title: Developing a Diary Program to Minimize Patient and Family Post-Intensive Care Syndrome.
abstract: A series of evidence-based interventions beginning with an intensive care unit diary and a patient/family educational pamphlet were implemented to address the long-term consequences of critical illness after discharge from the intensive care unit, bundled as post-intensive care syndrome and post-intensive care syndrome-family. An extensive literature review and nursing observations of the phenomenon highlighted the potential for this project to have a favorable impact on patients, their families, and the health care team. The goal of this article is to explain the education of all stakeholders; the introduction of the diary, video, and educational pamphlet; and the evaluation of the acceptance of these interventions. This process began with an informal evaluation of the educational products and overall perception of the usefulness of the diary by patients, family members, and staff. The efforts described contribute to the evidence base supporting diaries as an adjunct to intensive care.
authors.affiliation: Meaghan Locke is a Consultant, Critical Care Nursing Section, Madigan Army Medical Center. Sarah Eccleston is Critical Care Clinical Nurse Specialist, Center for Nursing Science & Clinical Inquiry, Madigan Army Medical Center. Claire N. Ryan is Intensive Care Unit (ICU) Staff Nurse, Critical Care Nursing Section, Madigan Army Medical Center. Tiffany J. Byrnes is ICU Staff Nurse, Critical Care Nursing Section, Madigan Army Medical Center. Cristin Mount is Chief, Department of Medicine, Madigan Army Medical Center. Mary S. McCarthy is Senior Nurse Scientist, Center for Nursing Science & Clinical Inquiry, Madigan Army Medical Center, 9040 Jackson Ave, Tacoma, WA 98431 (mary.s.mccarthy1.civ@mail.mil).
authors.forename: Meaghan
authors.initials: M
authors.lastname: Locke
authors.forename: Sarah
authors.initials: S
authors.lastname: Eccleston
authors.forename: Claire N
authors.initials: CN
authors.lastname: Ryan
authors.forename: Tiffany J
authors.initials: TJ
authors.lastname: Byrnes
authors.forename: Cristin
authors.initials: C
authors.lastname: Mount
authors.forename: Mary S
authors.initials: MS
authors.lastname: McCarthy
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003422:Critical Care / Q000523:psychology*; D016638:Critical Illness / Q000523:psychology* / Q000534:rehabilitation; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D010351:Patient Discharge; D010361:Patients / Q000523:psychology*; D013315:Stress, Psychological / Q000534:rehabilitation; D017741:Survivors / Q000523:psychology*; D014956:Writing