Critical care nurses' role in implementing the "ABCDE Bundle" into practice

Michele C. Balas, Eduard E. Vasilevskis, William J. Burke, Leanne Boehm, Brenda T. Pun, Keith M. Olsen, Gregory J. Peitz, Wesley Ely

Research output: Contribution to journalArticle

103 Citations (Scopus)

Abstract

Imagine working in an environment where all patients undergoing mechanical ventilation are alert, calm, and delirium free. Envision practicing in an environment where nonvocal patients can effectively express their need for better pain control, repositioning, or emotional reassurance. Picture an intensive care unit where a nurse-led, interprofessional team practices evidence-based, patient-centered care focused on preserving and/or restoring their clients' physical, functional, and neurocognitive abilities. A recently proposed bundle of practices for the intensive care unit could advance the current practice environment toward this idealized environment. The Awakening and Breathing Coordination, Delirium Monitoring and Management, and Early Mobility (ABCDE) bundle incorporates the best available evidence related to delirium, immobility, sedation/analgesia, and ventilator management in the intensive care unit for adoption into everyday clinical practice.

Original languageEnglish (US)
Pages (from-to)35-47
Number of pages13
JournalCritical Care Nurse
Volume32
Issue number2
DOIs
StatePublished - Apr 1 2012

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Nurse's Role
Critical Care
Delirium
Intensive Care Units
Patient-Centered Care
Aptitude
Evidence-Based Practice
Mechanical Ventilators
Artificial Respiration
Analgesia
Respiration
Nurses
Pain

ASJC Scopus subject areas

  • Critical Care

Cite this

Balas, M. C., Vasilevskis, E. E., Burke, W. J., Boehm, L., Pun, B. T., Olsen, K. M., ... Ely, W. (2012). Critical care nurses' role in implementing the "ABCDE Bundle" into practice. Critical Care Nurse, 32(2), 35-47. https://doi.org/10.4037/ccn2012229

Critical care nurses' role in implementing the "ABCDE Bundle" into practice. / Balas, Michele C.; Vasilevskis, Eduard E.; Burke, William J.; Boehm, Leanne; Pun, Brenda T.; Olsen, Keith M.; Peitz, Gregory J.; Ely, Wesley.

In: Critical Care Nurse, Vol. 32, No. 2, 01.04.2012, p. 35-47.

Research output: Contribution to journalArticle

Balas, MC, Vasilevskis, EE, Burke, WJ, Boehm, L, Pun, BT, Olsen, KM, Peitz, GJ & Ely, W 2012, 'Critical care nurses' role in implementing the "ABCDE Bundle" into practice', Critical Care Nurse, vol. 32, no. 2, pp. 35-47. https://doi.org/10.4037/ccn2012229
Balas MC, Vasilevskis EE, Burke WJ, Boehm L, Pun BT, Olsen KM et al. Critical care nurses' role in implementing the "ABCDE Bundle" into practice. Critical Care Nurse. 2012 Apr 1;32(2):35-47. https://doi.org/10.4037/ccn2012229
Balas, Michele C. ; Vasilevskis, Eduard E. ; Burke, William J. ; Boehm, Leanne ; Pun, Brenda T. ; Olsen, Keith M. ; Peitz, Gregory J. ; Ely, Wesley. / Critical care nurses' role in implementing the "ABCDE Bundle" into practice. In: Critical Care Nurse. 2012 ; Vol. 32, No. 2. pp. 35-47.
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