Date of Award
Summer 8-20-2023
Degree Type
Dissertation
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Abstract
Background: Existing research focused on A2F Care Bundle efficacy to optimize patient care and improve patient outcomes among ICU patients. Perceived workflow evaluation has been validated for healthcare task analysis endorsed by the Agency for Healthcare Research and Quality. A needs assessment was identified to evaluate nursing challenges with the A2F Care Bundle interventions, inform allocation where support and resources may be necessary when providing patient care for isolated patients with COVID-19 delirium.
Purpose: The purpose of this study was to evaluate the perceived workload of ICU nurses when implementing the A2F Care Bundle among isolated COVID-19 patients with delirium.
Method: This quality improvement initiative utilized a descriptive cross-sectional online survey, assessing perceived workload and its components’ impact upon ICU nurses with specific demographic factors when implementing six A2F Care Bundle interventions.
Results: Although no statistical significance was found in perceived workload between shift types nor between ranges in years of experience, there was low to moderate statistical evidence between interventions with specific workload components. Early mobility produced the highest perceived workload especially among day shift nurses with physical demand being most contributory. Night shift nurses yielded a high perceived workload from choice of sedation most influenced by effort. Spontaneous awakening and breathing trials were most affected by effort but yielded an overall low perceived workload. Among nurses with the lowest range of experience, family engagement yielded the second highest perceived workload with the highest mental demand, however scores both declined in higher ranges of experience. While pain management yielded the lowest perceived workload, temporal demand was high. Delirium management attributed frustration and effort towards high perceived workload levels.
Conclusion: Unit-specific interpretations of any deficient perceived workload scores may be associated with possible clinical implications in A2F Care Bundle nursing practice and strategies to mitigate its delivery.
Recommended Citation
Calimlim, Ranier, "Isolated & Impulsive: A Quality Improvement Pilot Survey of the Perceived ICU Nurse Workload Implementing the A2F Care Bundle for Isolated COVID-19 Patients with Delirium." (2023). College of Science and Health Theses and Dissertations. 605.
https://via.library.depaul.edu/csh_etd/605
SLP Collection
yes