title: Perceptions of ICU Diary Utility and Feasibility in a Combat ICU.
abstract: Severely injured patients have difficulty recalling their intensive care unit (ICU) experience which may contribute to emotional trauma. An ICU patient journal contains a short summary of key events during the ICU stay, and has been shown to improve emotional well-being. This project evaluated the feasibility and perceptions of ICU journals in a combat ICU. A one-page survey was distributed to ICU nursing staff at Craig Joint Theater Hospital before and after the use of ICU journals as a process improvement initiative. 16 preimplementation and 10 postimplementation surveys were collected to determine the perception of the utility and feasibility of ICU journals, as well as changes to nursing job satisfaction. Overall, nurses had positive perceptions of ICU journaling; after implementation they felt it could also benefit nurses (31% vs. 80%, p = 0.002). ICU nurses that used journals were also more likely to feel their work makes a difference (90%, p = 0.012) and they could connect with their patient on a personal level (50%, p = 0.037). Primary barriers were time to journal and legal concerns. This study demonstrates with the right guidance, ICU journals can be incorporated into an ICU in a deployed environment and nursing staff feel they benefit the patient, family, unit, and staff.
authors.affiliation: 99th Medical Group, Mike O'Callaghan Federal Medical Center, 4700 N Las Vegas Boulevard, Nellis Air Force Base, NV 89191.
authors.forename: Marisa
authors.initials: M
authors.lastname: Hester
authors.affiliation: 99th Medical Group, Mike O'Callaghan Federal Medical Center, 4700 N Las Vegas Boulevard, Nellis Air Force Base, NV 89191.
authors.forename: Nichole K
authors.initials: NK
authors.lastname: Ingalls
authors.affiliation: Defense Medical Research and Development Program, 504 Scott Street, Fort Detrick, MD 21702.
authors.forename: Jennifer J
authors.initials: JJ
authors.lastname: Hatzfeld
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D016638:Critical Illness / Q000523:psychology* / Q000628:therapy; D005260:Female; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration / Q000639:trends*; D007588:Job Satisfaction; D008297:Male; D008499:Medical Records / Q000592:standards*; D008568:Memory; D008875:Middle Aged; D010465:Perception; D011795:Surveys and Questionnaires; D014857:Warfare; D014947:Wounds and Injuries / Q000150:complications / Q000523:psychology / Q000628:therapy