• Clin Nurse Spec · Sep 2013

    A pilot study to test the feasibility of a nonpharmacologic intervention for the prevention of delirium in the medical intensive care unit.

    • Jan Foster and Miranda Kelly.
    • College of Nursing, Texas Woman's University, Houston, TX 77030, USA. jfoster@twu.edu
    • Clin Nurse Spec. 2013 Sep 1;27(5):231-8.

    Purpose/ObjectivesThe aims of this study were to determine the feasibility of and test a multicomponent, nonpharmacologic, nurse-driven intervention for prevention of delirium.DesignThis was a prospective, cohort pilot study.SettingThis study was carried out in a 12-bed medical intensive care unit in a Magnet-designated community hospital in a major metropolitan city in the Southwest United States.SampleA convenience sample of consented patients meeting inclusion criteria was included in this study.MethodsA multicomponent prevention protocol consisting of sedation cessation, sleep-wake cycles, sensory stimulation, mobility, and music was tested.FindingsCapturing data for the interventions was problematic. Insufficient documentation systems and inadequate multidisciplinary participation in carrying out the protocol, especially mobility, were barriers.ConclusionsThere was little difference in the proportion of delirium before and after intervention. Success in the identification and prevention of delirium requires a multidisciplinary approach.ImplicationsFurther research is needed using a larger sample size. Refinement of a mobility program is needed.

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