Journal Writing by Families of Critically Ill Patients: An Integrative Review
Open Access
- 1 October 2020
- journal article
- review article
- Published by AACN Publishing in Critical Care Nurse
- Vol. 40 (5), 26-37
- https://doi.org/10.4037/ccn2020293
Abstract
Families experience high levels of stress during a loved one’s critical illness. To provide an overview of current evidence on the use of journal writing as a coping mechanism for family members during a loved one’s critical illness in a neonatal, pediatric, or adult intensive care unit. Five databases (MEDLINE, PsycINFO, CINAHL, APA PsycArticles, and Health Source: Nursing/Academic Edition) were searched to identify studies examining the benefits of journal writing for family members of critically ill patients. Eight eligible studies reported data from 426 relatives of critically ill patients. Regarding quality assessment, the quantitative studies met 73.1% of relevant quality criteria, whereas qualitative studies met 81.3%. Mixed-methods studies met 82.4% of quantitative and 55% of qualitative criteria. Various key themes were identified: communication and understanding, connection to the patient, emotional expression, creating something meaningful, and the importance of pictures and staff entries. Overall, writing in a diary seems to be beneficial for reducing psychological distress and posttraumatic stress disorder, but none of the studies found that it significantly decreased anxiety or depression. The findings of this review suggest that having family members of critically ill patients write in a diary is a simple and cost-effective intervention that may improve their psychological outcomes. Critical care nurses are in a position to educate families about the potential benefits of writing in a diary. Future research would be valuable regarding the benefits of using a diary and an optimal approach for doing so in this population.Keywords
This publication has 32 references indexed in Scilit:
- Intensive Care Diaries and Relatives’ Symptoms of Posttraumatic Stress Disorder After Critical Illness: A Pilot StudyAmerican Journal of Critical Care, 2012
- Constructing the illness narrative: A grounded theory exploring patientsʼ and relativesʼ use of intensive care diariesCritical Care Medicine, 2011
- Intensive care diaries reduce new onset post traumatic stress disorder following critical illness: a randomised, controlled trialCritical Care, 2010
- Evaluation of the effect of prospective patient diaries on emotional well-being in intensive care unit survivors: A randomized controlled trial*Critical Care Medicine, 2009
- Posttraumatic Stress and Complicated Grief in Family Members of Patients in the Intensive Care UnitJournal of General Internal Medicine, 2008
- Clinical practice guidelines for support of the family in the patient-centered intensive care unit: American College of Critical Care Medicine Task Force 2004–2005Critical Care Medicine, 2007
- Reducing Maternal Psychological Distress After the NICU Experience Through Journal WritingJournal of Early Intervention, 2001
- Half the families of intensive care unit patients experience inadequate communication with physiciansCritical Care Medicine, 2000
- Psychosocial and behavioral predictors of longevity: The aging and death of the "Termites."American Psychologist, 1995
- Confronting a traumatic event: Toward an understanding of inhibition and disease.Journal of Abnormal Psychology, 1986