Adoption of a sedation scoring system and sedation guideline in an intensive care unit.

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dc.contributor.author Elliott, R
dc.contributor.author McKinley, S
dc.contributor.author Aitken, L
dc.date.accessioned 2009-12-21T02:34:49Z
dc.date.issued 2006-04
dc.identifier.citation Journal of advanced nursing, 2006, 54 (2), pp. 208 - 216
dc.identifier.issn 0309-2402
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/4797
dc.description.abstract AIM: The paper presents a study assessing the rate of adoption of a sedation scoring system and sedation guideline. BACKGROUND: Clinical practice guidelines including sedation guidelines have been shown to improve patient outcomes by standardizing care. In particular sedation guidelines have been shown to be beneficial for intensive care patients by reducing the duration of ventilation. Despite the acceptance that clinical practice guidelines are beneficial, adoption rates are rarely measured. Adoption data may reveal other factors which contribute to improved outcomes. Therefore, the usefulness of the guideline may be more appropriately assessed by collecting adoption data. METHOD: A quasi-experimental pre-intervention and postintervention quality improvement design was used. Adoption was operationalized as documentation of sedation score every 4 hours and use of the sedation and analgesic medications suggested in the guideline. Adoption data were collected from patients' charts on a random day of the month; all patients in the intensive care unit on that day were assigned an adoption category. Sedation scoring system adoption data were collected before implementation of a sedation guideline, which was implemented using an intensive information-giving strategy, and guideline adoption data were fed back to bedside nurses. After implementation of the guideline, adoption data were collected for both the sedation scoring system and the guideline. The data were collected in the years 2002-2004. FINDINGS: The sedation scoring system was not used extensively in the pre-intervention phase of the study; however, this improved in the postintervention phase. The findings suggest that the sedation guideline was gradually adopted following implementation in the postintervention phase of the study. Field notes taken during the implementation of the sedation scoring system and the guideline reveal widespread acceptance of both. CONCLUSION: Measurement of adoption is a complex process. Appropriate operationalization contributes to greater accuracy. Further investigation is warranted to establish the intensity and extent of implementation required to positively affect patient outcomes.
dc.format Print
dc.language eng
dc.relation.isbasedon 10.1111/j.1365-2648.2006.03798.x
dc.title Adoption of a sedation scoring system and sedation guideline in an intensive care unit.
dc.type Journal Article
dc.parent Journal of advanced nursing
dc.journal.volume 2
dc.journal.volume 54
dc.journal.number 2 en_US
dc.publocation Oxford, UK en_US
dc.publocation London, UK
dc.identifier.startpage 208 en_US
dc.identifier.endpage 216 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 111003 Clinical Nursing: Secondary (Acute Care)
dc.personcode 930003
dc.personcode 014913
dc.personcode 105764
dc.percentage 100 en_US
dc.classification.name Clinical Nursing: Secondary (Acute Care) en_US
dc.classification.type FOR-08 en_US
dc.edition 1
dc.description.keywords adoption; clinical practice guidelines; intensive care; intervention study; nursing; sedation en_US
dc.description.keywords Humans
dc.description.keywords Hypnotics and Sedatives
dc.description.keywords Respiration, Artificial
dc.description.keywords Intensive Care
dc.description.keywords Nursing Care
dc.description.keywords Medical Records
dc.description.keywords Evidence-Based Medicine
dc.description.keywords Adolescent
dc.description.keywords Adult
dc.description.keywords Guideline Adherence
dc.description.keywords Female
dc.description.keywords Male
dc.description.keywords Practice Guidelines as Topic
dc.description.keywords Humans
dc.description.keywords Hypnotics and Sedatives
dc.description.keywords Medical Records
dc.description.keywords Respiration, Artificial
dc.description.keywords Intensive Care
dc.description.keywords Nursing Care
dc.description.keywords Evidence-Based Medicine
dc.description.keywords Adolescent
dc.description.keywords Adult
dc.description.keywords Practice Guidelines as Topic
dc.description.keywords Guideline Adherence
dc.description.keywords Female
dc.description.keywords Male
dc.description.keywords Humans
dc.description.keywords Hypnotics and Sedatives
dc.description.keywords Medical Records
dc.description.keywords Respiration, Artificial
dc.description.keywords Intensive Care
dc.description.keywords Nursing Care
dc.description.keywords Evidence-Based Medicine
dc.description.keywords Adolescent
dc.description.keywords Adult
dc.description.keywords Practice Guidelines as Topic
dc.description.keywords Guideline Adherence
dc.description.keywords Female
dc.description.keywords Male
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health


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