Date of Award
Doctor of Nursing Practice (DNP)
Sarah M. I. Cartwright, DNP, MSN-PH, BAM, RN-BC, CAPA, FASPAN
Donna C. Bond, DNP, RN, CCNS, AE-C, CTTS, FCNS
Practice Problem: Patients with increased ventilator days see dramatic increases in their chances of developing healthcare-related conditions (HAC). Extended ICU stays increase the potential for problematic issues in patients' physical, mental and spiritual health with short-and-long-term consequences.
PICOT: The PICOT question that guided this project was looking at adult ventilated patients in a medical ICU (P) and what is the effect of initiating interdisciplinary ABCDEF-ICU liberation bundle rounding as (I) compared to no ICU liberation bundle rounding (C) has on the length of ventilator days (O) over eight weeks (T).
Evidence: Evidence from quality studies and backing from the Society of Critical Care Medicine suggests that an interdisciplinary, holistic approach is ideal for ICU patients. Decreasing ventilator days includes using a bundle with steps ABCDEF addressed daily while patients are ventilated.
Intervention: The ICU liberation bundle is a systematic approach to patient care. The bundle components: A-assess and manage pain, B-spontaneous awake and breathing trials, C-choice of pain and sedation management, D-assessing and managing ICU delirium, E-early mobility, and F-family involvement.
Outcome: There was no clinical or statistical significance with this project. The ventilator days increased for the project time compared to previous data.
Conclusion: Utilizing a multidisciplinary team approach and the ICU liberation bundle did not improve patient outcomes. This outcome was not consistent with current recommendations.
Snyder Amoroso, J. A. (2022). ICU Liberation Bundle: A Multidisciplinary Approach. [Doctoral project, University of St Augustine for Health Sciences]. SOAR @ USA: Student Scholarly Projects Collection. https://doi.org/10.46409/sr.XAKX4192
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