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    A new protocol led by Nurse Practitioners (NPs) successfully prevented new-onset delirium in a skilled nursing facility (SNF). This quality improvement project highlights the crucial role of NPs in geriatric care and delirium prevention.

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    Area of Science:

    • Geriatric Medicine
    • Quality Improvement Science
    • Nursing Practice

    Background:

    • Older adults in post-acute care are often frail with multiple comorbidities, increasing their vulnerability to delirium.
    • Delirium in this population can lead to adverse outcomes, including longer hospital stays and increased mortality.
    • Effective prevention strategies are crucial for improving patient safety and care quality in skilled nursing facilities.

    Purpose of the Study:

    • To develop, implement, and evaluate an evidence-based delirium prevention protocol.
    • To assess the impact of the protocol on the incidence of new-onset delirium in a skilled nursing facility.
    • To explore the role of Nurse Practitioners (NPs) in leading delirium prevention initiatives.

    Main Methods:

    • A quality improvement project was conducted in a skilled nursing facility (SNF).
    • An NP-led, evidence-based delirium prevention protocol was implemented.
    • The incidence of new-onset delirium was measured before and after protocol implementation.

    Main Results:

    • Following the implementation of the NP-led protocol, no patients were diagnosed with new-onset delirium.
    • Nurses and certified nursing assistants reported positive changes in their practice related to delirium prevention.
    • The study demonstrated the feasibility and effectiveness of an NP-led intervention.

    Conclusions:

    • An NP-led, evidence-based delirium prevention protocol can effectively eliminate new-onset delirium in SNF patients.
    • NPs are well-positioned to lead skilled nursing facilities in implementing and sustaining delirium prevention programs.
    • This model of care has significant implications for improving geriatric patient outcomes and reducing healthcare costs.