RNQualitativeNursing open2025

'Those Were Smiling Eyes': Patients' Experiences and Perceptions of ICU Health Care During Pandemics.

Ilenia Piras, Maria Francesca Piazza, Marta Sarritzu and 3 others

PMID 41123089

WHAT IT FOUND

Twenty-seven ICU survivors said PPE made staff anonymous, but staff eyes, gestures and writing aids preserved connection.

After discharge patients reported feeling abandoned without follow-up or post-COVID support.

Key findings

01ICU survivors said PPE made healthcare staff anonymous and hard to identify, but they valued eye contact, gestures and tone as ways staff conveyed closeness.

02Patients described nurses as family-like and the main human contact and stimulus during isolation.

03After discharge, patients reported frustration with absent follow-up and no clear post-COVID care pathway.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study was qualitative and small, with 27 participants, so it cannot show what most ICU patients experienced. Participants were identified through online newspapers and public social network pages, so they may have been more willing or able to speak about their experience than other patients. Recall may have been affected by sedation, pain, altered consciousness, or memory of the whole hospital stay rather than only the ICU. Women were underrepresented in the sample, although the paper notes men were more often admitted to ICU in Italy. The interviews occurred during early pandemic waves in Italy and mainly in heavily affected areas, so the care context may not apply elsewhere.

The easy way to misread this

Do not read these themes as proof that eye contact, writing aids, nurses providing devices for video calls, or post-discharge pathways improve ICU outcomes. The study asked 27 patients to recall their experience; it tested no intervention and cannot separate the contribution of any single practice.

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The study

Participants
27 participants analysed; 40 potential participants were listed, 6 were untraceable or did not answer, and 7 refused.
Certainty of evidence
Very low

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Cite

Ilenia Piras, Maria Francesca Piazza, Marta Sarritzu, et al. 'Those Were Smiling Eyes': Patients' Experiences and Perceptions of ICU Health Care During Pandemics. Nursing open. 2025.

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