Intensive care patient diaries in Scandinavia: a comparative study of emergence and evolution
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Intensive care patient diaries in Scandinavia : a comparative study of emergence and evolution. / Egerod, Ingrid; Storli, Sissel Lisa; Åkerman, Eva.
I: Nursing Inquiry, Bind 18, Nr. 3, 09.2011, s. 235-246.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Intensive care patient diaries in Scandinavia
T2 - a comparative study of emergence and evolution
AU - Egerod, Ingrid
AU - Storli, Sissel Lisa
AU - Åkerman, Eva
N1 - © 2011 Blackwell Publishing Ltd.
PY - 2011/9
Y1 - 2011/9
N2 - Critical illness and intensive care therapy are often followed by psychological problems such as nightmares, hallucinations, delusions, anxiety, depression, and symptoms of posttraumatic stress. Intensive care patient diaries have been kept by nurses and the patients' family since the early 1990s in the Scandinavian countries to help critically ill patients come to terms with their illness after hospital discharge. The aim of the study was to describe and compare the emergence and evolution of intensive care patient diaries in Denmark, Norway, and Sweden. The study had a comparative international design using secondary analysis of qualitative data generated by key-informant telephone interviews with intensive care nurses (n=114). The study showed that diaries were introduced concurrently in the three Scandinavian countries as a grass-roots initiative by mutual cross-national inspiration. The concept has evolved from a pragmatic practice to an evidence-based domain of inquiry propelled by academically prepared nurses. Several schools of thought were identified in our study: diaries as (i) a therapeutic instrument, (ii) an act of caring, (iii) an expression of empathy, and (iv) a hybrid of the above. Diaries have the potential to fulfill the existential needs of patients who struggle to make sense of their experiences and construct their own illness narrative.
AB - Critical illness and intensive care therapy are often followed by psychological problems such as nightmares, hallucinations, delusions, anxiety, depression, and symptoms of posttraumatic stress. Intensive care patient diaries have been kept by nurses and the patients' family since the early 1990s in the Scandinavian countries to help critically ill patients come to terms with their illness after hospital discharge. The aim of the study was to describe and compare the emergence and evolution of intensive care patient diaries in Denmark, Norway, and Sweden. The study had a comparative international design using secondary analysis of qualitative data generated by key-informant telephone interviews with intensive care nurses (n=114). The study showed that diaries were introduced concurrently in the three Scandinavian countries as a grass-roots initiative by mutual cross-national inspiration. The concept has evolved from a pragmatic practice to an evidence-based domain of inquiry propelled by academically prepared nurses. Several schools of thought were identified in our study: diaries as (i) a therapeutic instrument, (ii) an act of caring, (iii) an expression of empathy, and (iv) a hybrid of the above. Diaries have the potential to fulfill the existential needs of patients who struggle to make sense of their experiences and construct their own illness narrative.
KW - Denmark
KW - Humans
KW - Intensive Care
KW - Internationality
KW - Norway
KW - Nurse's Practice Patterns
KW - Nursing Methodology Research
KW - Nursing Records
KW - Qualitative Research
KW - Scandinavia
KW - Sweden
U2 - 10.1111/j.1440-1800.2011.00540.x
DO - 10.1111/j.1440-1800.2011.00540.x
M3 - Journal article
C2 - 21790874
VL - 18
SP - 235
EP - 246
JO - Nursing Inquiry
JF - Nursing Inquiry
SN - 1320-7881
IS - 3
ER -
ID: 40227349