{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T16:32:31Z","timestamp":1773419551767,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T00:00:00Z","timestamp":1752624000000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100008795","name":"Manitoba Medical Service Foundation","doi-asserted-by":"publisher","award":["8\u20102014\u201007"],"award-info":[{"award-number":["8\u20102014\u201007"]}],"id":[{"id":"10.13039\/100008795","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["333252"],"award-info":[{"award-number":["333252"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intensive care unit (ICU) diaries are an intervention used in the critical care setting to provide patients with a cohesive narrative of their ICU stay and can have a positive impact on patient and family outcomes. Few studies have examined the content of the diaries as written by family members and healthcare staff, and further information on this is important in understanding how and why diaries can be of benefit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Content analysis of diaries completed in a medical\u2010surgical ICU within an academic medical centre in Manitoba, Canada.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>This was a secondary qualitative analysis of ICU diaries that were completed in 2014\u20132016 as part of a prior pilot randomized controlled trial (RCT) with adult patients, admitted for more than 72\u2009h and ventilated for more than 24\u2009h. We used a reflexive thematic analytic approach to qualitative analysis, resulting in major themes and subthemes of the diary content.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty diaries were analysed. Themes identified (1) Connection (staff subthemes: personhood and personal investment, family subthemes: connection to patient and connection to family\/friends), (2) Information provision (subthemes: type of information shared, how information was shared and family\u2010specific information sharing) and (3) Coping (subthemes: expressing emotions, use of humour, spirituality).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This is the first study exploring the content of ICU diaries in a North American context and adds to the existing small body of literature demonstrating how families and healthcare staff use diaries. The findings are beneficial in designing future diary programmes, as understanding how diaries are used in a real\u2010world setting can guide future implementation and resource allocation. ICU diaries are an increasingly common tool used in ICU settings to provide patients with a narrative of their critical illness. Diaries conveyed a connection between healthcare professionals, family and patient, were used to provide information and appeared to be used to help family members cope.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>This study provides information regarding how ICU diaries are used by healthcare providers and what information is conveyed, which is useful in guiding future implementation as this intervention becomes more widespread (e.g., utilization, feasibility and instructions).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70107","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T06:24:47Z","timestamp":1752733487000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Thematic Analysis of Intensive Care Unit Diaries Content"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3081-7295","authenticated-orcid":false,"given":"Maia S.","family":"Kredentser","sequence":"first","affiliation":[{"name":"Department of Clinical Health Psychology, Rady Faculty of Health Sciences, Max Rady College of Medicine University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristin","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Department of Psychology, Faculty of Arts University of Manitoba  Winnipeg Manitoba Canada"},{"name":"Department of Psychiatry, Rady Faculty of Health Sciences, Max Rady College of Medicine University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Marten","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Section of Critical Care, Rady Faculty of Health Sciences, Max Rady College of Medicine University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus","family":"Blouw","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Section of Critical Care, Rady Faculty of Health Sciences, Max Rady College of Medicine University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jitender","family":"Sareen","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Rady Faculty of Health Sciences, Max Rady College of Medicine University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kendiss","family":"Olafson","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Section of Critical Care, Rady Faculty of Health Sciences, Max Rady College of Medicine University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,16]]},"reference":[{"key":"e_1_2_17_2_1","unstructured":"ICU Diary \u201cWebsite \u201d2023 http:\/\/www.icu\u2010diary.org."},{"key":"e_1_2_17_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000005019"},{"key":"e_1_2_17_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732307303304"},{"key":"e_1_2_17_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2009.06.005"},{"key":"e_1_2_17_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003367"},{"key":"e_1_2_17_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_17_8_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_17_9_1","unstructured":"C.BackmanandC.Jones \u201cImplementing a Diary Programme in Your ICU \u201d2013 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