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Implementation of the Family Help Pr...

McClay, Rebecca.

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Implementation of the Family Help Protocol: A Feasibility Project for a West Texas ICU.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Implementation of the Family Help Protocol: A Feasibility Project for a West Texas ICU./
作者:	McClay, Rebecca.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
面頁冊數:	90 p.
附註:	Source: Dissertations Abstracts International, Volume: 82-07, Section: B.
Contained By:	Dissertations Abstracts International82-07B.
標題:	Nursing. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28155629
ISBN:	9798557039789

Implementation of the Family Help Protocol: A Feasibility Project for a West Texas ICU.
McClay, Rebecca.

Implementation of the Family Help Protocol: A Feasibility Project for a West Texas ICU. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 90 p.

Source: Dissertations Abstracts International, Volume: 82-07, Section: B.

Thesis (D.N.P.)--The University of Arizona, 2020.

This item must not be sold to any third party vendors.

Purpose: The purpose of this project was to determine if there is sufficient bedside ICU nurse buy-in to the Family HELP protocol to make implementation feasible at one county hospital in West Texas.Background: Delirium is an acute organ failure of the brain creating a state of confusion and biologic instability with implications for hemodynamic and respiratory stability, substantial functional decline, longer ICU stays, longer mechanical ventilation dependence, higher morbidity and mortality rates, and an estimated cost of $4 to $16 billion annually in the United States. Directed nonpharmacological interventions performed by family members have shown promise in reducing delirium symptom severity, need for antipsychotic medications, and delirium duration. Bedside nurse delivered education is highly successful in motivating behavioral and belief changes in families and begins an open communication between ICU staff and family members. The Family HELP protocol, a section of the larger HELP guidelines, brings together nonpharmacological interventions the family can use to effectively decrease delirium duration and severity and facilitates nurse-to-family teaching of these interventions to improve patient outcomes. Introducing Family-HELP as a partnership and co-operative care provides nurses with a framework to encourage family interaction with critically ill patients in a structured and meaningful way. Method: The design was pre and post paper-based surveys with education on the Family HELP protocol, and patient in-room poster placement. Surveys were anonymous with ballot box collection being available to the bedside ICU nurses for 1 week each. Questions were based on literature findings of expected outcomes, identified barriers and facilitators, and Calgary Family Intervention Method framework domains. Results: Survey participation was approximately half of nurses employed in the studied ICU. Analysis of the surveys showed a positive perception of family presence decreasing patient delirium symptoms, and a positive perception of the Family HELP protocol. The results described a high perception of family members as partners in care and high intention to implement the Family HELP protocol, indicating strong support of a full implementation of the protocol. Conclusion: The high level of nurse buy-in present in this study has large implications for the ability to implement the Family HELP protocol at this site in the near future, with sustainability and continued use supported by potential inclusion of the task in the electronic health record charting.

ISBN: 9798557039789Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Bedside manner

Implementation of the Family Help Protocol: A Feasibility Project for a West Texas ICU.
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