41. What is the optimum content of patients intensive care diaries? (213)
Catherine Tobin, Research Nurse, School of Clinical Science, University of Liverpool, Liverpool, United Kingdom
Co authors: Christina Jones, Richard Griffiths & Sue Hall
catherine.tobin@sthk.nhs.uk
Abstract:
Background:
A large proportion of patients suffer symptoms of post traumatic stress disorder following an ICU stay. An recent study suggested patients receiving a diary detailing their time in ICU had fewer symptoms of PTSD. ICU diaries are recommended as an intervention tool for PTSD. However there have been no rigorous studies into there effect and what it is that patients and bereaved relatives deem to be the optimum content of ICU diaries.
Aim:
This study using qualitative methodology aims to provide rich, deep, description of what it is that patients and bereaved relatives perceive as the optimum content of intensive care (ICU) diaries and how their diary is helpful to them.
Methodology:
A purposeful sample of 70 patients and bereaved relatives whom have an ICU diary returned to them following their/their relatives stay will be sought. In-depth semi-structured interviews using predominantly open ended questions will be undertaken. This will allow any interesting themes to be pursued in discussion. Interviews will be recorded and transcribed from recordings. Both the diary and the interview content will be analysed. Nvivo software will be utilised in order to allow speedy recognition of key themes.
Results:
Patients and bereaved relatives may perceive their diary as a tool that helps them to make sense of their memories or lack of recall. This research is currently being undertaken and will determine what it is that patients and bereaved relatives determine to be the optimum content of ICU diaries. Results will be available for presentation in March 2008. Diaries and transcribed interviews are currently being entered into Nvivo for analysis.
Discussion & conclusion:
Determining the optimum content of patient diaries will prove invaluable in improving service delivery, knowledge, policy and practice within health and health care. Clear guidelines will be developed.
Source of Funding: UK - Research Charity/Foundation
Amount in Funding: 50,001 - 100,000
Biography:
I am currently employed as a research nurse responsible for the day to day running of an randomised controlled trial to determine the usefulness of patient diaries in reducing symptoms of PTSD (post traumatic stress disorder). I am a registered general nurse. My background is in orthopedic surgery, accident and emergency nursing and intensive care nursing. I have been a qualified nurse for six years. Since qualification as an RGN I have continued post registration education. Recently I have completed an MA in bioethics and medical law. I am awaiting results of this course. I am excited about and keen to sucessfully achieve the aims of this research study. Following completion of the Mphil I am currently undertaking I hope to continue my education and undertake a PhD.