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Pain, agitation, and delirium guidelines: nurses' involvement in development and implementation
Judy E Davidson1, Chris Winkelman2, Céline Gélinas2
1Judy E. Davidson is evidence-based practice and research liaison at UCSD Health System, San Diego, California.Chris Winkelman is an associate professor at Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.Céline Gélinas is an assistant professor at Ingram School of Nursing, McGill University and a nurse scientist at Jewish General Hospital, Montréal, Québec, Canada.Anna Dermenchyan is a clinical quality specialist at UCLA Health, Los Angeles, California. jdavidson@ucsd.edu.
Nurses played a key role in developing and implementing critical care guidelines for pain, agitation, and delirium management. Their involvement highlights diverse nursing roles in evidence-based practice within intensive care units.
Area of Science:
- Nursing
- Critical Care Medicine
- Evidence-Based Practice
Background:
- The 2013 clinical practice guidelines for managing pain, agitation, and delirium (PAD) in intensive care units (ICUs) exemplify nurse engagement in guideline development and implementation.
- Professional guidelines are crucial for standardizing patient care in critical settings.
Purpose of the Study:
- To describe the experiences of nurses involved in the development and implementation of the 2013 PAD guidelines.
- To explore the specific roles of various nursing professionals (leader, informaticist, staff nurse, researcher) in guideline implementation.
Main Methods:
- Qualitative exploration of nurse experiences on the guideline-writing panel.
- Case examples from the PAD guidelines used to illustrate nursing roles.
Main Results:
- Nurses actively contributed to guideline creation and dissemination.
- Demonstrated the impact of nurse leaders, informaticists, staff nurses, and researchers in translating guidelines into practice.
Conclusions:
- Nurse involvement is integral to the successful development and implementation of critical care guidelines.
- Highlighting specific nursing roles can enhance the effectiveness of guideline adoption in intensive care settings.
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