Investigating nursing interventions to prevent delirium in ICU patients in emergencies

https://doi.org/10.29332/triss.v6n1.77

Authors

  • Ibrahim Abdullah Ibrahim Alsannat KSA, National Guard Health Affairs
  • Sultan Sulaiman E Alharbi KSA, National Guard Health Affairs
  • Amira Yousef Ali Aldalili KSA, National Guard Health Affairs
  • Abdullah Ali Alshahrani KSA, National Guard Health Affairs
  • Dawood Salman Alsalim KSA, National Guard Health Affairs
  • Abdulkhaliq Abdullh Alakroosh KSA, National Guard Health Affairs
  • Ramzi Hasan Al Hamad KSA, National Guard Health Affairs
  • Abeer Dahim Abdullah Al-Shammari KSA, National Guard Health Affairs

Keywords:

ICU delirium, nursing and emergency interventions, early mobilization, sedation management, patient-centered care, prevention strategies, critical care nursing, emergency response

Abstract

Background: Delirium is a common yet frequently overlooked syndrome in ICU patients, associated with increased morbidity, extended hospital stays, and long-term cognitive impairments. Its multifactorial etiology involves pre-existing vulnerabilities, critical illnesses, and iatrogenic factors, presenting significant challenges for prevention. In the context of emergency and critical care, nurses and emergency responders play a pivotal role in mitigating delirium through evidence-based interventions aimed at modifiable risk factors. Aim:
This study explores the effectiveness of nursing and emergency interventions in preventing delirium among ICU patients. It emphasizes strategies such as early mobilization, sedation management, environmental modifications, and patient-centered care, focusing on reducing delirium incidence and improving patient outcomes in acute and emergency settings. Methods:
A comprehensive review of the literature was conducted, incorporating data from peer-reviewed journals, clinical trials, and meta-analyses. Studies were selected based on their focus on nursing and emergency care interventions, adult ICU patients, and measurable outcomes. Thematic analysis was utilized to identify patterns and evaluate the effectiveness of various strategies. Results: Key findings reveal that early mobilization significantly reduces both the duration and severity of delirium. Environmental adjustments, including noise reduction and circadian rhythm alignment, improve patient orientation. Minimal sedation protocols are associated with enhanced cognitive recovery. Family involvement and patient-centered communication foster reorientation and emotional stability, while interdisciplinary collaboration bolsters the impact of nursing and emergency interventions. Conclusion: Nursing and emergency interventions are vital for preventing ICU delirium by addressing physiological and environmental risk factors. Integrating these strategies into critical and emergency care practices can accelerate recovery, minimize complications, and enhance overall healthcare outcomes. Further research is needed to standardize protocols and optimize nurse-led and emergency-focused interventions.

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Published

2024-01-15

How to Cite

Ibrahim Alsannat, I. A., E Alharbi, S. S., Ali Aldalili, A. Y., Alshahrani, A. A., Alsalim, D. S., Alakroosh, A. A., … Al-Shammari, A. D. A. (2024). Investigating nursing interventions to prevent delirium in ICU patients in emergencies. Tennessee Research International of Social Sciences, 6(1), 94–117. https://doi.org/10.29332/triss.v6n1.77

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Vol. 6 No. 1: January-June 2024

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Research Articles

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