MARC details
| 000 -LEADER |
|---|
| fixed length control field |
03714nam a22004457a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
|---|
| fixed length control field |
210607s20212021 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
|---|
| International Standard Serial Number |
0279-5442 |
| 024 ## - OTHER STANDARD IDENTIFIER |
|---|
| Standard number or code |
10.4037/ccn2021551 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
|---|
| Standard number or code |
31409 [pii] |
| 040 ## - CATALOGING SOURCE |
|---|
| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
|---|
| PMID |
33791762 |
| 245 ## - TITLE STATEMENT |
|---|
| Title |
Cognitive Stimulation in an Intensive Care Unit: A Qualitative Evaluation of Barriers to and Facilitators of Implementation. |
| 251 ## - Source |
|---|
| Source |
Critical Care Nurse. 41(2):51-60, 2021 Apr 01. |
| 252 ## - Abbreviated Source |
|---|
| Abbreviated source |
Crit Care Nurse. 41(2):51-60, 2021 Apr 01. |
| 252 ## - Abbreviated Source |
|---|
| Former abbreviated source |
Crit Care Nurse. 41(2):51-60, 2021 Apr 01. |
| 253 ## - Journal Name |
|---|
| Journal name |
Critical care nurse |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
|---|
| Year |
2021 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
|---|
| Manufacturer |
FY2021 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
|---|
| Publication status |
ppublish |
| 266 ## - Date added to catalog |
|---|
| Date added to catalog |
2021-06-07 |
| 268 ## - Previous citation |
|---|
| -- |
Critical Care Nurse. 41(2):51-60, 2021 Apr 01. |
| 269 ## - Original dates |
|---|
| Original fiscal year |
FY2021 |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
BACKGROUND: Delirium in the intensive care unit is associated with poor patient outcomes. Recent studies support nonpharmacological therapy, including cognitive stimulation, to address delirium. Understanding barriers to cognitive stimulation implemented by nurses during clinical care is essential to translating evidence into practice. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
CONCLUSIONS: Implementation of cognitive stimulation requires a multidisciplinary approach to address perceived barriers arising from the organization, context, and individuals associated with the intervention, as well as the intervention itself. Copyright (c)2021 American Association of Critical-Care Nurses. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
METHODS: Data were collected through semistructured interviews with nurses in a medical intensive care unit. Data were categorized into themes by using thematic analysis and the Consolidated Framework for Implementation Research. During cognitive stimulation, nurses reviewed with patients a workbook of evidence-based tasks (focused on math, alertness, motor skills, visual perception, memory, problem-solving, and language). |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
OBJECTIVE: To use qualitative methods through a structured quality improvement project to understand nurses' perceived barriers to implementing a cognitive stimulation intervention in a medical intensive care unit. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
RESULTS: The 23 nurses identified 62 barriers to and 26 facilitators of cognitive stimulation. These data were summarized into 12 barrier and 9 facilitator themes corresponding to the following Consolidated Framework for Implementation Research domains: Intervention Characteristics, Outer Setting, Inner Setting, and Characteristics of Individuals. Nurses also identified several facilitators within the Process domain. Patient-specific variables, including sedation, were the most frequently reported barriers. Other barriers included cognitive stimulation not being prioritized, nursing staff-related issues, documentation burden, and a lack of understanding of, or appreciation for, the evidence supporting cognitive stimulation. |
| 546 ## - LANGUAGE NOTE |
|---|
| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
*Intensive Care Units |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
*Quality Improvement |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Cognition |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Humans |
| 656 ## - INDEX TERM--OCCUPATION |
|---|
| Department |
MedStar Health Baltimore Residents |
| 657 ## - INDEX TERM--FUNCTION |
|---|
| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
Aldabain, Louay |
| 790 ## - Authors |
|---|
| All authors |
Akhlaghi N, Albert K, Aldabain L, Glover M, Lavezza A, Mantheiy E, Needham DM, Parker AM, Velaetis M, Yost S |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
|---|
| DOI |
<a href="https://dx.doi.org/10.4037/ccn2021551">https://dx.doi.org/10.4037/ccn2021551</a> |
| Public note |
https://dx.doi.org/10.4037/ccn2021551 |
| -- |
https://dx.doi.org/10.4037/ccn2021551xl - https://dx.doi.org/10.4037/ccn2021551 |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
|---|
| DOI |
<a href="https://dx.doi.org/10.4037/ccn2021551xl - https://dx.doi.org/10.4037/ccn2021551">https://dx.doi.org/10.4037/ccn2021551xl - https://dx.doi.org/10.4037/ccn2021551</a> |
| Public note |
https://dx.doi.org/10.4037/ccn2021551 |
| -- |
https://dx.doi.org/10.4037/ccn2021551xl - https://dx.doi.org/10.4037/ccn2021551 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Journal Article |
| Item type description |
Article |
