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Development and Validation of an ICU Delirium Playbook for Provider Education.
Makhija, Hirsh; Fine, Janelle M; Pollack, Daniel; Novelli, Francesca; Davidson, Judy E; Cotton, Shannon A; Diaz De Leon, Bianca; Reyes, Paola Alicea; Montoya, Jessica L; Arroyo-Novoa, Carmen Mabel; Figueroa-Ramos, Milagros I; Song, Yeonsu; Fuentes, Ana Lucia; LaBuzetta, Jamie Nicole; Moore, Alison A; Ely, E Wesley; Malhotra, Atul; Needham, Dale M; Martin, Jennifer L; Kamdar, Biren B.
Affiliation
  • Makhija H; Division of Pulmonary, Critical Care and Sleep Medicine, University of California, San Diego (UCSD) Health, San Diego, CA.
  • Fine JM; Division of Pulmonary, Critical Care and Sleep Medicine, University of California, San Diego (UCSD) Health, San Diego, CA.
  • Pollack D; Nursing Education & Development Research Department, UCSD Health, San Diego, CA.
  • Novelli F; Critical Care Unit, UCSD Health, San Diego, CA.
  • Davidson JE; Nursing Education & Development Research Department, UCSD Health, San Diego, CA.
  • Cotton SA; Critical Care Unit, UCSD Health, San Diego, CA.
  • Diaz De Leon B; School of Nursing, Oregon Health and Science University, Ashland, OR.
  • Reyes PA; Nursing Education & Development Research Department, UCSD Health, San Diego, CA.
  • Montoya JL; Department of Psychiatry, UCSD Health, San Diego, CA.
  • Arroyo-Novoa CM; Nursing Education & Development Research Department, UCSD Health, San Diego, CA.
  • Figueroa-Ramos MI; Critical Care Unit, UCSD Health, San Diego, CA.
  • Song Y; Division of Pulmonary, Critical Care and Sleep Medicine, University of California, San Diego (UCSD) Health, San Diego, CA.
  • Fuentes AL; School of Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.
  • LaBuzetta JN; Department of Psychiatry, UCSD Health, San Diego, CA.
  • Moore AA; School of Nursing, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.
  • Ely EW; School of Nursing, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.
  • Malhotra A; School of Nursing, University of California, Los Angeles (UCLA), Los Angeles, CA.
  • Needham DM; Geriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, North Hills, CA.
  • Martin JL; UCLA David Geffen School of Medicine, Los Angeles, CA.
  • Kamdar BB; Division of Pulmonary, Critical Care and Sleep Medicine, University of California, San Diego (UCSD) Health, San Diego, CA.
Crit Care Explor ; 5(7): e0939, 2023 Jul.
Article in En | MEDLINE | ID: mdl-37457918
Although delirium detection and prevention practices are recommended in critical care guidelines, there remains a persistent lack of effective delirium education for ICU providers. To address this knowledge-practice gap, we developed an "ICU Delirium Playbook" to educate providers on delirium detection (using the Confusion Assessment Method for the ICU) and prevention. DESIGN: Building on our previous ICU Delirium Video Series, our interdisciplinary team developed a corresponding quiz to form a digital "ICU Delirium Playbook." Playbook content validity was evaluated by delirium experts, and face validity by an ICU nurse focus group. Additionally, focus group participants completed the quiz before and after video viewing. Remaining focus group concerns were evaluated in semi-structured follow-up interviews. SETTING: Online validation survey, virtual focus group, and virtual interviews. SUBJECTS: The validation group included six delirium experts in the fields of critical care, geriatrics, nursing, and ICU education. The face validation group included nine ICU nurses, three of whom participated in the semi-structured feedback interviews. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: The 44-question quiz had excellent content validity (average scale-level content validity index [S-CVI] of individual items = 0.99, universal agreement S-CVI = 0.93, agreement κ ≥ 0.75, and clarity p ≥ 0.8). The focus group participants completed the Playbook in an average (sd) time of 53 (14) minutes, demonstrating significant improvements in pre-post quiz scores (74% vs 86%; p = 0.0009). Verbal feedback highlighted the conciseness, utility, and relevance of the Playbook, with all participants agreeing to deploy the digital education module in their ICUs. CONCLUSIONS: The ICU Delirium Playbook is a novel, first-of-its-kind asynchronous digital education tool aimed to standardize delirium detection and prevention practices. After a rigorous content and face validation process, the Playbook is now available for widespread use.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Guideline / Qualitative_research / Screening_studies Language: En Journal: Crit Care Explor Year: 2023 Document type: Article Country of publication: United States

Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Guideline / Qualitative_research / Screening_studies Language: En Journal: Crit Care Explor Year: 2023 Document type: Article Country of publication: United States