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Area of Science:

  • Critical Care Medicine
  • Health Informatics
  • Nursing Ethics

Background:

  • Intensive Care Unit (ICU) diaries enhance patient and family coping and understanding.
  • Staff shortages and time constraints limit the use of traditional ICU diaries.
  • Artificial intelligence (AI) offers a potential solution for generating diary entries.

Purpose of the Study:

  • To evaluate the usability and impact of AI-generated ICU diaries.
  • To compare AI-generated diaries with handwritten ICU diaries.
  • To explore patient and family experiences with both types of diaries.

Main Methods:

  • A mixed-method study comparing handwritten and AI-generated ICU diaries.
  • Trained nursing staff and families create handwritten diaries.
  • AI analyzes medical records to generate empathic diary entries at discharge.
  • Patients and families are interviewed about their experiences and diary usability is assessed via questionnaires.

Main Results:

  • Patients and families will compare the language and content of AI-generated versus handwritten diaries.
  • Concerns regarding AI data processing and generation methods will be documented.
  • Usability and impact on patient/family coping will be evaluated.

Conclusions:

  • AI-generated ICU diaries are feasible but raise significant ethical questions for nursing.
  • Considerations include AI's role in complementing or substituting nurses, data protection, and professional values.
  • Detailed discussion among researchers and developers is crucial before widespread AI implementation in nursing.