| Title: |
Implementation and sustainability of an innovative ICU e-diary |
| Authors: |
Rose, Louise; Welch, Amy; Okelana, Kemi; Hassan, Fardusa; Apps, Chloe; Brooks, Kate; Law, Erin; Slack, Andrew; Susser, Katie; Meyer, Joel |
| Source: |
Rose, L, Welch, A, Okelana, K, Hassan, F, Apps, C, Brooks, K, Law, E, Slack, A, Susser, K & Meyer, J 2025, 'Implementation and sustainability of an innovative ICU e-diary', Intensive and Critical Care Nursing. |
| Publication Year: |
2025 |
| Collection: |
King's College, London: Research Portal |
| Subject Terms: |
intensive care; diary; memory; post-intensive care syndrome; digital |
| Description: |
Objectives: To characterise e-diary implementation exploring ICU staff uptake, family member engagement, perceived barriers/facilitators and perceived acceptability/feasibility and sustained use over time. Methods: Service innovation and evaluation study of an e-diary (aTouchAway™, Aetonix, Canada) for patients with ≥2 days anticipated ICU stay. We implemented (Jan2022-Aug2022) in four ICUs (52 beds) across two UK hospitals. We conducted a one-day pre-implementation paper-diary snapshot audit. Implementation strategies included a dedicated implementation officer, repeated education, dedicated resources, completion reminders, live demonstrations, and e-diary completion prizes. We collected data on commencement rates, barriers/facilitators, and feasibility/acceptability using Acceptability and Feasibility of Intervention Measure (AIM/FIM) questionnaires. To assess sustained use, we completed three one-day audits (June2023), with subsequent monthly audits (Dec2023-Dec2024). Results: Pre-implementation, 7/35 (20%) patients had a paper diary. During the implementation phase the monthly mean (SD) e-diary commencement rate was 65% (23%) with 380 patients having 1242 diary entries (nurses 807; therapists (physio/occupational/speech) 146; family members 289). We received 35/110 staff questionnaires (response rate 32%). Most perceived the e-diary easy to access (74%) and use (63%). Similar proportions perceived it less (20%) or more (26%) time consuming than paper diaries. Facilitators included reduced environmental impact, negligible loss, family participation, guaranteed legibility, data security, and easy accessibility. Barriers comprised need for login and education; difficulty for less technologically-competent families; and inability to personalise with pictures. Mean (SD) AIM and FIM scores were 16.6 (1.67) and 16.0 (1.9). In the sustainability phase, our snapshot audit (June2023) found a commencement rate of 63%, with a mean (SD) monthly commencement rate of 45.6% (16.7%). Conclusions: We developed a bespoke ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| ISSN: |
0964-3397 |
| Relation: |
info:eu-repo/semantics/altIdentifier/pissn/0964-3397 |
| Availability: |
https://kclpure.kcl.ac.uk/portal/en/publications/9364f4db-bc3b-4935-95ec-44a01ceb5314; https://kclpure.kcl.ac.uk/ws/files/355640949/ICU_e-diary_AAM_complete.pdf |
| Rights: |
info:eu-repo/semantics/openAccess ; http://creativecommons.org/licenses/by/4.0/ |
| Accession Number: |
edsbas.522F6DE6 |
| Database: |
BASE |