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Clinical Nurse Specialist:
doi: 10.1097/NUR.0b013e3182a0b9f9
Feature Article

A Pilot Study to Test the Feasibility of a Nonpharmacologic Intervention for the Prevention of Delirium in the Medical Intensive Care Unit

Foster, Jan PhD, APRN, CNS, CCRN; Kelly, Miranda DNP, APRN, CNS, ACNP-BC

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Abstract

Purpose/Objectives: The aims of this study were to determine the feasibility of and test a multicomponent, nonpharmacologic, nurse-driven intervention for prevention of delirium.

Design: This was a prospective, cohort pilot study.

Setting: This 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.

Sample: A convenience sample of consented patients meeting inclusion criteria was included in this study.

Methods: A multicomponent prevention protocol consisting of sedation cessation, sleep-wake cycles, sensory stimulation, mobility, and music was tested.

Findings: Capturing data for the interventions was problematic. Insufficient documentation systems and inadequate multidisciplinary participation in carrying out the protocol, especially mobility, were barriers.

Conclusions: There was little difference in the proportion of delirium before and after intervention. Success in the identification and prevention of delirium requires a multidisciplinary approach.

Implications: Further research is needed using a larger sample size. Refinement of a mobility program is needed.

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

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