Related Experiment Video
Updated: May 24, 2026
05:25
Setup and Execution Of the Blindfolded Code Training Exercise
Published on: March 29, 2019
Using Diffusion of Innovations Theory to implement the confusion assessment method for the intensive care unit
Constance Mary Bowen1, Marietta Stanton, Martin Manno
1Kennedy University Hospital, Cherry Hill, New Jersey, USA. c.bowen@kennedyhealth.org
Journal of Nursing Care Quality
|February 28, 2012
Summary
Routine screening for delirium in mechanically ventilated patients is crucial. Implementing the Confusion Assessment Method (CAM) requires addressing practice change barriers using Rogers
Area of Science:
- Critical care medicine
- Nursing practice
- Healthcare innovation
Background:
- Delirium screening in mechanically ventilated patients is essential but represents a practice change.
- Adopting new clinical protocols requires effective implementation strategies.
Purpose of the Study:
- To describe strategies for implementing the Confusion Assessment Method (CAM) for intensive care unit (ICU) delirium screening.
- To identify barriers to practice change and apply Rogers' Diffusion of Innovations Theory.
Main Methods:
- A case study approach was used.
- Barriers to implementing the CAM were identified.
- Strategies based on Rogers' innovation-decision process were developed.
Main Results:
- The study outlines a structured approach to overcome implementation challenges.
- Specific strategies tailored to the innovation-decision process were effective.
Conclusions:
- Rogers' Diffusion of Innovations Theory provides a framework for successful practice change.
- Systematic identification and mitigation of barriers are key to implementing delirium screening tools like the CAM.
Related Concept Videos
01:22Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:15Nursing Implementation
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:27Nursing Clinical Information System
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
01:17Assessment of Diffusion and Perfusion
Understanding and evaluating diffusion and perfusion is critical in assessing a patient's respiratory and circulatory health. These processes play key roles in maintaining the body's internal environment, ensuring that tissues receive adequate oxygen while waste products are efficiently removed.
The Role of Diffusion in Respiration
Diffusion is the process by which molecules move from an area of higher concentration to an area of lower concentration. In the respiratory system, this principle...
The Role of Diffusion in Respiration
Diffusion is the process by which molecules move from an area of higher concentration to an area of lower concentration. In the respiratory system, this principle...
01:28Acute Coronary Syndrome IV: Interprofessional Care
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions: