Developing implementation strategies for digital ICU diaries targeting ICU professionals: an implementation mapping approach
Abstract Background Digital Intensive Care Unit (ICU) diaries can enhance the mental health of ICU survivors and their relatives by bridging memory gaps, improving understanding of ICU experiences, and providing emotional support. However, integrating digital diaries into routine ICU practice poses...
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| Language: | English |
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BMC
2025-08-01
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| Series: | Implementation Science Communications |
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| Online Access: | https://doi.org/10.1186/s43058-025-00767-0 |
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| author | Carola M. A. Schol Margo M. C. van Mol Erwin Ista |
| author_facet | Carola M. A. Schol Margo M. C. van Mol Erwin Ista |
| author_sort | Carola M. A. Schol |
| collection | DOAJ |
| description | Abstract Background Digital Intensive Care Unit (ICU) diaries can enhance the mental health of ICU survivors and their relatives by bridging memory gaps, improving understanding of ICU experiences, and providing emotional support. However, integrating digital diaries into routine ICU practice poses challenges, including privacy concerns, time constraints, and limited staff motivation. To date, no standardized implementation strategy exists. This study aimed to develop a theory-driven, stepwise implementation guide. Methods A methodological, iterative developmental design was employed, guided by the Implementation Mapping (IM) framework. The first four IM steps structured the process. Step 1 involved a needs assessment using prior qualitative and quantitative studies, including focus groups and a survey with ICU professionals, to identify barriers and facilitators. In step 2, a collaborative session defined implementation outcomes, performance objectives, and key determinants for change. Step 3 involved selecting theory-based methods and implementation strategies using the taxonomy of behavior change methods. In step 4, these strategies were translated into practical actions and materials to support implementation. Results The needs assessment (Step 1) identified 23 facilitators and 40 barriers, with survey findings confirming these insights. In step 2, fidelity, adoption, and sustainability were established as key implementation outcomes, with seven performance objectives linked to determinants such as knowledge, attitudes, and motivation. Step 3 resulted in the selection of twelve theory-based methods, including active learning, peer role modeling, and perspective-shifting, to inform strategy development. Finally, step 4 produced a structured implementation guide, adaptable to local contexts, designed to support ICU teams and champions in adopting and sustaining digital ICU diaries. Conclusions This study demonstrates the value of Implementation Mapping for developing theory-driven implementation strategies for digital ICU diaries. The resulting guide systematically addresses barriers and facilitators, offering a scalable model for integrating digital health innovations into clinical practice. |
| format | Article |
| id | doaj-art-66441e4a5149468b8a2ddbd910b5225c |
| institution | Kabale University |
| issn | 2662-2211 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Implementation Science Communications |
| spelling | doaj-art-66441e4a5149468b8a2ddbd910b5225c2025-08-20T03:43:27ZengBMCImplementation Science Communications2662-22112025-08-016111510.1186/s43058-025-00767-0Developing implementation strategies for digital ICU diaries targeting ICU professionals: an implementation mapping approachCarola M. A. Schol0Margo M. C. van Mol1Erwin Ista2Department of Intensive Care, Erasmus MC, University Medical Centre Rotterdam, Research Intensive Care Ne-403Department of Intensive Care, Erasmus MC, University Medical Centre Rotterdam, Research Intensive Care Ne-403Department of Internal Medicine, Section Nursing Science, Erasmus MC, University Medical Centre RotterdamAbstract Background Digital Intensive Care Unit (ICU) diaries can enhance the mental health of ICU survivors and their relatives by bridging memory gaps, improving understanding of ICU experiences, and providing emotional support. However, integrating digital diaries into routine ICU practice poses challenges, including privacy concerns, time constraints, and limited staff motivation. To date, no standardized implementation strategy exists. This study aimed to develop a theory-driven, stepwise implementation guide. Methods A methodological, iterative developmental design was employed, guided by the Implementation Mapping (IM) framework. The first four IM steps structured the process. Step 1 involved a needs assessment using prior qualitative and quantitative studies, including focus groups and a survey with ICU professionals, to identify barriers and facilitators. In step 2, a collaborative session defined implementation outcomes, performance objectives, and key determinants for change. Step 3 involved selecting theory-based methods and implementation strategies using the taxonomy of behavior change methods. In step 4, these strategies were translated into practical actions and materials to support implementation. Results The needs assessment (Step 1) identified 23 facilitators and 40 barriers, with survey findings confirming these insights. In step 2, fidelity, adoption, and sustainability were established as key implementation outcomes, with seven performance objectives linked to determinants such as knowledge, attitudes, and motivation. Step 3 resulted in the selection of twelve theory-based methods, including active learning, peer role modeling, and perspective-shifting, to inform strategy development. Finally, step 4 produced a structured implementation guide, adaptable to local contexts, designed to support ICU teams and champions in adopting and sustaining digital ICU diaries. Conclusions This study demonstrates the value of Implementation Mapping for developing theory-driven implementation strategies for digital ICU diaries. The resulting guide systematically addresses barriers and facilitators, offering a scalable model for integrating digital health innovations into clinical practice.https://doi.org/10.1186/s43058-025-00767-0Intensive care unitDigital ICU diaryImplementation mappingImplementation strategy |
| spellingShingle | Carola M. A. Schol Margo M. C. van Mol Erwin Ista Developing implementation strategies for digital ICU diaries targeting ICU professionals: an implementation mapping approach Implementation Science Communications Intensive care unit Digital ICU diary Implementation mapping Implementation strategy |
| title | Developing implementation strategies for digital ICU diaries targeting ICU professionals: an implementation mapping approach |
| title_full | Developing implementation strategies for digital ICU diaries targeting ICU professionals: an implementation mapping approach |
| title_fullStr | Developing implementation strategies for digital ICU diaries targeting ICU professionals: an implementation mapping approach |
| title_full_unstemmed | Developing implementation strategies for digital ICU diaries targeting ICU professionals: an implementation mapping approach |
| title_short | Developing implementation strategies for digital ICU diaries targeting ICU professionals: an implementation mapping approach |
| title_sort | developing implementation strategies for digital icu diaries targeting icu professionals an implementation mapping approach |
| topic | Intensive care unit Digital ICU diary Implementation mapping Implementation strategy |
| url | https://doi.org/10.1186/s43058-025-00767-0 |
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