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Dissertation
Family Involvement in Preventing ICU Acquired Delirium
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background: The delirium rate within an ICU setting range between 45-85%, which is higher than the delirium rate of 11-31% on a general medicine floor. There is no treatment regimen for ICU acquired delirium, so prevention activities are important as ICU acquired delirium can lead to an increased risk of mortality. Family members can play an important role in the prevention of ICU acquired delirium. Purpose: The purpose of this project was to improve ICU acquired delirium rates on a medical intensive care unit by implementing a guided family intervention to increase family engagement in patient care. Methods: This evidence-based practice project was implemented using the IOWA Model of Evidence-Based Practice. Family members were educated on ICU acquired delirium and the activities they could partake in to help reduce the risk of the patient developing ICU acquired delirium. Then they were asked to fill out a family engagement (FAME) measurement survey. Nurses were also educated about ICU acquired delirium. CAM-ICU scores were screened for 5 days per patient. The pre- and post-intervention CAM-ICU scores were analyzed to evaluate if there was a difference in the ICU acquired delirium rate. Findings: Thirty family members completed the FAME survey, and the average level of engagement was 91.3. Of the thirty families who filled out the FAME survey, 83% (n=25) recorded a high level of family engagement. CAM-ICU scores were screened on 322 patients during the pre-intervention phase and 249 patients during the post-intervention phase for ICU acquired delirium. There was not a statistical difference in the ICU acquired delirium rate between the two groups. Discussion: The implementation of a guided family intervention led to a high rate of family engagement but did not reduce the ICU acquired delirium rate. Further projects should be done to understand how a longer implementation period impacts the ICU acquired delirium rate.
Details
- Title: Subtitle
- Family Involvement in Preventing ICU Acquired Delirium
- Creators
- Breanna Joann Sims - University of Iowa
- Contributors
- Heather Dunn (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Family Nurse Practitioner
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Breanna Joann Sims
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627255902771
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