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The intended outcome would show increased knowledge of the nurses on how to implement multimodal pharmacological and non-pharmacological interventions for the prevention of ICU delirium and decreased length of stay.

  • Intensive Care Unit (ICU) delirium is a common and serious complication in critically ill adult patients
  • Despite strong evidence supporting prevention strategies, ICU delirium is still very underrecognized
  • The goal of this project is to implement a multicomponent delirium prevention bundle to help reduce the frequency and severity of ICU patients developing delirium.
  • Properly educating nurses on the tools available to prevent ICU delirium can:
    • Lower ICU delirium rates
    • Decrease length of stay
    • Decrease mortality rates

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INTRODUCTION

In ICU nurses, does education on pharmacological and non-pharmacological delirium prevention and management interventions, compared to standard practice, improve patient outcomes by reducing ICU delirium incidence, severity, and length of stay over 12 weeks?

P: Intensive Care Unit (ICU) Nurses

I: Multicomponent pharmacological and nonpharmacological delirium prevention interventions

C: Standard ICU care

O: Reduced incidence and severity of ICU delirium

T: Over 12 weeks

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From Confusion to Clarity: Implementing a Delirium Prevention Bundle in Critically Ill Adults

Graycee Bills | Nursing, Rochester Christian University

Sponsor: Professor Amy Guitar

Preceptor: Trinity Granzow RN

CLINICAL QUESTION??

CONCLUSION AND FUTURE IMPLICATIONS

METHODOLOGY

EDUCATIONAL INTERVENTION

Sample: Registered Nurses working in the Surgical Intensive Care Unit at DMC Sinai Grace

Independent Variable: Implementation of a structured ICU nurse delirium education program

Dependent Variable: The ICU nurses’ knowledge on pharmacological and nonpharmacological delirium prevention interventions

Keywords: ICU delirium, delirium prevention bundle, intensive care unit, nurse intervention, delirium, and mobility

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  • The intervention would include a power-point presentation that would educate nurses on delirium prevention bundles that can be implemented.
  • This would include both pharmacological and nonpharmacological interventions
  • The presentation would educate nurses on the importance of keeping the lights on during the day and turning off the lights and tv at night to help patients maintain a good schedule
  • The nurses would take a pre and posttest survey to evaluate the effectiveness of the educational intervention.

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THEORETICAL FRAMEWORK

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DATA COLLECTION

A 12-item pre and posttest survey tool will be used to assess the nurse’s knowledge before and after an educational power-point was provided.

  • Research showed that hospitals who implemented these bundles had:
    • Less incidences of patients developing delirium
    • Lower mortality rates
    • Decreased length of stay in the ICU
  • Long term, the outcomes may lead to standardized nurse led delirium prevention protocols
  • Implementation of these interventions may lead to patient safety and overall better outcomes

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INTENDED OUTCOMES