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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.accessioned2020-05-13T06:11:57Z
dc.date.accessioned2020-05-18T10:08:49Z
dc.date.available2020-05-13T06:11:57Z
dc.date.available2020-05-18T10:08:49Z
dc.date.issued2020-03-05
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
dc.identifier.issn0964-3397
dc.identifier.issn0964-3397
dc.identifier.issn1532-4036
dc.identifier.urihttps://hdl.handle.net/10642/8616
dc.description.abstractObjectives: To evaluate critical care nurses’ experiences of ICU diaries following the implementation of national recommendations for the use of diaries for critically ill patients. Design: 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). Setting: Norwegian intensive care units (ICUs). Participants: Thirty-nine Norwegian ICUs took part in the study. Intervention: 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. Main outcome measure: A questionnaire asking about experiences of implementing national recommendations on diaries in Norwegian ICUs, as well as their impact and how they are used. Results: 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. Conclusion: 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
dc.description.sponsorshipThis study was supported by grants from the Norwegian Association of Critical Care Nurses project no. 41045.en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.ispartofseriesIntensive and Critical Care Nursing;Volume 59
dc.rights© 2020 The Authors. Published by Elsevier Ltd. This is an open Access article under the CC BY license (http:// creativecommons.org/licenses/by/4.0/).en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectCritical care nursingen
dc.subjectDiariesen
dc.subjectIntensive care unitsen
dc.subjectNational recommendationsen
dc.titleNurses’ experiences of ICU diaries following implementation of national recommendations for diaries in intensive care units: A quality improvement projecten
dc.typeJournal articleen
dc.typePeer revieweden
dc.date.updated2020-05-13T06:11:57Z
dc.description.versionpublishedVersionen
dc.identifier.doihttps://dx.doi.org/10.1016/j.iccn.2020.102828
dc.identifier.cristin1801049
dc.source.journalIntensive & Critical Care Nursing


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© 2020 The Authors. Published by Elsevier Ltd. This is an open Access article under the CC BY license (http:// creativecommons.org/licenses/by/4.0/).
Except where otherwise noted, this item's license is described as © 2020 The Authors. Published by Elsevier Ltd. This is an open Access article under the CC BY license (http:// creativecommons.org/licenses/by/4.0/).