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Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
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The diary in the intensive care unit: Concept analysis.

M P Muñoz-Rey1, P Delgado-Hito2, M E Juvé-Udina3

  • 1Hospital Universitario Germans Trias i Pujol, Barcelona, Spain; Grupo de Investigación Enfermera NURECARE-IGTP, Instituto de Investigación Germans Trias i Pujol, Badalona, Spain.

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|January 16, 2024
PubMed
Summary

Intensive Care Unit (ICU) diaries, written in everyday language by healthcare workers and families, serve as a therapeutic tool for patients. These diaries aid recovery, reduce stress, and improve communication among patients, families, and nurses.

Keywords:
DiarioDiaryEnfermeraIntensive Care UnitsNursePacientesParientesPatientsRelativesUnidad de cuidados intensivos

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Area of Science:

  • Nursing
  • Patient Care
  • Family Support

Background:

  • Intensive care unit (ICU) admission can lead to adverse outcomes for patients and their families.
  • The use of diaries is a recognized preventive measure in some healthcare settings.

Purpose of the Study:

  • To critically analyze the concept of the 'Intensive Care Unit Diary'.
  • To clarify the phenomenon within nursing practice due to existing uncertainties about its application and content.

Main Methods:

  • Bibliographic search conducted in January 2023 across PubMed, Cochrane Library, Scopus, and CINAHL.
  • Utilized concept analysis methodology (Wilson, Walker, and Avant) with keywords including 'Nurse', 'Concept analysis', 'Family', 'ICU Diary', 'Critical Patient', and 'Intensive Care Unit'.

Main Results:

  • An 'ICU Diary' is a narrative record in colloquial language, created by healthcare professionals and relatives for the ICU patient.
  • It documents the patient's ICU journey, daily experiences, and behaviors with an empathetic and reflective tone.
  • This therapeutic tool, facilitated by nurses, is accepted by patients, families, and professionals, benefiting recovery, reducing post-traumatic stress, and enhancing communication and emotional expression.

Conclusions:

  • The concept of the 'ICU Diary' is multifaceted.
  • Concept analysis has clarified the 'ICU Diary', providing a foundation for future research on its impact on patients, families, professionals, and the healthcare system.