive care units, Psychological intervention, Technology, Hospital psychologyAbstract
Hospitalization in the Intensive Care Unit (ICU) can have significant emotional consequences for both patients and their families, such as anxiety, isolation and psychological distress at the seriousness of the situation. In this context, the use of tablets is a valuable tool. The aim of this study is to report on the experience of using tablets in the ICU with patients and their families. This is a qualitative, descriptive, experience report-type study of psychological practices carried out using tablet technology in health care for patients and their families in the ICU of a public state hospital in the city of Teresina, Piauí (PI). The interventions were carried out by a psychology resident from the Multiprofessional Residency in Adult Intensive Care (RIMTIA). The instrument used in the study was the field diary, collected between August and December 2022 and 2023. The reflection generated from this experience highlights the potential of psychological interventions through the use of tablets, including psychological care and guidance, audio playback, virtual visits, audiovisual resources, cognitive stimulation and rituals for preparing for intubation and saying goodbye to patients. The use of these digital technologies has shown great potential for humanizing psychological care in ICUs, while at the same time highlighting the need to respect ethical boundaries and ensure proper control of data within the hospital environment. This practice contributes to the development of protocols and advances in comprehensive care, benefiting patients, their families and the healthcare team.
Downloads
References
Anderson-Shaw, L. K., & Zar, F. A. (2020). Covid-19, moral conflict, distress, and dying alone. Journal of Bioethical Inquiry, 17,777-782. https://doi.org/10.1007/s11673-020-10040-9. DOI: https://doi.org/10.1007/s11673-020-10040-9
Armoiry, X., Sturt, J., Phelps, E. E., Walker, C.-L., Court, R., Taggart, F., Sutcliffe, P., Griffiths, F., & Atherton, H. (2018). Digital clinical communication for families and caregivers of children or young people with short- or long-term conditions: rapid review. Journal of Medical Internet Research, 20(1), e5. https://doi.org/10.2196/jmir.7999. DOI: https://doi.org/10.2196/jmir.7999
Azevedo, G. T., Bezerra, J. G. V., & Rezende, T. V. M. (2022). Oficina de prontuário afetivo como estratégia de cuidado humanizado. Gep News, 6(1), 123-129. Recuperado de https://www.seer.ufal.br/index.php/gepnews/article/view/13992.
Beadman, M., & Carraretto, M. (2023). Key elements of an evidence-based clinical psychology service within adult critical care. Journal of the Intensive Care Society, 24(2), 215-221. https://doi.org/10.1177/17511437211047178. DOI: https://doi.org/10.1177/17511437211047178
Brasil (2018). Lei n. 13.709, de 14 de agosto de 2018. Lei geral de proteção de dados pessoais (LGPD). Recuperado de https://www.planalto.gov.br/ccivil_03/_ato2015-2018/2018/lei/l13709.htm.
Brasil. (2022). Lei n. 14.510, de 27 de dezembro de 2022. Altera a Lei n. 8.080, de 19 de setembro de 1990, para autorizar e disciplinar a prática da telessaúde em todo o território nacional, e a Lei n. 13.146, de 6 de julho de 2015; e revoga a Lei n. 13.989, de 15 de abril de 2020. Recuperado de https://www.planalto.gov.br/ccivil_03/_ato2019-2022/2022/lei/l14510.htm.
Canavera, K. E., & Elliott, D. A. (2020). Mental health care during and after the ICU: a call to action [General Interest Commentary and Announcement]. Chest Journal, 158(5), 1835-1836. https://doi.org/10.1016/j.chest.2020.06.028. DOI: https://doi.org/10.1016/j.chest.2020.06.028
Catunda, M. L., Porto, A. B., Nardino, F., Santos, L. N. A., Lima, M. E. G., Araújo, V. S. (2020). Humanização no hospital: atuações da psicologia na covid-19. Cadernos ESP, 14(1), 143-147. Recuperado de https://cadernos.esp.ce.gov.br/index.php/cadernos/article/view/376.
Chiang, V. C. L., Lee, R. L. P., Ho, M. F., Leung, C. K., Tang, P. Y., Wong, S. W., Ho, Y. S., Tung, Y. W., & Louie, L. H. (2017). Fulfilling the psychological and information need of the family members of critically ill patients using interactive mobile technology: a randomised controlled trial. Intensive and Critical Care Nursing, 41(1), 77-83. https://doi.org/10.1016/j.iccn.2017.03.006. DOI: https://doi.org/10.1016/j.iccn.2017.03.006
Conselho Federal de Psicologia (BR). (2020). Resolução do exercício profissional n. 4, de 26 de março de 2020. Dispõe sobre regulamentação de serviços psicológico prestados por meio de tecnologia da informação e da comunicação durante a pandemia do covid-19. Recuperado de https://atosoficiais.com.br/cfp/resolucao-do-exercicio-profissional-n-4-2020-dispoe-sobre-regulamentacao-de-servicos-psicologicos-prestados-por-meio-detecnologiadainformacaoedacomunicacaoduranteapandemiadocovid19?origin=instituição.
Conselho Federal de Psicologia (BR). (2022). Resolução n. 3, de 16 de março de 2022. Recuperado de https://www.in.gov.br/web/dou/-/resolucao-n-3-de-16-de-marco-de-2022-386760566.
Costa, M. S. A., Maia, R. S., Martins, A. B. A. A., Vasconcelos, R. R. S., Vasconcelos, A. D. B., & Gomes, A. R. (2022). Experiências de um serviço de psicologia hospitalar no cenário da pandemia de covid-19. Mudanças: Psicologia da Saúde, 30(1), 79-86. Recuperado de https://doi.org/10.15603/2176-1019/mud.v30n1p79-86.
Darbyshire, J. L., Muller-Trapet, M., Cheer, J., Fazi, F. M., & Young, J. D. (2019). Mapping sources of noise in an intensive care unit. Anaesthesia, 74(8), 1018-1025. https://doi.org/10.1111/anae.14690. DOI: https://doi.org/10.1111/anae.14690
Dhala, A., Sasangohar, F., Kash, B., Ahmadi, N., & Masud, F. (2020). Rapid implementation and innovative applications of a virtual intensive care unit during the covid-19 pandemic: case study. Journal of Medical Internet Research, 22(9), 1-12. https://doi.org/10.2196/20143. DOI: https://doi.org/10.2196/20143
Goudarzi, F., Basampoor, S., ZakeriMoghadam, M., Faghih-Zadeh, S., Rezaie, F., & Mohamad-Zadeh, F. (2010). Changes in level of consciousness during auditory stimulation by familiar voice in comatose patients. Iran Journal of Nursing, 23(63), 43-50. Recuperado de http://ijn.iums.ac.ir/article-1-772-en.html.
Grincenkov, F. R. (2020). A psicologia hospitalar e da saúde no enfrentamento do coronavírus: necessidade e proposta de atuação [Editorial]. HU Revista, 46(1), 1-2. https://doi.org/10.34019/1982-8047.2020.v46.30050. DOI: https://doi.org/10.34019/1982-8047.2020.v46.30050
Gusmão, L. M. (2012, maio 8). Psicologia intensiva: nova especialidade. Recuperado de http://www.redepsi.com.br/2012/05/08/psicologia-intensiva-nova-especialidade.
Hasanzadeh, F., Hoseini Azizi, T., Esmaily, H., & Ehsaee, M. (2022). Impact of familiar sensory stimulation on level of consciousness in patients with head injury in ICU. Journal of North Khorasan University of Medical Sciences, 4(1), 121-33. 10.29252/jnkums.4.1.121. DOI: https://doi.org/10.29252/jnkums.4.1.121
Intensive Care Society. (2020). ICS Guidance on the use of video communication for patients and relatives in ICU.
Kroef, R. F. S., Gavillon, P. Q., & Ramm, L. V. (2020). Diário de campo e a relação do(a) pesquisador(a) com o campo-tema na pesquisa-intervenção. Estudos e Pesquisas em Psicologia, 20(2), 464-480. https://doi.org/10.12957/epp.2020.52579. DOI: https://doi.org/10.12957/epp.2020.52579
Ministério da Saúde (BR). (2005). Portaria n. 1.071, de 04 de julho de 2005. Dispõe sobre a política nacional de atenção ao paciente crítico. Recuperado de: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2005/prt1071_04_07_2005.html.
Mistraletti, G., Gristina, G., Mascarin, S., Iacobone, E., Giubbilo, I., Bonfanti, S., Fioca, F., Fullin, G., Fuselli, G., Bocci, M. G., Mazzon, D., Giusti, G. D., Galazzi, A., Negro, A., De Iaco, F., Gangolfo, E., Lamiani, G., Del Negro, S., Monti, L. . . . Petrini, F. (2020). How to communicate with families living in complete isolation. BMJ Supportive e Palliative Care, 14(e3), e2954-e2965. https://doi.org/10.1136/bmjspcare-2020-002633. DOI: https://doi.org/10.1136/bmjspcare-2020-002633
Moreira, S. L. B. (2023). Histórias contadas a partir do uso de tecnologias da informação e comunicação em uma unidade covid-19 [Dissertação de Mestrado Instituto de Psicologia, Universidade Federal de Alagoas], Repositório Institucional. http://www.repositorio.ufal.br/jspui/handle/123456789/11927.
Podgorica, N., Rungg, C., Bertini, B., Perkhofer, S., Zenzmaier, C. (2023). End of life care during the covid-19 pandemic: a qualitative study on the perspectives of nurses and nurse assistants. Nursing Open, 10(6), 3881-3891. https://doi.org/10.1002/nop2.1646. DOI: https://doi.org/10.1002/nop2.1646
Santos, A. F., Fonseca Sobrinho, D., Araujo, L. L., Procópio, C. S. D., Lopes, E. A. S., Lima, A. M. L. D., Reis, C. M. R., Abreu, D. M. X., Jorge, A. O., & Matta-Mahado, A. T. (2017). Incorporação de tecnologias de informação e comunicação e qualidade na atenção básica em saúde no Brasil. Cadernos de Saúde Pública, 33(5), 1-14. https://doi.org/10.1590/0102-311X00172815. DOI: https://doi.org/10.1590/0102-311x00172815
Sasangohar, F., Dhala, A., Zheng, F., Ahmadi, N., Kash, B., & Masud, F. (2021). Use of telecritical care for family visitation to ICU during the covid-19 pandemic: an interview study and sentiment analysis. BMJ Quality and Safaty, 30(9), 715-721. https://doi.org/10.1136/bmjqs-2020-011604. DOI: https://doi.org/10.1136/bmjqs-2020-011604
Shin, J. W., Choi, J., & Tate, J. (2023). Interventions using digital technology to promote family engagement in the adult intensive care unit: an integrative review. Heart and Lung, 58(1), 166-178. https://doi.org/10.1016/j.hrtlng.2022.12.004. DOI: https://doi.org/10.1016/j.hrtlng.2022.12.004
Silva, A. C. N., Sales, E. M., Dutra, A. F., Carnot, L. R., & Barbosa, A. J. G. (2020). Telepsicologia para famílias durante a pandemia de covid-19: uma experiência com telepsicoterapia e telepsicoeducação. HU Revista, 46(1), 1-7. https://doi.org/10.34019/1982-8047.2020.v46.31143. DOI: https://doi.org/10.34019/1982-8047.2020.v46.31143
Silva, I. J. C. (2022). Atenção psicológica prestadas em unidades de terapia intensiva: ao paciente, familiares e aos profissionais de saúde. Revista Ibero-Americana de Humanidades, Ciências e Educação, 8(11), 449-458. https://doi.org/10.51891/rease.v8i11.7570. DOI: https://doi.org/10.51891/rease.v8i11.7570
Simonetti, A. (2004). Manual de psicologia hospitalar: o mapa da doença. Casa do Psicólogo.
Souza, R. P. (2010). Manual: rotinas de humanização em medicina intensiva. (2a ed.). Atheneu.
Tablet. (2015). In Dicionário Michaeles (2015). Melhoramentos. Recuperado de https://michaelis.uol.com.br/moderno-portugues/busca/portugues-brasileiro/tablet.
Tian, Y. (2023). A review on factors related to patient comfort experience in hospitals. Journal of Health, Population and Nutrition, 42(1), 125-35. https://doi.org/10.1186/s41043-023-00465-4. DOI: https://doi.org/10.1186/s41043-023-00465-4
Torres, A. (2008). O paciente em estado crítico. In B. W. Romano (Org.), Manual de psicologia clínica para hospitais (pp. 41-62). Casa do Psicólogo.
Valley, T. S., Schutz, A., Nagle, M. T., Miles, L. J., Lipman, K., Ketcham, S. W., Kent, M., Hibbart, C. E., Harlan, E. A., & Hauschildt, K. (2020). Changes to visitation policies and communication practices in Michigan ICUs during the covid-19 pandemic. American Journal of Respiratory and Critical Care Medicine, 202(6), 883-885. https://doi.org/10.1164/rccm.202005-1706LE. DOI: https://doi.org/10.1164/rccm.202005-1706LE
Vaz, M., D'Silva, C., Krishna, B., Ramachandran, P., D'Souza, M. C., Mendonça, L., & Raman, P. (2023). Understanding the challenges of intensive care staff in communicating with patients and patients' families during the covid-19 crisis: a qualitative exploration. Cureus., 15(6), e40961. https://doi.org/10.7759/cureus.40961. DOI: https://doi.org/10.7759/cureus.40961
Vieira, A. G., & Waischunng, C. D. (2018). A atuação do psicólogo hospitalar em unidades de terapia intensiva: a atenção prestada ao paciente, familiares e equipe, uma revisão da literatura. Revista da SBPH, 21(1), 132-153. https://doi.org/10.57167/Rev-SBPH.21.269. DOI: https://doi.org/10.57167/Rev-SBPH.21.269
Wade, D., Als, N., Bell, V., Brewin, C., D'Antoni, D., Harrison, D. A., Harvey, M., Harvey, S., Howell, D., Mouncey, P. R., Mythen, M., Richards-Belle, A., Smyth, D., Weinman, J., Welch, J., Whitman, C., Rowan, K. M., POPPI investigators. (2018). Providing psychological support to people in intensive care: development and feasibility study of a nurse-led intervention to prevent acute stress and long-term morbidity. BMJ Open., 8(7), e021083. https://doi.org/10.1136/bmjopen-2017-021083 DOI: https://doi.org/10.1136/bmjopen-2017-021083
Williams, S., & Johnson, H. (2021). The future of technology in clinical psychology: trends and predictions. In D. H. Barlow (Ed.), The Oxford handbook of clinical psychology. Oxford Library of Psychology (pp. 899–919) https://doi.org/10.1093/oxfordhb/9780199328710.013.034 DOI: https://doi.org/10.1093/oxfordhb/9780199328710.013.034
Zheng, Y., Zhang, L., Ma, S., Wu, B., Chen, P., Xu, Y., Tan, W, Li, H. Wu, Q., Zheng, J. (2023). Care intervention on psychological outcomes among patients admitted to intensive care unit: an umbrella review of systematic reviews and meta-analyses. Systematic Reviews, 12, 237-247. https://doi.org/10.1186/s13643-023-02372-5. DOI: https://doi.org/10.1186/s13643-023-02372-5
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Revista da Sociedade Brasileira de Psicologia Hospitalar
This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication adopts the CreativeCommons “Attribution 4.0 International” license – CC BY, which allows “copy and redistribute the material in any medium or format for any purpose, even commercially.” Also, according to the CC BY license, authors must “give appropriate credit, provide a link to the license, and indicate if changes were made.” These changes must be indicated without suggesting that the journal supports their use. More information about the license from: https://creativecommons.org/licenses/by/4.0/deed.en
