Publication:
Practices of the abcdef care bundle in intensive care units as reported by nurses: A cross-sectional study from Turkey

dc.contributor.buuauthorERBAY DALLI, ÖZNUR
dc.contributor.buuauthorAKÇA DOĞAN, DERYA
dc.contributor.buuauthorPEHLİVAN, SEDA
dc.contributor.buuauthorBAYRAM, RIDVAN
dc.contributor.buuauthorBayram, Rıdvan
dc.contributor.buuauthorYıldız, Hicran
dc.contributor.buuauthorYILDIZ, HİCRAN
dc.contributor.departmentBursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/HemşirelikAnabilim Dalı.
dc.contributor.orcid0000-0003-2282-0846
dc.contributor.orcid0000-0001-7040-2732
dc.contributor.orcid0000-0002-1670-0672
dc.contributor.orcid0000-0003-4241-5231
dc.contributor.researcheridKIG-7211-2024
dc.contributor.researcheridAAI-6539-2021
dc.contributor.researcheridACM-4054-2022
dc.contributor.researcheridAAK-5246-2021
dc.contributor.researcheridABI-1236-2020
dc.contributor.researcheridABG-1164-2020
dc.date.accessioned2024-10-09T05:17:40Z
dc.date.available2024-10-09T05:17:40Z
dc.date.issued2023-08-15
dc.description.abstractBackground: Recent critical care guidelines recommended the evidence-based ABCDEF care bundle for intensive care unit (ICU) patients. However, limited information is available on the implementation of the bundle in Turkish ICUs.Aim: To assess the current practices of the ABCDEF care bundle as reported by ICU nurses.Study Design: A cross-sectional study using a web-based survey was conducted. Researchers invited nurses with at least 1 year of ICU experience to participate by sending the link to the research questionnaires they created in Google Forms to the one ICU nurse association and one communication group of which they are members.Results: A total of 342 ICU nurses completed the survey. Although 92% of the participants performed pain assessments in their ICUs, 52.7% reported not using protocols. Based on the responses of the nurses, spontaneous awakening and breathing trials are performed in 88.8% and 92.4%, respectively, of ICUs. Fewer than half of the participants reported following a sedation protocol in their ICUs. Only 54.7% of ICU nurses surveyed reported routinely monitoring patients for delirium. It was reported that early mobilization was practised in 68.7% of ICUs, but non-ventilated patients were mobilized more frequently (70.2%), and 9.7% of ICUs had mobilization teams. Family members were actively involved in 95% of ICUs; however, 9.7% used dedicated staff to support families and 3.5% reported that their unit was open 24 h/day for visits.Conclusions: While the implementation of most pain and sedation evaluations in ICUs were reported by nurses, many of them did not use structured delirium assessments. There is a need to encourage early mobilization programs and family participation.Relevance to Clinical Practice: Health institutions can improve patient care and outcomes by establishing and standardizing a protocol for each component of the ABCDEF care bundle in ICUs.
dc.identifier.doi10.1111/nicc.12963
dc.identifier.issn1362-1017
dc.identifier.urihttps://doi.org/10.1111/nicc.12963
dc.identifier.urihttps://hdl.handle.net/11452/46099
dc.identifier.wos001049829200001
dc.indexed.wosWOS.SCI
dc.indexed.wosWOS.SSCI
dc.language.isoen
dc.publisherWiley
dc.relation.journalNursing In Critical Care
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectDelirium monitoring/management
dc.subjectEarly exercise/mobility
dc.subjectMechanical ventilation
dc.subjectIcu
dc.subjectSedation
dc.subjectPain
dc.subjectImpact
dc.subjectManagement
dc.subjectMobility
dc.subjectSafety
dc.subjectAbcdef care bundle
dc.subjectDelirium
dc.subjectIntensive care unit
dc.subjectNurses
dc.subjectScience & technology
dc.subjectLife sciences & biomedicine
dc.subjectNursing
dc.titlePractices of the abcdef care bundle in intensive care units as reported by nurses: A cross-sectional study from Turkey
dc.typeArticle
dc.typeEarly Access
dspace.entity.typePublication
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