Pain, agitation, and delirium guidelines: nurses' involvement in development and implementation.
نویسندگان
چکیده
The 2013 American College of Critical Care Medicine/Society of Critical Care Medicine clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit serves as a living example of nurses' involvement in the development and implementation of professional guidelines. Nurses who served on this guideline-writing panel describe their experiences. Specific examples from the pain, agitation, and delirium guidelines for care are used to explore the roles of the nurse leader, nurse informaticist, staff nurse, and nurse researcher in relationship to guideline implementation.
منابع مشابه
Assessment of delirium in the intensive care unit: nursing practices and perceptions.
BACKGROUND Despite practice guidelines promoting delirium assessment in intensive care, few data exist regarding current delirium assessment practices among nurses and how these practices compare with those for sedation assessment. OBJECTIVES To identify current practices and perceptions of intensive care nurses regarding delirium assessment and to compare practices for assessing delirium wit...
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Development of delirium in critical care patients is associated with increased length of stay, hospital costs, and mortality. Delirium occurs across all inpatient settings, although critically ill patients who require mechanical ventilation are at the highest risk. Overall, evidence to support the use of antipsychotics to either prevent or treat delirium is lacking, and these medications can ha...
متن کاملLarge-scale implementation of sedation and delirium monitoring in the intensive care unit: a report from two medical centers.
OBJECTIVE To implement sedation and delirium monitoring via a process-improvement project in accordance with Society of Critical Care Medicine guidelines and to evaluate the challenges of modifying intensive care unit (ICU) organizational practice styles. DESIGN Prospective observational cohort study. SETTING The medical ICUs at two institutions: the Vanderbilt University Medical Center (VU...
متن کاملManagement of pain, agitation, and delirium in critically ill patients.
Pain, agitation, and delirium (PAD) are common in critically ill patients. Consequently, analgesic and sedative medications are frequently administered to critically ill patients to treat PAD, to improve synchrony with mechanical ventilation, and to decrease the physiological stress response. However, prolonged, continuous deep sedation of intensive care unit (ICU) patients is associated with n...
متن کاملClinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit.
OBJECTIVE To revise the "Clinical Practice Guidelines for the Sustained Use of Sedatives and Analgesics in the Critically Ill Adult" published in Critical Care Medicine in 2002. METHODS The American College of Critical Care Medicine assembled a 20-person, multidisciplinary, multi-institutional task force with expertise in guideline development, pain, agitation and sedation, delirium managemen...
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عنوان ژورنال:
- Critical care nurse
دوره 35 3 شماره
صفحات -
تاریخ انتشار 2015