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Thesis/Dissertation Information
- Degree Disciplines:
- Nursing
Notes
- Abstract:
- Background: Delirium is a cognitive condition commonly seen in hospitals throughout the world, greatly affecting patients’ morbidity and mortality. Guidelines recommend screening all intensive care unit (ICU) patients for delirium. Purpose: The purpose of this project was to implement an evidence-based delirium screening protocol program in the ICU. The protocol was aimed at identification of those at risk, as well as identification of those with delirium in the ICU. Theoretical Framework: Avedis Donabedian’s Structure-Process-Outcome Framework was utilized for this project. Methods: The methodology of the project was a quasi-non-experimental pre- and post-test design with an educational intervention and a de-identified post-intervention chart review. Results: The implementation of the delirium screening protocol was successful; however, after the retrospective chart reviews it was determined a reinforcement of assessment skills, which the Confusion Assessment Method-ICU (CAM-ICU) builds on, is required. It was also noted the variation with two different sedation assessment scales was being utilized, causing confusion and inconsistency. Conclusions: The study revealed a need for further education regarding the fluctuation of mental status changes as well as current policy on which sedation scale to utilize. There remains a need to further investigate delirium and the non-intubated ICU patients as well as the intubated patients; determining if the patient is delirious is not enough.
- Thesis:
- Thesis (D.N.P.)--Barry University, 2013.
- Bibliography:
- Includes bibliographical references (leaves 52-59).
Record Information
- Source Institution:
- Barry University
- Holding Location:
- Barry University Archives and Special Collections
- Rights Management:
- Copyright Christina M. Stump. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
- Resource Identifier:
- RC520.7.S78 2013_StumpChristina ( BU-Local )
- Classification:
- RC520.7.S78 2013 ( lcc )
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