Nurses' experiences of ICU diaries following implementation of national recommendations for diaries in intensive care units: A quality improvement project

Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses
Anny Norlemann HolmeAsgjerd Litleré Moi

Abstract

To evaluate critical care nurses' experiences of ICU diaries following the implementation of national recommendations for the use of diaries for critically ill patients. A quality improvement project describing the development and implementation of national recommendations (2011), as well as the assessment of the use of diaries in intensive care nursing practice (2014). Norwegian intensive care units (ICUs). Thirty-nine Norwegian ICUs took part in the study. A multi-component process for developing national recommendations for the use of diaries in Norwegian ICUs, including recommendations for the target group, when to start, health professionals as authors, diary content, structure, language, use of photographs, handover, access and storage within patient medical records. A questionnaire asking about experiences of implementing national recommendations on diaries in Norwegian ICUs, as well as their impact and how they are used. Three years after the implementation of the national recommendations, diaries were provided in 24 (61.5%) of the responding ICUs. Fifty-six per cent of the ICUs had revised their routines, of which 62% had updated and 38% had developed new protocols. Most ICUs kept the diary along with other medical inf...Continue Reading

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Citations

Mar 10, 2021·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Christina Jones

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