Defense Date

11-16-2023

Graduation Date

Fall 12-15-2023

Submission Type

Dissertation/Thesis

Degree Name

Doctor of Nursing Practice (DNP)

Department

Doctor of Nursing Practice (DNP) Program

School

School of Nursing

Faculty Mentor

Manjulata Evatt

Committee Member

Mary C. Loughran

Keywords

Delirium, ICU-acquired delirium, ABCDEF Bundle

Abstract

Intensive Care Unit (ICU) delirium is highly prevalent in this patient population; however, it is a potentially avoidable hospital complication (Vasilevski et al., 2018). The Confusion Assessment Method (CAM) has been used as a tool to measure delirium in the SICU since 2014 (AHN, 2023). The SICU clinicians deliberated if a better assessment and management bundle is available to better identify and manage delirium as a concerning volume of patients continue to experience ICU delirium even with the current delirium assessment tool in place. Upon reflection, SICU clinicians acknowledge a gap in nurses’ knowledge in connection with identifying signs, symptoms, and preventative methods of delirium. This Quality Improvement (QI) project seeks to reduce the occurrence of delirium by 25% in the Surgical Intensive Care Unit (SICU) patient population through implementation of the ABCDEF bundle: Assess, Prevent, and Manage Plan (A), Both Spontaneous Awakening Trials (SAT) and Spontaneous Breathing Trials (SBT) (B), Choice of analgesia and sedation (C), Delirium: Assess, Prevent, and Manage (D), Early mobility and Exercise (E), and Family engagement and empowerment (F) (SCCM, 2023).

Language

English

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Included in

Nursing Commons

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