Introduction conditions
People eligible for introduction is actually ? 18 decades, expected to remain in the brand new ICU (LOS-ICU) ? forty eight h and likely to be mechanically ventilated ? twenty-four h. In addition, the patient have to have you to definitely personal cousin ready to participate in the analysis. Clients will be able to see Danish, once the details about the study together with survey is only available from inside the Danish.
Family qualified to receive addition was ? 18 years of age, select by themselves while the a close relative into patient (e.g., mother or father, spouse, mate, cousin, boy or buddy) and are able to see Danish. A member of family is scheduled here since the a man having a beneficial romantic and private relationship to individual being in contact toward patient a few times for the times. Family qualify by this meaning.
Different standards
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.
Input
Nearest and dearest randomized towards intervention classification will get a great hardcover computer to have journal explore, as well as authored recommendations and you will guidance out-of nurses. Household members and you will customers randomized into the handle category will have simple care (zero log). Authored information into the members of the family on exactly how to publisher this new diary try sealed regarding the log (see Dining table step one). The new guidelines define the objective of the diary as an easy way with the relative to improve the patient immediately after the ICU remain, therefore the potential really worth the fresh journal may have to own this new relative. To aid brand new cousin initiate creating, a summary of you’ll be able to subject areas emerges to own inspiration (find Dining table step 1). New family relations are advised to create will in order to have fun with its own way of declaring on their own. However, to get rid of harming the newest nearest and dearest, they’ll certainly be cautioned facing composing thoughts and feelings as well personal otherwise personal becoming common . Fundamentally, this new leaflet will offer advice about whenever and the ways to display the fresh new journal to the diligent, underscoring the necessity to wait until the average person agrees to see this new journal to eliminate the person from being met with their tough time from the ICU up to he could be able .
Photo
Two or more images of each diligent would be removed because of the brand new breastfeeding teams and you can within the journal . That picture could be pulled of your diligent during the important stage , showing the in-patient connected to the ventilator additionally the contours, pipe and technical gadgets essential for extreme care cures. Even more pictures to be taken during the flipping point , if patient is being weaned in the ventilator or being mobilized so you can a chair, and perhaps on the rehabilitation stage , can also be provided. Relatives might possibly be allowed to getting snap, staff does not. Photographs would be written in colour towards the partial-polish papers (13 ? 18 cm) and you will supplied to the person from the ICU nurses for the a sealed package that have a conclusion out-of just what can be expected while looking within photographs. This technique has been chosen to cease so many soreness, since photo tell you people during the vulnerable activities. Furthermore, this method allows the in-patient so you’re able to refute the photographs altogether, in which case photo will be missing. Images are not provided to family unit members when it comes to a good person’s death.
Guiding family relations in writing the newest log
In the event the relative receives the record, a comprehensive worry nurse will explain the fool around with. That with systematic and verbal enjoy to assess the needs of the individual relative, guidance will be personalized, however, provided inside the framework of your composed suggestions entered into the the new diary (come across Dining table 1). Importance was on improving the cousin discover their unique method regarding writing on journal. Relatives will be encouraged to support the log together with them and you will not let it rest regarding the ICU. Furthermore, nurses continues to book the fresh new relative towards entry to the newest diary when the cousin check outs the newest ICU otherwise whenever nurses chat for the mobile for the cousin. In the event the conversation on cousin shows that she or he finds out it difficult in conclusion the fresh events preceding hospitalization, the brand new nurse may suggest that the relative reveal these occurrences within the phrase only 
or concentrate on the expose as an alternative. In the event your cousin complains which they cannot find the amount of time or space to write regarding record during ICU, the fresh new nursing assistant may suggest which they write-in the log at home.
English