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Efficacy of the intensive care unit diary: a mixed-method study protocol.

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This study investigates the effectiveness of intensive care unit (ICU) diaries for patients and families. Findings will inform the implementation of diaries to improve patient recovery and family experiences in critical care settings.

Keywords:
AnxietyDepressionDiaryFamilyIntensive care unitMixed protocolNursePatientsPost-traumatic stressQuality of life

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Area of Science:

  • Critical Care Medicine
  • Patient and Family Experience
  • Psychological Health

Background:

  • Previous studies on ICU diaries have limitations including small sample sizes and short follow-up periods.
  • A mixed-methods approach with larger samples and longer follow-up is needed to assess diary efficacy.
  • This protocol outlines a study to evaluate ICU diaries for patients, families, and healthcare professionals.

Purpose of the Study:

  • To assess the efficacy of ICU diaries in improving patient quality of life.
  • To evaluate the impact of ICU diaries on preventing post-traumatic stress, anxiety, and depression in patients and families.
  • To explore healthcare professionals' experiences and satisfaction with ICU diary implementation.

Main Methods:

  • A mixed-methods study combining a quantitative randomized clinical trial and a qualitative phenomenological study.
  • Phase 1: A multicentre randomized trial (120 patients/families per group) comparing diary use versus no diary, with follow-ups at 2, 6, and 12 months post-discharge.
  • Phase 2: A qualitative study with 38-72 patients/family members using in-depth interviews and field diaries.

Main Results:

  • Quantitative data will be analyzed using IBM-SPSS (v.24) to assess quality of life (SF-36), post-traumatic stress (EIE-R), and anxiety/depression (HADS).
  • Professional satisfaction will be evaluated through a survey.
  • Qualitative data from interviews and diaries will undergo phenomenological analysis.

Conclusions:

  • This research will provide comprehensive data on the benefits and limitations of ICU diaries.
  • Findings will guide the implementation of diaries, considering patient, family, and professional perspectives.
  • The study aims to significantly advance critical care by confirming the efficacy of diaries in patient recovery and enhancing family and professional experiences.