Implementation of care-based care-based care quality protocol
experience report
DOI:
https://doi.org/10.5935/1415-2762.20190089Keywords:
Critical Care, Protocols, Delirium, Patient Care Team, Patient SafetyAbstract
Objective: to describe the stages of the elaboration and implementation of a quality care protocol, based on the ABCDEF bundle, adapted to local needs, integrating it with the patient-centered view of care experienced by the multiprofessional group through the eyes of nurses. Method: this is an experience report of the elaboration and partial implementation of a care quality protocol, based on the PAD guidelines inserted in the Care Quality Program “ABCDEF”, which addresses the management of analgesia, sedation and delirium, encompassing discontinuation of mechanical ventilation, early
mobilization, sleep hygiene and humanization protocols since ICU admission. Results: the protocols of sedoanalgesia, discontinuation of mechanical ventilation and early mobilization were implemented so far. These underwent extensive discussion with the multidisciplinary care team prior to implementation. Conclusion: there are many factors that facilitate and hinder the implementation of ABCDEF bundle in our reality. The change proposal is well accepted by the group, but adherence is not constant.
Intense efforts with continuing education, meetings with multiprofessional staff and appreciation of work by managers seem to improve engagement.
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References
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Copyright (c) 2019 Reme: Revista Mineira de Enfermagem
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