Les infirmières du monde entier ont joué un rôle déterminant dans la lutte contre Covid-19, mais c’est un travail qui a fait des ravages – à la fois physiquement et mentalement.
Nulle part cela n’a été plus évident qu’en Italie, premier pays d’Europe à être submergé par le virus en 2020 – et l’un des premiers à imposer un verrouillage national.
À l’occasion de la Journée internationale des infirmières, les travailleurs de la santé qui se sont entretenus avec la BBC au début de la pandémie expliquent comment ils ont trouvé des moyens de faire face au traumatisme de l’année dernière.
‘Nous transportons tout ce que nous avons vu’
DROIT D’AUTEUR D’IMAGEPAOLO MIRANDA«Je n’ai jamais pensé que je retrouverais ma vie», déclare Paolo Miranda, infirmier en soins intensifs à Crémone qui a décidé l’année dernière de documenter la situation sombre à l’intérieur de son unité en prenant des photos.
Les portraits montraient comment ses collègues se débrouillaient après la première vague – alors que la pandémie devenait la «nouvelle normalité» et que les gens cessaient de les célébrer comme des héros.
« Je ne veux jamais oublier ce qui nous est arrivé. Cela deviendra bientôt de l’histoire », avait-il alors déclaré à la BBC. «Bien que l’urgence ralentisse, nous nous sentons plongés dans l’obscurité.
« C’est comme si nous étions pleins de blessures. Nous portons tout ce que nous avons vu en nous. »
Depuis lors, un changement majeur s’est produit pour Paolo: il est devenu papa.
« Nous avons appelé notre fille Vittoria, ce qui signifie victoire. Apporter une nouvelle vie au monde dans une situation aussi désastreuse nous a donné beaucoup d’espoir. »
Paolo, qui dit qu’il a un trouble de stress post-traumatique (SSPT) suite aux événements de l’année dernière, dit que beaucoup de ses collègues ont également décidé d’avoir des enfants – presque au mépris de toutes les morts et de toutes les souffrances qu’ils ont dû endurer.
«Ma fille m’aide tellement à faire face à l’épuisement professionnel. Je rentre à la maison, je la regarde, elle sourit en retour… c’est merveilleux.
« J’ai dû traiter les négateurs de Covid »
En février 2020, l’Italie est devenue le centre mondial de la pandémie – et un récit édifiant sur ce qui se passe lorsqu’un système de santé dans l’une des régions les plus riches du monde s’effondre.
À l’époque, Martina Benedetti, une infirmière en soins intensifs en Toscane, a déclaré à la BBC qu’elle n’était plus sûre de vouloir être infirmière.
Depuis, elle a changé d’avis, qualifiant son travail de «merveilleux», mais a averti que ce n’est pas pour tout le monde.
« J’ai l’impression d’avoir vieilli 10 ans. J’étais insouciant et léger… cette personne est partie. »
L’écriture l’a aidée à faire face. Après un long quart de travail, elle rentrait chez elle et avant de se coucher, notait ses sentiments, qu’elle transformait plus tard en livre électronique.
Martina dit qu’il a été particulièrement difficile de traiter les patients qui ont nié l’existence de Covid – dont certains se sont retrouvés dans son unité de soins intensifs.
« Je devais traiter les gens qui incitaient les autres sur les réseaux sociaux à ne pas porter de masques et traitaient les infirmières de menteurs. »
Mais Martina a déclaré qu’à certaines occasions, elle avait réussi à changer d’avis.
« Un négationniste de Covid, après avoir été libéré, est allé sur Facebook et a écrit exactement le contraire de ce qu’il avait l’habitude de penser. C’était une victoire pour moi. »
‘J’ai découvert une force que je ne savais pas que j’avais’
Une étude menée sur des infirmières italiennes par le centre de recherche EngageMinds HUB a révélé que ceux qui s’engageaient avec leurs patients présentaient des niveaux inférieurs de SSPT et d’épuisement professionnel.
«Souvent, les patients et leurs proches sont considérés comme un fardeau qui ralentit une intervention d’urgence», déclare le Dr Serena Barello, l’un des auteurs de l’étude.
« Mais prendre le temps de leur expliquer les choses, partager les responsabilités, la joie et la douleur, signifie qu’il y a une ressource humaine supplémentaire dans votre équipe – et finalement cela facilite le travail. »
Il a également révélé que 90% des personnes impliquées dans l’étude n’avaient jamais envisagé de quitter leur emploi ou de demander un transfert pendant la pandémie – au lieu de cela, elles ressentaient un immense sentiment de fierté, un sentiment repris par Elisa Nanino, médecin du foyer de soins.
« La pandémie m’a donné la confirmation que j’avais le bon travail. J’ai découvert une force que je ne savais pas que j’avais. J’ai vu des gens mourir, j’ai pleuré, mais j’ai aussi sauvé la vie des gens. C’est inestimable. »
Elisa dit que lorsqu’elle est rentrée du travail et qu’elle n’a pas pu s’éteindre, la cuisine l’a aidée. Elle fabriquait des lots de tiramisu et les apportait à son hôpital pour les partager avec ses collègues.
Son plus grand conseil aux travailleurs de la santé est de ne pas se sentir coupable de ceux qu’ils n’ont pas pu sauver.
« Il est tout simplement impossible de sauver toutes les personnes malades qui se présentent devant vous pendant une pandémie. Vous ne pouvez que faire de votre mieux, mais ne rentrez pas chez vous et ne vous tourmentez pas. »
Pour Martina, il était difficile de parler à ses amis et à sa famille car ils ne comprenaient pas pleinement ce qu’elle traversait. Elle a dit que ce sont ses collègues qui l’ont aidée à continuer.
«Mon meilleur conseil aux infirmières qui font face à une crise est de travailler en équipe», dit-elle.
« Quand vous vous effondrez, essayer de vous cacher est juste une perte de temps. Vous n’irez nulle part tout seul. Parlez à vos collègues – ils vivent probablement la même chose. »
‘Retrouver la tranquillité d’esprit’
En raison de la pandémie, le Dr Barello craint que de nombreux infirmiers et médecins souffrent du SSPT, qui peut affecter quelqu’un des mois, voire des années plus tard.
« Quand vous avez enfin le temps de réfléchir à ce qui s’est passé et que la société évolue, tout peut s’effondrer et vous vous sentirez plus épuisé et émotionnellement en détresse. »
Elle dit que les hôpitaux doivent intensifier leurs efforts et offrir au personnel le soutien psychologique dont ils ont besoin et les pousser à prendre soin d’eux-mêmes – notamment en les encourageant à reprendre leur vie privée, qui a complètement disparu depuis un an et demi.
Cela pourrait inclure la reprise de passe-temps abandonnés, passer du temps en famille, faire du sport – en particulier à l’extérieur. Martina a l’intention de faire exactement cela.
« Je prévois un voyage en montagne avec mon mari – quelque part en pleine nature, isolé, où je pourrai enfin retrouver la tranquillité d’esprit. »
Source: bbc.com
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