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Implementation of a CVICU Family Diary
Başlık:
Implementation of a CVICU Family Diary
Yazar:
Whalen, Jane C., author. (orcid)0000-0002-9959-1300
ISBN:
9780438010178
Yazar Ek Girişi:
Fiziksel Tanımlama:
1 electronic resource (77 pages)
Genel Not:
Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B.
Advisors: Patricia A. Connor-Ballard Committee members: Michelle Roa; Nancy Steffan.
Özet:
Problem: Family members of patients in intensive care units (ICUs) are at risk for adverse physiological and psychological symptoms, including anxiety, depression, post-traumatic stress disorder (PTSD) and grief. Receipt of inconsistent information leads to difficulty with decision-making and negatively affects satisfaction. Completeness of information has been shown to correlate with satisfaction. Family members participating in research studies of the use of an ICU diary have reported that writing in the diary improved communication, and was both a meaningful and caring activity.
Procedure: This evidence-based practice (EBP) project was a quantitative, prospective two-group evaluation of the implementation of and user satisfaction with a diary for family members of patients in a 20-bed cardiovascular intensive care unit (CVICU) in a private, urban Midwestern teaching hospital. The project sought to answer the question: For family members of patients in the cardiovascular intensive care unit (P), how does the use of an intensive care unit diary (I) compare to the standard of care (non-standardized communication with nurses and physicians) (C), and affect family member satisfaction with information provided by CVICU nurses and physicians (O) at discharge from the CVICU (T)? Family members in the intervention group received a spiral-bound notebook with written suggestions for its use as a diary of the CVICU stay as well as a place to write questions for the nursing staff or physicians, or to document any information they wished to remember. Family members in the control group did not receive a spiral-bound notebook. At the time of the patient's discharge from the CVICU, participants in both groups completed the demographic questionnaire and decision-making subscale (FS-ICU/DM) of the Family Satisfaction with Care in the Intensive Care Unit(c) survey (FS-ICU(24)). Family members in the intervention group also completed a 4-item questionnaire about the use of the ICU diary.
Results: The groups did not differ significantly in age, gender, relationship to the patient, or previous experience as a family member of a patient in an ICU. Significantly more intervention group participants lived with the patient than did control group participants (p = .036). Although mean scores for each item and the overall scores of the FS-ICU/DM were higher in the intervention group, only one item achieved statistical significance. Intervention group scores were higher than control group scores for "had adequate time to have questions answered when making decisions" (p = .022). No statistically significant differences were found between males and females, or between those with previous ICU experience and those without. A statistically significant difference between age groups was found for the item "did you feel included in the decision making process", with a lower mean score for the 30-49 year old age group ( p = .033). Although more than half (61.9%) of the intervention group participants reported using the diary, 80.9% recommended the diary.
Conclusions: The level of evidence for use of an ICU diary remains relatively weak. The Society of Critical Care Medicine (SCCM) (Davidson et al., 2016) suggests the use of an ICU diary but stops short of making a strong recommendation for this intervention. In its clinical practice guideline, the SCCM recommends additional research to assess the impact and cost-effectiveness of an ICU diary on family outcomes. This EBP project, while not achieving statistical significance in its results, could serve as a pilot for a larger, multi-unit study. Additional research, with clear communication of the methodology and results, will contribute to the growing body of evidence related to the use of ICU diaries.
Notlar:
School code: 0043
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Yer Numarası | Demirbaş Numarası | Shelf Location | Lokasyon / Statüsü / İade Tarihi |
---|---|---|---|
XX(680357.1) | 680357-1001 | Proquest E-Tez Koleksiyonu | Arıyor... |
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