Implementation of an Intensive Care Unit Diary Program at a Veterans Affairs Hospital
Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved..
BACKGROUND: Intensive care unit (ICU) diaries are recommended to address psychological sequelae following critical illness. Diaries are correlated with reduced prevalence of posttraumatic stress disorder in survivors of critical illness and their families.
LOCAL PROBLEM: Our ICU was not adequately meeting the psychological needs of patients and families.
METHODS: We established an interprofessional team to implement an ICU diary program in partnership with implementation of the ABCDEF (Assess, prevent, and manage pain; Both awakening and breathing trials; Choice of analgesia and sedation; Delirium: assess, prevent, and manage; Early mobility and exercise; Family engagement and empowerment) bundle and peer support programs. Staff knowledge and perception of ICU diaries were obtained.
INTERVENTIONS: Diaries were initiated for patients at high risk for post-intensive care syndrome, and entries by all ICU staff and family members/visitors were encouraged.
RESULTS: A total of 75 diaries were initiated between January 2017 and January 2019. The ICU diaries have been received positively by patients, family members, and staff.
CONCLUSIONS: The ICU diary is a cost-effective and efficient intervention to help patients and family members cope with the burden of critical illness.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:36 |
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| Enthalten in: |
Journal of nursing care quality - 36(2021), 2 vom: 01. Apr., Seite 155-161 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Drumright, Kelly [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 19.08.2021 Date Revised 20.09.2023 published: Print Citation Status MEDLINE |
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| doi: |
10.1097/NCQ.0000000000000510 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM314003630 |
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| 500 | |a Date Revised 20.09.2023 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved. | ||
| 520 | |a BACKGROUND: Intensive care unit (ICU) diaries are recommended to address psychological sequelae following critical illness. Diaries are correlated with reduced prevalence of posttraumatic stress disorder in survivors of critical illness and their families | ||
| 520 | |a LOCAL PROBLEM: Our ICU was not adequately meeting the psychological needs of patients and families | ||
| 520 | |a METHODS: We established an interprofessional team to implement an ICU diary program in partnership with implementation of the ABCDEF (Assess, prevent, and manage pain; Both awakening and breathing trials; Choice of analgesia and sedation; Delirium: assess, prevent, and manage; Early mobility and exercise; Family engagement and empowerment) bundle and peer support programs. Staff knowledge and perception of ICU diaries were obtained | ||
| 520 | |a INTERVENTIONS: Diaries were initiated for patients at high risk for post-intensive care syndrome, and entries by all ICU staff and family members/visitors were encouraged | ||
| 520 | |a RESULTS: A total of 75 diaries were initiated between January 2017 and January 2019. The ICU diaries have been received positively by patients, family members, and staff | ||
| 520 | |a CONCLUSIONS: The ICU diary is a cost-effective and efficient intervention to help patients and family members cope with the burden of critical illness | ||
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| 700 | 1 | |a Hill, Christopher |e verfasserin |4 aut | |
| 700 | 1 | |a Russell, Margaret |e verfasserin |4 aut | |
| 700 | 1 | |a Boehm, Leanne M |e verfasserin |4 aut | |
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