Date of Award

Summer 8-2-2022

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Sarah M. I. Cartwright, DNP, MSN-PH, BAM, RN-BC, CAPA, FASPAN

Second Advisor

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.


Scholarly project submitted to the University of St. Augustine for Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice.

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This work is licensed under a Creative Commons Attribution 4.0 License.