title: The patient's perception of a delirium: A qualitative research in a Belgian intensive care unit.
abstract: OBJECTIVE
  This research aims to describe the intensive care patients' perception of a delirium.
  
  
  METHODS
  A hermeneutic qualitative research was designed using semi-structured interviews. Adult patients admitted between December 2011 and April 2012 to the intensive care unit of a Belgian public hospital, scoring positive for delirium at least once, were eligible for this study. At least 48hours after the last positive score for delirium, the patients could be interviewed. Data saturation was achieved after 30 patients.
  
  
  RESULTS
  Several patients spontaneously indicated the recollection of the delirium, whereas others needed a few questions or needed the specificity of the syndrome to be pointed out. The analysis of the qualitative data resulted in four major themes: (1) contact and communication, (2) feelings, (3) sleep and time and (4) implication of the delirious episode.
  
  
  CONCLUSIONS
  Interviewees recollected a vivid delirium with unrealistic scenes. The study delivered a first understanding of patients' perceptions during a delirium. This qualitative research tried to image the patients' perceptions providing nurses, physicians, other health-care workers as well as patients and their family with a better insight into the syndrome. Targeted interventions may be developed to relieve the burden of the syndrome.
authors.affiliation: Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care, Division of Nursing and Midwifery, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium; Department of Health and Social Care, Artesis Plantijn University College, Jaak De Boeckstraat 10, Merksem, 2170 Antwerp, Belgium. Electronic address: bart.vanrompaey@uantwerp.be.
authors.forename: Bart
authors.initials: B
authors.lastname: Van Rompaey
authors.affiliation: Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care, Division of Nursing and Midwifery, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium. Electronic address: vanhoof.an@gmail.com.
authors.forename: An
authors.initials: A
authors.lastname: Van Hoof
authors.affiliation: Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care, Division of Nursing and Midwifery, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium. Electronic address: peter.vanbogaert@uantwerp.be.
authors.forename: Peter
authors.initials: P
authors.lastname: van Bogaert
authors.affiliation: Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care, Division of Nursing and Midwifery, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium; HZ University of Applied Sciences, Edisonweg 4, 4382 NW Vlissingen, The Netherlands. Electronic address: olaf.timmermans@uantwerp.be.
authors.forename: Olaf
authors.initials: O
authors.lastname: Timmermans
authors.affiliation: Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care, Division of Nursing and Midwifery, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium. Electronic address: tinne.dilles@uantwerp.be.
authors.forename: Tinne
authors.initials: T
authors.lastname: Dilles
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001530:Belgium; D003422:Critical Care / Q000379:methods*; D003693:Delirium / Q000451:nursing / Q000523:psychology; D005260:Female; D066297:Hermeneutics; D006779:Hospitals, Public; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D009723:Nurse-Patient Relations; D010361:Patients / Q000523:psychology*; D010465:Perception; D036301:Qualitative Research; D055815:Young Adult
keywords: Delirium; Hermeneutic; Intensive care; Perception; Qualitative; Recollection