Prevention and management of ICU Delirium
Disciplines
Critical Care Nursing | Medicine and Health Sciences | Nursing | Psychiatric and Mental Health Nursing
Abstract (300 words maximum)
Background: Delirium is a major neuropsychological issue in the hospital setting, especially in critical care. The condition results in confusion and reduced consciousness that negatively impact patient outcomes due to a change in mental state. Delirium increases the risk of falls, prolongs hospital stays, decreases cognitive functions, contributes to clinically significant morbidity and mortality, and is linked to high financial costs. According to research, nursing interventions that can reduce its prevalence are lacking in critical care settings, even though it is a recurrent problem. Purpose: This evidence-based project aims to identify nursing interventions needed to prevent and manage delirium in critical care patients. Methods: A systematic literature review was conducted based on the Johns Hopkins Evidence-Based Practice Model. The database used was CINAHL. The keywords searched were delirium, critically ill patients, intensive care unit, and non-pharmacological interventions. Data was collected and transcribed from five scholarly peer-reviewed articles that highlighted current practices and what can be done better in the future of nursing to reduce the incidence of delirium potentially. Increasing general nursing education on delirium prevention and implementing management interventions can reduce the incidence of delirium. This includes the adaptation of the ABCDEF bundle and Confusion Assessment Method (CAM-ICU), encouraging family engagement, and case-based training for nurses. Evaluation: The proposed nursing interventions will be evaluated on a biweekly basis in the intensive care unit to ensure nurses are using non-pharmacological interventions in the early assessment and management of delirium and documenting the effectiveness of such interventions. Eventually, a reduction in the rate of delirium in critical care settings will be a proper indication of the effectiveness of this project.
Academic department under which the project should be listed
Nursing
Primary Investigator (PI) Name
Dr Christie Emerson
Additional Faculty
Sena Able, WCHHS- Nursing, sable@kennesaw.edu
Prevention and management of ICU Delirium
Background: Delirium is a major neuropsychological issue in the hospital setting, especially in critical care. The condition results in confusion and reduced consciousness that negatively impact patient outcomes due to a change in mental state. Delirium increases the risk of falls, prolongs hospital stays, decreases cognitive functions, contributes to clinically significant morbidity and mortality, and is linked to high financial costs. According to research, nursing interventions that can reduce its prevalence are lacking in critical care settings, even though it is a recurrent problem. Purpose: This evidence-based project aims to identify nursing interventions needed to prevent and manage delirium in critical care patients. Methods: A systematic literature review was conducted based on the Johns Hopkins Evidence-Based Practice Model. The database used was CINAHL. The keywords searched were delirium, critically ill patients, intensive care unit, and non-pharmacological interventions. Data was collected and transcribed from five scholarly peer-reviewed articles that highlighted current practices and what can be done better in the future of nursing to reduce the incidence of delirium potentially. Increasing general nursing education on delirium prevention and implementing management interventions can reduce the incidence of delirium. This includes the adaptation of the ABCDEF bundle and Confusion Assessment Method (CAM-ICU), encouraging family engagement, and case-based training for nurses. Evaluation: The proposed nursing interventions will be evaluated on a biweekly basis in the intensive care unit to ensure nurses are using non-pharmacological interventions in the early assessment and management of delirium and documenting the effectiveness of such interventions. Eventually, a reduction in the rate of delirium in critical care settings will be a proper indication of the effectiveness of this project.