Effectiveness of nursing intervention to reduce delirium in adult critically ill - A protocol for a randomized trial

The incidence of delirium in intensive care patients remains high, and its consequences have a high negative impact on patients, their families, health care teams, and society in general. Because delirium can lead to increased hospital stay, increased days on mechanical ventilation, increased risk o...

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Main Authors: Luz Omaira Gómez Tovar, Ángela María Henao-Castaño
Format: Article
Language:English
Published: Elsevier 2023-02-01
Series:Contemporary Clinical Trials Communications
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451865422001594
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author Luz Omaira Gómez Tovar
Ángela María Henao-Castaño
author_facet Luz Omaira Gómez Tovar
Ángela María Henao-Castaño
author_sort Luz Omaira Gómez Tovar
collection DOAJ
description The incidence of delirium in intensive care patients remains high, and its consequences have a high negative impact on patients, their families, health care teams, and society in general. Because delirium can lead to increased hospital stay, increased days on mechanical ventilation, increased risk of adverse events, increased memory loss and even increased mortality. However, some factors that precipitate delirium can be modified to reduce its presence and duration through non-pharmacological measures. Thus, the present protocol seeks to establish the theoretical and methodological background to develop and test nursing interventions to reduce delirium in adult patients hospitalized in the intensive care unit. For this reason, it is based on the theoretical elements of delirium and a nursing theory, called the Dynamic Symptoms Model (DSM), to understand the phenomenon and how nursing knowledge can be used to intervene. Thus, a nursing intervention proposal is proposed based on the DSM and scientific evidence, and a methodological design of a randomized controlled clinical trial type with parallel groups, which allows measuring the effectiveness of the designed interventions, following methodological and ethical rigor and with adequate control of biases.
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spelling doaj.art-9b8dcaafe94c4f359b0f5f009a51a7422022-12-22T03:52:58ZengElsevierContemporary Clinical Trials Communications2451-86542023-02-0131101042Effectiveness of nursing intervention to reduce delirium in adult critically ill - A protocol for a randomized trialLuz Omaira Gómez Tovar0Ángela María Henao-Castaño1Universidad Surcolombiana, Neiva, Colombia; Corresponding author.Universidad Nacional de Colombia, Bogotá, ColombiaThe incidence of delirium in intensive care patients remains high, and its consequences have a high negative impact on patients, their families, health care teams, and society in general. Because delirium can lead to increased hospital stay, increased days on mechanical ventilation, increased risk of adverse events, increased memory loss and even increased mortality. However, some factors that precipitate delirium can be modified to reduce its presence and duration through non-pharmacological measures. Thus, the present protocol seeks to establish the theoretical and methodological background to develop and test nursing interventions to reduce delirium in adult patients hospitalized in the intensive care unit. For this reason, it is based on the theoretical elements of delirium and a nursing theory, called the Dynamic Symptoms Model (DSM), to understand the phenomenon and how nursing knowledge can be used to intervene. Thus, a nursing intervention proposal is proposed based on the DSM and scientific evidence, and a methodological design of a randomized controlled clinical trial type with parallel groups, which allows measuring the effectiveness of the designed interventions, following methodological and ethical rigor and with adequate control of biases.http://www.sciencedirect.com/science/article/pii/S2451865422001594DeliriumRandomized controlled trials as topicIntensive care unitsEvidence-based nursingNursing theory
spellingShingle Luz Omaira Gómez Tovar
Ángela María Henao-Castaño
Effectiveness of nursing intervention to reduce delirium in adult critically ill - A protocol for a randomized trial
Contemporary Clinical Trials Communications
Delirium
Randomized controlled trials as topic
Intensive care units
Evidence-based nursing
Nursing theory
title Effectiveness of nursing intervention to reduce delirium in adult critically ill - A protocol for a randomized trial
title_full Effectiveness of nursing intervention to reduce delirium in adult critically ill - A protocol for a randomized trial
title_fullStr Effectiveness of nursing intervention to reduce delirium in adult critically ill - A protocol for a randomized trial
title_full_unstemmed Effectiveness of nursing intervention to reduce delirium in adult critically ill - A protocol for a randomized trial
title_short Effectiveness of nursing intervention to reduce delirium in adult critically ill - A protocol for a randomized trial
title_sort effectiveness of nursing intervention to reduce delirium in adult critically ill a protocol for a randomized trial
topic Delirium
Randomized controlled trials as topic
Intensive care units
Evidence-based nursing
Nursing theory
url http://www.sciencedirect.com/science/article/pii/S2451865422001594
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