College of Nursing
Problem Statement: Delirium is a common, often preventable, condition in hospitalized patients and is associated with increased complications, worse outcomes, increased risk of death, and increased health care costs. Purpose: The purpose of this project was to determine if, utilizing a nursing-driven, non-pharmacological intervention, based on the NICE Guidelines, can decrease the incidence of delirium. Methods: Using the Iowa Model of Evidenced Based Practice to Promote Quality Care (Iowa Model), an EBP project was implemented. Patients were identified as being at risk of delirium using The Confusion Assessment Method (CAM) and these patients received the non-pharmacologic intervention as part of their nursing care. Inclusion Criteria: All patients on an adult medical/surgical floor who were identified at risk of delirium were included. Analysis: CAM scores were evaluated using a two-tailed Wilcoxon signed rank test. The presence of delirium decreased from 7 percent to 3 percent. This was statistically significant (p=.03). Implications for Practice: The implementation of the non-pharmacologic delirium protocol led to a significant decrease in delirium, and it should be implemented into practice
Bridges, Alexandria Gray, "A Nursing-Driven Delirium Protocol" (2022). Doctor of Nursing Practice Scholarly Projects. 8.