Inclusion requirements

Patients eligible for introduction are ? 18 age, anticipated to stay in the new ICU (LOS-ICU) ? 48 h and likely to become mechanically vented ? twenty four h. Also, the patient have to have you to definitely intimate cousin ready to take part in the study. Patients can discover Danish, because information about the study together with questionnaire is readily available into the Danish.

Friends eligible for addition are ? 18 years of age, identify on their own just like the a relative on the diligent (age.grams., mother or father, spouse, partner, brother, guy otherwise buddy) consequently they are in a position to see Danish. A member of family is defined here given that men with an effective intimate and personal relationship to the average person and being connected into patient from time to time during the week. Friends qualify through this meaning.

Exemption requirements

Patients and relatives will be excluded from study if the patient’s LOS-ICU < 48 h or mechanically ventilated < 24 h. Relatives will not be excluded from study if the patient dies or does not consent to study participation.

Intervention

Family members randomized towards the intervention class will receive a the right hardcover computer getting diary use, also created advice and you can guidance away from nurses. Family members and people randomized to the handle class are certain to get simple care and attention (zero diary). Written guidance toward relatives for you to publisher new log are sealed throughout the diary (find Desk step one). The fresh advice establish the goal of the fresh new record as a means on in line with increase the patient immediately after its ICU remain, while the prospective really worth the new journal possess to own new cousin. To simply help this new cousin start composing, a listing of you are able to subjects emerges to own inspiration (find Dining table 1). The fresh family members are encouraged to write usually in order to play with the own way of expressing themselves. However, to avoid harming brand new family unit members, they will be cautioned facing composing feelings and thoughts too individual otherwise personal to get shared . Fundamentally, new leaflet deliver advice about whenever and the ways to share the new log to the patient, underscoring the necessity to wait until the in-patient agrees observe this new diary to cease individual out of becoming exposed to its hard time from the ICU up until he could be ready .

Photos

Two or more pictures of every patient would be drawn by the newest nursing staff and you can as part of the diary . One photo could well be pulled of your own diligent during the crucial phase , demonstrating the individual linked to the ventilator while the contours, tubing and you can technical gizmos very important to intense proper care cures. Most photo to be taken within turning section , in the event the patient has been weaned regarding ventilator or becoming mobilized so you can a seat, and maybe on rehabilitation stage , will also be incorporated. Members of the family could well be permitted to be snap, staff cannot. Photos would be printed in color into semi-gloss papers (thirteen ? 18 cm) and provided to the in-patient by the ICU nurses during the a closed envelope that have a reason out-of exactly what to expect while looking during the pictures. This procedure might have been chosen to quit a lot of discomfort, just like the photographs inform you clients when you look at the insecure factors. Additionally, this procedure enables the person to help you refuse the photographs altogether, whereby photo would be shed. Photographs are not made available to friends in the example of a great person’s demise.

Powering family relations in writing the latest journal

When the relative receives the log, a comprehensive worry nurse will explain the explore. By using medical and you can verbal event to evaluate the needs of the person relative, information is customized, but provided when you look at the framework of the created recommendations registered for the new journal (discover Table step one). Importance is for the improving the relative get a hold of their unique ways out-of writing throughout the record. Family unit members would-be encouraged to secure the log together with them https://datingranking.net/de/android-de/ and you may maybe not let it rest on ICU. Furthermore, nurses continues to guide the brand new cousin on use of the journal in the event that cousin visits the latest ICU otherwise when nurses cam to the phone on cousin. In case your dialogue into relative reveals that he or she finds challenging to conclude the brand new situations before hospitalization, the nurse may suggest that the relative share these events during the words just or concentrate on the present alternatively. In case the cousin complains that they cannot find the full time otherwise space to enter throughout the diary through the ICU, the latest nursing assistant may indicate which they write-in the new diary at home.