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Related Concept Videos

Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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Methods of Documentation VI: Case Management Model01:15

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Nursing Clinical Information System (NCIS)
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Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
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Methods of Documentation IV: Focus Charting01:26

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Methods of Documentation III: PIE01:21

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Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
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Related Experiment Video

Updated: Sep 12, 2025

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Developing implementation strategies for digital ICU diaries targeting ICU professionals: an implementation mapping

Carola M A Schol1, Margo M C van Mol2, Erwin Ista3,4

  • 1Department of Intensive Care, Erasmus MC, University Medical Centre Rotterdam, Research Intensive Care Ne-403, Rotterdam, CA, 3000, The Netherlands. c.schol@erasmusmc.nl.

Implementation Science Communications
|August 7, 2025
PubMed
Summary

This study developed a stepwise guide for implementing digital Intensive Care Unit (ICU) diaries, addressing barriers and facilitators to improve survivor mental health. The guide uses theory-driven strategies for sustainable integration into clinical practice.

Keywords:
Digital ICU diaryImplementation mappingImplementation strategyIntensive care unit

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Area of Science:

  • Digital health interventions
  • Implementation science
  • Critical care medicine

Background:

  • Digital ICU diaries support mental health for survivors and families by improving understanding and emotional support.
  • Challenges to digital diary integration include privacy, time, and staff motivation.
  • A standardized implementation strategy is currently lacking.

Purpose of the Study:

  • To develop a theory-driven, stepwise implementation guide for digital ICU diaries.
  • To address barriers and facilitators for successful adoption and sustainability.

Main Methods:

  • Utilized the Implementation Mapping (IM) framework in an iterative developmental design.
  • Conducted needs assessments via focus groups and surveys with ICU professionals.
  • Defined implementation outcomes, performance objectives, and determinants of change.
  • Selected theory-based methods and translated strategies into practical actions.

Main Results:

  • Identified 23 facilitators and 40 barriers to digital diary implementation.
  • Established fidelity, adoption, and sustainability as key outcomes with linked performance objectives.
  • Selected twelve theory-based methods, including active learning and peer role modeling.
  • Produced a structured, adaptable implementation guide for ICU teams.

Conclusions:

  • Implementation Mapping is valuable for developing theory-driven strategies for digital health innovations.
  • The created guide offers a systematic approach to overcome barriers and facilitate adoption.
  • This scalable model supports the integration of digital ICU diaries into routine practice.