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dc.contributor.authorHolme, Anny Norlemann
dc.contributor.authorHalvorsen, Kristin
dc.contributor.authorEskerud, Ragne Sannes
dc.contributor.authorLind, Ranveig
dc.contributor.authorStorli, Sissel Lisa
dc.contributor.authorGjengedal, Eva
dc.contributor.authorMoi, Asgjerd Litleré
dc.date.accessioned2020-05-14T06:40:09Z
dc.date.available2020-05-14T06:40:09Z
dc.date.issued2020-03-05
dc.description.abstract<i>Objectives</i> - To evaluate critical care nurses’ experiences of ICU diaries following the implementation of national recommendations for the use of diaries for critically ill patients.<p><p> <i>Design</i> - 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).<p><p> <i>Setting</i> - Norwegian intensive care units (ICUs).<p><p> <i>Participants</i> - Thirty-nine Norwegian ICUs took part in the study.<p><p> <i>Intervention</i> - 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.<p><p> <i>Main outcome measure</i> - A questionnaire asking about experiences of implementing national recommendations on diaries in Norwegian ICUs, as well as their impact and how they are used.<p><p> <i>Results</i> - 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 information describing patient care, but only 50% of the ICUs scanned handwritten diaries into the electronic medical records before handing them over to patients or the bereaved. ICU nurses reported that implementing national recommendations had increased their awareness and knowledge on patient and family needs, as well as the long-term effects of critical illness.<p><p> <i>Conclusion</i> - The results of this quality improvement project indicate that access to national recommendations on the use of diaries for critically ill patients have a potential of changing routines and increase standardisation.en_US
dc.identifier.citationHolme AN, Halvorsen KH, Eskerud RS, Lind R, Storli SL, Gjengedal E, Moi AL. Nurses’ experiences of ICU diaries following implementation of national recommendations for diaries in intensive care units: A quality improvement project. Intensive & Critical Care Nursing. 2020en_US
dc.identifier.cristinIDFRIDAID 1801049
dc.identifier.doihttps://doi.org/10.1016/j.iccn.2020.102828
dc.identifier.issn0964-3397
dc.identifier.issn1532-4036
dc.identifier.urihttps://hdl.handle.net/10037/18277
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.relation.journalIntensive & Critical Care Nursing
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2020 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800en_US
dc.subjectVDP::Medical disciplines: 700en_US
dc.subjectVDP::Medisinske Fag: 700en_US
dc.titleNurses’ experiences of ICU diaries following implementation of national recommendations for diaries in intensive care units: A quality improvement projecten_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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