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http://dx.doi.org/10.22650/JKCNR.2010.16.3.175

Development of an Evidence-Based Protocol for Preventing Delirium in Intensive Care Unit Patients  

Moon, Kyoung Ja (Department of Nursing, Sorabol College)
Lee, Sun Mi (College of Nursing, The Catholic University of Korea)
Publication Information
Journal of Korean Clinical Nursing Research / v.16, no.3, 2010 , pp. 175-186 More about this Journal
Abstract
Purpose: Delirium can be a highly prevalent symptom in intensive care units but it may still be under-recognized despite its relation with inclined morbidity, mortality, cost, and readmission. Therefore, this study aimed to develop a protocol that covers risk factors and non-pharmacological interventions to prevent delirium in ICU patients. Methods: This study was conducted using methodological design, and it followed the Scottish Intercollegiate Guideline Network (SIGN) guideline development steps: 1) the scope of protocol was decided (population, intervention, comparison, and outcomes); 2) guidelines, systematic reviews, and protocols were reviewed and checked using methodology checklist; 3) the level of evidence and recommendation grades was assigned; 4) the appropriateness of recommendations was scored by experts; 5) the final protocol & algorithm was modified and complemented. Results: The evidence-based delirium prevention protocol was completed that includes predisposing factors, precipitating factors and recommendations with evidenced grades. Conclusion: This protocol can be used as a guide nurses in screening patients with high risk factors of delirium as well as in intervening the patients non-pharmacologically to prevent delirium.
Keywords
Delirium prevention; Risk factors; Evidence-based protocol;
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Times Cited By KSCI : 2  (Citation Analysis)
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