Patients that have earlier in the day reported serious intellectual problems otherwise neurological destroy tend to not be sensed towards the analysis

Inclusion requirements

Customers eligible for inclusion is actually ? 18 years, anticipated to remain in the fresh ICU (LOS-ICU) ? 48 h and you will expected to getting mechanically vented ? twenty four h. Furthermore, the in-patient have to have one to personal cousin willing to be involved in the study. Customers must be able to see Danish, since facts about the analysis in addition to questionnaire is available during the Danish.

Family members eligible for inclusion is applications de rencontre gratuites pour iphone ? 18 years of age, pick themselves as the a relative into the patient (age.grams., moms and dad, companion, spouse, brother, child otherwise friend) as they are able to see Danish. A member of family is placed here given that a person which have a intimate and personal relationship to the individual and being in contact on patient a few times when you look at the few days. Family qualify through this definition.

Difference criteria

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.


Loved ones randomized to your intervention category will have a some good hardcover notebook having diary explore, including written recommendations and you may recommendations out of nurses. Loved ones and customers randomized towards handle category are certain to get standard proper care (zero record). Composed pointers on family relations about how to copywriter the fresh journal was shut about diary (select Desk step 1). The recommendations explain the purpose of the brand new log as a means into the relative to help the patient shortly after their ICU stand, additionally the possible really worth the brand new diary may have getting this new relative. To assist the newest relative start creating, a summary of you’ll be able to subject areas exists to have determination (see Desk step 1). This new friends are advised to make usually and also to have fun with its very own way of stating themselves. However, to end hurting this new members of the family, they are warned facing writing feelings and thoughts also personal otherwise private as mutual . Finally, this new leaflet deliver advice about when and how to express this new journal towards the patient, underscoring the requirement to wait until the in-patient agrees observe the fresh new diary to end the in-patient away from being exposed to its difficult time throughout the ICU until they are ready .


A couple of images of every patient would be drawn of the the newest breastfeeding professionals and you may included in the log . You to definitely photo could well be pulled of one’s diligent from inside the crucial phase , appearing the patient linked to the ventilator and the traces, tubing and you will technical devices essential rigorous care medication. Even more pictures to be taken on flipping point , if the diligent is weaned in the ventilator or becoming mobilized to help you a chair, and maybe regarding the rehab stage , will in addition be included. Family might possibly be permitted to feel snap, employees cannot. Photos might be written in colour toward partial-gloss papers (13 ? 18 cm) and you will provided to the patient from the ICU nurses when you look at the a close package which have an explanation out-of exactly what can be expected when looking at the photo. This procedure has been chosen to get rid of too many discomfort, because pictures show clients into the insecure factors. Additionally, this method will allow the in-patient in order to deny the images completely, in which case photographs will be missing. Photo will not be supplied to household members regarding good person’s passing.

At the rear of friends written down the new log

If cousin receives the record, a comprehensive care and attention nurse will explain its use. By using health-related and you will verbal feel to evaluate the requirements of the individual cousin, information is individualized, however, offered in framework of authored information entered from inside the this new record (come across Table step 1). Emphasis could be towards the improving the relative find her means out of creating on the diary. Family unit members might be motivated to hold the diary using them and you can perhaps not leave it from the ICU. Also, nurses continues to guide the newest relative on access to the new record if the cousin visits the ICU otherwise whenever nurses cam with the cell phone towards relative. In the event your dialogue into the relative implies that he/she finds challenging to summarize the latest incidents preceding hospitalization, brand new nursing assistant may indicate that the relative reveal such events inside the words only otherwise concentrate on the present as an alternative. In case the cousin complains that they cannot find committed otherwise area to write regarding the diary through the ICU, the new nurse may indicate which they write-in the fresh record at family.