• Claudia DiSabatino Smith and Petra Grami.
• Claudia DiSabatino Smith was director of nursing research, CHI St Luke's Health-Baylor St Luke's Medical Center, Houston, Texas, when the study was done. She has since retired. Petra Grami is a manager of patient care, CHI St Luke's Health-Baylor St Luke's Medical Center. crdsmith@hotmail.com.
• Am. J. Crit. Care. 2016 Dec 1; 26 (1): 19-27.

BackgroundStrategies for preventing delirium include early identification and avoiding or modifying patient, environmental, and iatrogenic factors. Minimal research exists on a prescriptive delirium prevention bundle that details elements or strategies for each bundle component. Even less research has been focused on nurse-driven interventions or components.ObjectiveTo evaluate the effectiveness of a delirium prevention bundle in decreasing delirium incidence in 2 medical-surgical intensive care units in a large Texas medical center.MethodsResearchers used the Confusion Assessment Method for the Intensive Care Unit to assess delirium incidence by using a controlled interventional cohort design with 447 delirium-negative critically ill patients. Bundle components consist of sedation cessation, pain management, sensory stimulation, early mobilization, and sleep promotion.ResultsThe intervention, analyzed by using a logistic regression model, reduced the odds of delirium by 78% (odds ratio, 0.22; P = .001).ConclusionsThe delirium prevention bundle was effective in reducing the incidence of delirium in critically ill medical-surgical patients. Further validation studies are under way.©2016 American Association of Critical-Care Nurses.

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