Premium
Use and practice of patient diaries in Swedish intensive care units: a national survey
Author(s) -
Åkerman Eva,
GranbergAxéll Anetth,
Ersson Anders,
Fridlund Bengt,
Bergbom Ingegerd
Publication year - 2010
Publication title -
nursing in critical care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.689
H-Index - 43
eISSN - 1478-5153
pISSN - 1362-1017
DOI - 10.1111/j.1478-5153.2009.00364.x
Subject(s) - intensive care unit , descriptive statistics , content analysis , intensive care , telephone interview , medicine , set (abstract data type) , telephone survey , psychology , family medicine , psychiatry , intensive care medicine , social science , statistics , mathematics , marketing , sociology , computer science , business , programming language
Aims and objectives: To describe and compare the extent and application of patients' diaries in Sweden. Background: Since 1991, patient diaries have been used in intensive care unit (ICU) follow‐up in Sweden. There is paucity of relevant data evaluating the effect of this tool and also on what premises patients are enrolled. Likewise, data are sparse on the diaries' design, content structure and the use of photographs. Design: Descriptive explorative design by a semi‐structured telephone interview. Methods: The interview results were analysed with descriptive statistics and differences between the ICU levels were explored by χ 2 analysis. Qualitative manifest content analysis was performed to explore the purpose of diary writing. Results: Of all ICUs ( n = 85), 99% responded and 75% used diaries. The source of inspiration was collegial rather than from scientific data. The main reason for keeping a diary was to help the patient to recapitulate the ICU stay. Discrepancies between the different levels of ICUs were detected in patient selection, dedicated staff for follow‐up and the use of photographs. Comparison between the χ 2 analysis and the content analysis outcome displayed incongruence between the set unit‐goals and the activities for achievement but did not explain the procedural differences detected. Conclusion: The uses of diaries in post ICU follow up were found to be common in Sweden. A majority used defined goals and content structure. However, there were differences in practice and patient recruitment among the levels of ICUs. These discrepancies seemed not to be based on evidence‐based data nor on ongoing research or evaluation but merely on professional judgement. As ICU follow‐up is resource intense and time consuming, it is paramount that solid criteria for patient selection and guidelines for the structure and use of diaries in post‐ICU follow‐up are defined.