Journal article
A multisite study of nurse-reported perceptions and practice of ABCDEF bundle components
Intensive & critical care nursing, Vol.60, pp.102872-102872
10/2020
DOI: 10.1016/j.iccn.2020.102872
PMCID: PMC8011280
PMID: 32389395
Abstract
ABCDEF bundle implementation in the Intensive Care Unit (ICU) is associated with dose dependent improvements in patient outcomes. The objective was to compare nurse attitudes about the ABCDEF bundle to self-reported adherence to bundle components.
Cross-sectional study.
Nurses providing direct patient care in 28 ICUs within 18 hospitals across the United States.
53-item survey of attitudes and practice of the ABCDEF bundle components was administered between November 2011 and August 2015 (n = 1661).
We did not find clinically significant correlations between nurse attitudes and adherence to Awakening trials, Breathing trials, and sedation protocol adherence (rs = 0.05–0.28) or sedation plan discussion during rounds and Awakening and Breathing trial Coordination (rs = 0.19). Delirium is more likely to be discussed during rounds when ICU physicians and nurse managers facilitate delirium reduction (rs = 0.27–0.36). Early mobilization is more likely to occur when ICU physicians, nurse managers, staffing, equipment, and the ICU environment facilitate early mobility (rs = 0.36–0.47). Physician leadership had the strongest correlation with reporting an ICU environment that facilitates ABCDEF bundle implementation (rs = 0.63–0.74).
Nurse attitudes about bundle implementation did not predict bundle adherence. Nurse manager and physician leadership played a large role in creating a supportive ICU environment.
Details
- Title: Subtitle
- A multisite study of nurse-reported perceptions and practice of ABCDEF bundle components
- Creators
- Leanne M. Boehm - Vanderbilt UniversityBrenda T. Pun - Vanderbilt UniversityJoanna L. Stollings - Vanderbilt UniversityTimothy D. Girard - University of PittsburghPeter Rock - University of Maryland, BaltimoreCatherine L. Hough - University of WashingtonS. Jean Hsieh - Icahn School of Medicine at Mount SinaiBabar A. Khan - Regenstrief InstituteRobert L. Owens - University of California San DiegoGregory A. Schmidt - University of IowaSusan Smith - Baylor University Medical CenterE. Wesley Ely - Vanderbilt University
- Resource Type
- Journal article
- Publication Details
- Intensive & critical care nursing, Vol.60, pp.102872-102872
- DOI
- 10.1016/j.iccn.2020.102872
- PMID
- 32389395
- PMCID
- PMC8011280
- NLM abbreviation
- Intensive Crit Care Nurs
- ISSN
- 0964-3397
- eISSN
- 1532-4036
- Publisher
- Elsevier Ltd
- Grant note
- DOI: 10.13039/100007206, name: Vanderbilt Institute for Clinical and Translational Research; DOI: 10.13039/100000002, name: NCATS/NIH, award: UL1 TR000445; DOI: 10.13039/100000002, name: National Institute on Aging of the National Institutes of Health, award: R01AG035117; DOI: 10.13039/100000050, name: NHLBI, award: K12HL137943-01; DOI: 10.13039/100009320, name: American Association of Critical-Care Nurses; DOI: 10.13039/100000049, name: National Institute on Aging, award: R01AG055391; DOI: 10.13039/100000050, name: NHLBI, award: R01HL131730
- Language
- English
- Date published
- 10/2020
- Academic Unit
- Pulmonary, Critical Care, and Occupational Medicine; Internal Medicine
- Record Identifier
- 9984359873002771
Metrics
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