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Author Leanne M Boehm

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Transitions of Care After Critical Illness-Challenges to Recovery and Adaptive Problem Solving.

Kimberley J Haines, Elizabeth Hibbert, Nina Leggett, Leanne M Boehm, Tarli Hall, Rita N Bakhru, Anthony J Bastin, Brad W Butcher, Tammy L Eaton, Wendy Harris, Aluko A Hope, James Jackson, Annie Johnson, Janet A Kloos, Karen A Korzick, Pamela Mactavish, Joel Meyer, Ashley Montgomery-Yates, Tara Quasim, Andrew Slack, Dorothy Wade, Mary Still, Giora Netzer, Ramona O Hopkins, Theodore J Iwashyna, Mark E Mikkelsen, Joanne McPeake, Carla M Sevin, ,

<h4>Objectives</h4>Investigate the challenges experienced by survivors of critical illness and their caregivers across the transitions of care from intensive care to community, and the potential problem-solving strategies used to navigate these challenges.<h4>Design</h4>Qualitative design-data generation via interviews and data analysis via the framework analysis method.<h4>Setting</h4>Patients and caregivers from three continents, identified ... Read more >>

Crit Care Med (Critical care medicine)
[2021, 49(11):1923-1931]

Cited: 0 times

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Assess, Prevent, and Manage Pain; Both Spontaneous Awakening and Breathing Trials; Choice of Analgesia/Sedation; Delirium: Assess, Prevent, and Manage; Early Mobility; Family Engagement and Empowerment Bundle Implementation: Quantifying the Association of Access to Bundle-Enhancing Supplies and Equipment.

Alvin D Jeffery, Jennifer A Werthman, Valerie Danesh, Mary S Dietrich, Lorraine C Mion, Leanne M Boehm,

Describe the physical environment factors (i.e., availability, accessibility) of bundle-enhancing items and the association of physical environment with bundle adherence.<h4>Design</h4>This multicenter, exploratory, cross-sectional study used data from two ICU-based randomized controlled trials that measured daily bundle adherence. Unit- and patient-level data collection occurred between 2011 and 2016. We developed hierarchical ... Read more >>

Crit Care Explor (Critical care explorations)
[2021, 3(9):e0525]

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Delirium-related distress in the ICU: A qualitative meta-synthesis of patient and family perspectives and experiences.

Leanne M Boehm, Abigail C Jones, Abeer A Selim, Claudia Virdun, Cornelia F Garrard, Rachel L Walden, E Wesley Ely, Annmarie Hosie,

<h4>Background</h4>Better understanding of patient and family member experiences of delirium and related distress during critical care is required to inform the development of targeted nonpharmacologic interventions.<h4>Objective</h4>To examine and synthesize qualitative data on patient and family member delirium experiences and relieving factors in the Intensive Care Unit (ICU).<h4>Design</h4>We conducted a systematic ... Read more >>

Int J Nurs Stud (International journal of nursing studies)
[2021, 122:104030]

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Optimizing Critical Illness Recovery: Perspectives and Solutions From the Caregivers of ICU Survivors.

Carla M Sevin, Leanne M Boehm, Elizabeth Hibbert, Anthony J Bastin, James C Jackson, Joel Meyer, Tara Quasim, Rita N Bakhru, Ashley Montgomery-Yates, Andrew Slack, Mary Still, Giora Netzer, Mark E Mikkelsen, Theodore J Iwashyna, Kimberley J Haines, Joanne McPeake,

<h4>Objectives</h4>To understand the unmet needs of caregivers of ICU survivors, how they accessed support post ICU, and the key components of beneficial ICU recovery support systems as identified from a caregiver perspective.<h4>Design</h4>International, qualitative study.<h4>Subjects</h4>We conducted 20 semistructured interviews with a diverse group of caregivers in the United States, the United ... Read more >>

Crit Care Explor (Critical care explorations)
[2021, 3(5):e0420]

Cited: 1 time

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Implementation of an Intensive Care Unit Diary Program at a Veterans Affairs Hospital.

Kelly Drumright, Abigail C Jones, Ralph Gervasio, Christopher Hill, Margaret Russell, Leanne M Boehm,

<h4>Background</h4>Intensive care unit (ICU) diaries are recommended to address psychological sequelae following critical illness. Diaries are correlated with reduced prevalence of posttraumatic stress disorder in survivors of critical illness and their families.<h4>Local problem</h4>Our ICU was not adequately meeting the psychological needs of patients and families.<h4>Methods</h4>We established an interprofessional team to ... Read more >>

J Nurs Care Qual (Journal of nursing care quality)
[2021, 36(2):155-161]

Cited: 1 time

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Benefits of Peer Support for Intensive Care Unit Survivors: Sharing Experiences, Care Debriefing, and Altruism.

Joanne McPeake, Theodore J Iwashyna, Leanne M Boehm, Elizabeth Hibbert, Rita N Bakhru, Anthony J Bastin, Brad W Butcher, Tammy L Eaton, Wendy Harris, Aluko A Hope, James Jackson, Annie Johnson, Janet A Kloos, Karen A Korzick, Joel Meyer, Ashley Montgomery-Yates, Mark E Mikkelsen, Andrew Slack, Dorothy Wade, Mary Still, Giora Netzer, Ramona O Hopkins, Tara Quasim, Carla M Sevin, Kimberley J Haines,

<h4>Background</h4>After critical illness, patients are often left with impairments in physical, social, emotional, and cognitive functioning. Peer support interventions have been implemented internationally to ameliorate these issues.<h4>Objective</h4>To explore what patients believed to be the key mechanisms of effectiveness of peer support programs implemented during critical care recovery.<h4>Methods</h4>In a secondary analysis ... Read more >>

Am J Crit Care (American journal of critical care : an official publication, American Association of Critical-Care Nurses)
[2021, 30(2):145-149]

Cited: 2 times

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Establishing a Peer Support Program for Survivors of COVID-19: A Report From the Critical and Acute Illness Recovery Organization.

Aluko A Hope, Andrea Annie Johnson, Joanne McPeake, Hali Felt, Carla M Sevin, Mark E Mikkelsen, Theodore J Iwashyna, Caroline Lassen-Greene, Kimberley J Haines, Sachin Agarwal, Rita N Bakhru, Leanne M Boehm, Brad W Butcher, Kelly Drumright, Tammy L Eaton, Elizabeth Hibbert, Karen Sara Hoehn, David Hornstein, Heather Imperato-Shedden, James C Jackson, Janet A Kloos, Anna Lewis, Joel Meyer, Ashley Montgomery-Yates, Veronica Rojas, Christa Schorr, Dorothy Wade, Cydni Williams,

Am J Crit Care (American journal of critical care : an official publication, American Association of Critical-Care Nurses)
[2021, :e1-e5]

Cited: 0 times

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An International Study Exploring the Experience of Survivors of Critical Illness as Volunteers Within ICU Recovery Services.

Carly Robinson, Elizabeth Hibbert, Anthony J Bastin, Joel Meyer, Ashley Montgomery-Yates, Tara Quasim, Andrew Slack, Mark E Mikkelsen, Theodore J Iwashyna, Kimberley J Haines, Carla M Sevin, Joanne McPeake, Leanne M Boehm,

Many clinicians have implemented follow-up and aftercare to support patients following ICU. Some of this care is supported and facilitated by peer volunteers. There is limited contemporary work that has explicitly explored volunteer roles within ICU recovery services or the experience of volunteers undertaking these roles. We sought to explore ... Read more >>

Crit Care Explor (Critical care explorations)
[2020, 2(11):e0273]

Cited: 0 times

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A multisite study of multidisciplinary ICU team member beliefs toward early mobility.

Leanne M Boehm, Jana Lauderdale, Amy N Garrett, Susan E Piras,

<h4>Background</h4>Early mobility is underutilized in critical care.<h4>Objective</h4>Describe multidisciplinary intensive care unit (ICU) providers beliefs about the conduct of early mobility during critical illness.<h4>Methods</h4>A 7-item elicitation survey was administered to a multidisciplinary sample of ICU team members. We conducted independent thematic analysis of n = 95 surveys.<h4>Results</h4>Analysis resulted in three themes: immediate risk ... Read more >>

Heart Lung (Heart & lung : the journal of critical care)
[2021, 50(1):214-219]

Cited: 0 times

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Institutional Challenges and Solutions to Evidence-Based, Patient-Centered Practice: Implementing ICU Diaries.

Julie Rogan, Megan Zielke, Kelly Drumright, Leanne M Boehm,

<h4>Background</h4>Although diaries are an evidence-based practice that improves the quality of life of patients in an intensive care unit and their loved ones, centers in the United States are struggling to successfully implement diary programs in intensive care units. Currently, few published recommendations address how to facilitate implementation of a ... Read more >>

Crit Care Nurse (Critical care nurse)
[2020, 40(5):47-56]

Cited: 0 times

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Early Identification of Delirium in Intensive Care Unit Patients: Improving the Quality of Care.

Jessica Spiegelberg, Huaxin Song, Brenda Pun, Paula Webb, Leanne M Boehm,

<h4>Background</h4>Delirium has long-term consequences for intensive care unit patients. The project site, an urban academic hospital, did not previously use a validated delirium screening tool, and patients commonly received sedative medications to treat agitation.<h4>Objective</h4>To minimize the risk of delirium by implementing the Confusion Assessment Method for the Intensive Care Unit ... Read more >>

Crit Care Nurse (Critical care nurse)
[2020, 40(2):33-43]

Cited: 0 times

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Implementation of a Patient and Family-Centered Intensive Care Unit Peer Support Program at a Veterans Affairs Hospital.

Leanne M Boehm, Kelly Drumright, Ralph Gervasio, Christopher Hill, Nancy Reed,

Peer support is a novel strategy to mitigate postintensive care syndrome and postintensive care syndrome-family. This project implemented a peer support program to address postintensive care syndrome for patients and family members. Using a free-flow, unstructured format, a chaplain, social worker, nurse, and intensive care unit survivor led veterans and ... Read more >>

Crit Care Nurs Clin North Am (Critical care nursing clinics of North America)
[2020, 32(2):203-210]

Cited: 0 times

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A multisite study of nurse-reported perceptions and practice of ABCDEF bundle components.

Leanne M Boehm, Brenda T Pun, Joanna L Stollings, Timothy D Girard, Peter Rock, Catherine L Hough, S Jean Hsieh, Babar A Khan, Robert L Owens, Gregory A Schmidt, Susan Smith, E Wesley Ely,

<h4>Objectives</h4>ABCDEF bundle implementation in the Intensive Care Unit (ICU) is associated with dose dependent improvements in patient outcomes. The objective was to compare nurse attitudes about the ABCDEF bundle to self-reported adherence to bundle components.<h4>Research methodology/design</h4>Cross-sectional study.<h4>Setting</h4>Nurses providing direct patient care in 28 ICUs within 18 hospitals across the United ... Read more >>

Intensive Crit Care Nurs (Intensive & critical care nursing)
[2020, 60:102872]

Cited: 1 time

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Key Components of ICU Recovery Programs: What Did Patients Report Provided Benefit?

Joanne McPeake, Leanne M Boehm, Elizabeth Hibbert, Rita N Bakhru, Anthony J Bastin, Brad W Butcher, Tammy L Eaton, Wendy Harris, Aluko A Hope, James Jackson, Annie Johnson, Janet A Kloos, Karen A Korzick, Pamela MacTavish, Joel Meyer, Ashley Montgomery-Yates, Tara Quasim, Andrew Slack, Dorothy Wade, Mary Still, Giora Netzer, Ramona O Hopkins, Mark E Mikkelsen, Theodore J Iwashyna, Kimberley J Haines, Carla M Sevin,

To understand from the perspective of patients who did, and did not attend ICU recovery programs, what were the most important components of successful programs and how should they be organized. Design:International, qualitative study. Setting:Fourteen hospitals in the United States, United Kingdom, and Australia. Patients:We conducted 66 semi-structured interviews with ... Read more >>

Crit Care Explor (Critical care explorations)
[2020, 2(4):e0088]

Cited: 7 times

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Caring for Survivors of Critical Illness: Current Practices and the Role of the Nurse in Intensive Care Unit Aftercare.

Tammy L Eaton, Joanne McPeake, Julie Rogan, Annie Johnson, Leanne M Boehm,

Am J Crit Care (American journal of critical care : an official publication, American Association of Critical-Care Nurses)
[2019, 28(6):481-485]

Cited: 1 time

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Implementation Science Training and Resources for Nurses and Nurse Scientists.

Leanne M Boehm, Deonni P Stolldorf, Alvin D Jeffery,

<h4>Purpose</h4>The purpose of this article is to describe the differences between quality improvement and implementation science, the urgency for nurses and nurse scientists to engage in implementation science, and international educational opportunities and resources for implementation science.<h4>Organizing construct</h4>There is a push for providing safe, effective, patient-centered, timely, efficient, and equitable ... Read more >>

J Nurs Scholarsh (Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing)
[2020, 52(1):47-54]

Cited: 2 times

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Enablers and Barriers to Implementing ICU Follow-Up Clinics and Peer Support Groups Following Critical Illness: The Thrive Collaboratives.

Kimberley J Haines, Joanne McPeake, Elizabeth Hibbert, Leanne M Boehm, Krishna Aparanji, Rita N Bakhru, Anthony J Bastin, Sarah J Beesley, Lynne Beveridge, Brad W Butcher, Kelly Drumright, Tammy L Eaton, Thomas Farley, Penelope Firshman, Andrew Fritschle, Clare Holdsworth, Aluko A Hope, Annie Johnson, Michael T Kenes, Babar A Khan, Janet A Kloos, Erin K Kross, Pamela Mactavish, Joel Meyer, Ashley Montgomery-Yates, Tara Quasim, Howard L Saft, Andrew Slack, Joanna Stollings, Gerald Weinhouse, Jessica Whitten, Giora Netzer, Ramona O Hopkins, Mark E Mikkelsen, Theodore J Iwashyna, Carla M Sevin,

<h4>Objectives</h4>Data are lacking regarding implementation of novel strategies such as follow-up clinics and peer support groups, to reduce the burden of postintensive care syndrome. We sought to discover enablers that helped hospital-based clinicians establish post-ICU clinics and peer support programs, and identify barriers that challenged them.<h4>Design</h4>Qualitative inquiry. The Consolidated Framework ... Read more >>

Crit Care Med (Critical care medicine)
[2019, 47(9):1194-1200]

Cited: 12 times

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Key mechanisms by which post-ICU activities can improve in-ICU care: results of the international THRIVE collaboratives.

Kimberley J Haines, Carla M Sevin, Elizabeth Hibbert, Leanne M Boehm, Krishna Aparanji, Rita N Bakhru, Anthony J Bastin, Sarah J Beesley, Brad W Butcher, Kelly Drumright, Tammy L Eaton, Thomas Farley, Penelope Firshman, Andrew Fritschle, Clare Holdsworth, Aluko A Hope, Annie Johnson, Michael T Kenes, Babar A Khan, Janet A Kloos, Erin K Kross, Belinda J MacLeod-Smith, Pamela Mactavish, Joel Meyer, Ashley Montgomery-Yates, Tara Quasim, Howard L Saft, Andrew Slack, Joanna Stollings, Gerald Weinhouse, Jessica Whitten, Giora Netzer, Ramona O Hopkins, Mark E Mikkelsen, Theodore J Iwashyna, Joanne McPeake,

<h4>Objective</h4>To identify the key mechanisms that clinicians perceive improve care in the intensive care unit (ICU), as a result of their involvement in post-ICU programs.<h4>Methods</h4>Qualitative inquiry via focus groups and interviews with members of the Society of Critical Care Medicine's THRIVE collaborative sites (follow-up clinics and peer support). Framework analysis ... Read more >>

Intensive Care Med (Intensive care medicine)
[2019, 45(7):939-947]

Cited: 12 times

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Models of Peer Support to Remediate Post-Intensive Care Syndrome: A Report Developed by the Society of Critical Care Medicine Thrive International Peer Support Collaborative.

Joanne McPeake, Eliotte L Hirshberg, Leeann M Christie, Kelly Drumright, Kimberley Haines, Catherine L Hough, Joel Meyer, Dorothy Wade, Adair Andrews, Rita Bakhru, Samantha Bates, John A Barwise, Julie Bastarache, Sarah J Beesley, Leanne M Boehm, Sheryl Brown, Alison S Clay, Penelope Firshman, Steven Greenberg, Wendy Harris, Christopher Hill, Carol Hodgson, Clare Holdsworth, Aluko A Hope, Ramona O Hopkins, David C J Howell, Anna Janssen, James C Jackson, Annie Johnson, Erin K Kross, Daniela Lamas, Belinda MacLeod-Smith, Ruth Mandel, John Marshall, Mark E Mikkelsen, Megan Nackino, Tara Quasim, Carla M Sevin, Andrew Slack, Rachel Spurr, Mary Still, Carol Thompson, Gerald Weinhouse, M Elizabeth Wilcox, Theodore J Iwashyna,

<h4>Objectives</h4>Patients and caregivers can experience a range of physical, psychologic, and cognitive problems following critical care discharge. The use of peer support has been proposed as an innovative support mechanism.<h4>Design</h4>We sought to identify technical, safety, and procedural aspects of existing operational models of peer support, among the Society of Critical ... Read more >>

Crit Care Med (Critical care medicine)
[2019, 47(1):e21-e27]

Cited: 15 times

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Haloperidol and Ziprasidone for Treatment of Delirium in Critical Illness.

Timothy D Girard, Matthew C Exline, Shannon S Carson, Catherine L Hough, Peter Rock, Michelle N Gong, Ivor S Douglas, Atul Malhotra, Robert L Owens, Daniel J Feinstein, Babar Khan, Margaret A Pisani, Robert C Hyzy, Gregory A Schmidt, William D Schweickert, R Duncan Hite, David L Bowton, Andrew L Masica, Jennifer L Thompson, Rameela Chandrasekhar, Brenda T Pun, Cayce Strength, Leanne M Boehm, James C Jackson, Pratik P Pandharipande, Nathan E Brummel, Christopher G Hughes, Mayur B Patel, Joanna L Stollings, Gordon R Bernard, Robert S Dittus, E Wesley Ely, ,

<h4>Background</h4>There are conflicting data on the effects of antipsychotic medications on delirium in patients in the intensive care unit (ICU).<h4>Methods</h4>In a randomized, double-blind, placebo-controlled trial, we assigned patients with acute respiratory failure or shock and hypoactive or hyperactive delirium to receive intravenous boluses of haloperidol (maximum dose, 20 mg daily), ... Read more >>

N Engl J Med (The New England journal of medicine)
[2018, 379(26):2506-2516]

Cited: 76 times

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Clinical phenotypes of delirium during critical illness and severity of subsequent long-term cognitive impairment: a prospective cohort study.

Timothy D Girard, Jennifer L Thompson, Pratik P Pandharipande, Nathan E Brummel, James C Jackson, Mayur B Patel, Christopher G Hughes, Rameela Chandrasekhar, Brenda T Pun, Leanne M Boehm, Mark R Elstad, Richard B Goodman, Gordon R Bernard, Robert S Dittus, E W Ely,

<h4>Background</h4>Delirium during critical illness results from numerous insults, which might be interconnected and yet individually contribute to long-term cognitive impairment. We sought to describe the prevalence and duration of clinical phenotypes of delirium (ie, phenotypes defined by clinical risk factors) and to understand associations between these clinical phenotypes and severity ... Read more >>

Lancet Respir Med (The Lancet. Respiratory medicine)
[2018, 6(3):213-222]

Cited: 75 times

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Subsyndromal Delirium and Institutionalization Among Patients With Critical Illness.

Nathan E Brummel, Leanne M Boehm, Timothy D Girard, Pratik P Pandharipande, James C Jackson, Christopher G Hughes, Mayur B Patel, Jin H Han, Eduard E Vasilevskis, Jennifer L Thompson, Rameela Chandrasekhar, Gordon R Bernard, Robert S Dittus, E Wesley Ely,

<h4>Background</h4>The prognostic importance of subsyndromal delirium is unknown.<h4>Objective</h4>To test whether duration of subsyndromal delirium is independently associated with institutionalization.<h4>Methods</h4>The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) was used twice daily to assess for subsyndromal delirium in patients with respiratory failure or shock. Delirium was considered present if the ... Read more >>

Am J Crit Care (American journal of critical care : an official publication, American Association of Critical-Care Nurses)
[2017, 26(6):447-455]

Cited: 9 times

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Perceptions of Workload Burden and Adherence to ABCDE Bundle Among Intensive Care Providers.

Leanne M Boehm, Mary S Dietrich, Eduard E Vasilevskis, Nancy Wells, Pratik Pandharipande, E Wesley Ely, Lorraine C Mion,

<h4>Background</h4>Use of the interprofessional Awakening and Breathing Coordination, Delirium Monitoring and Management, and Early Mobility (ABCDE) bundle is recommended practice in intensive care, but its adoption remains limited.<h4>Objective</h4>To examine the relationship between intensive care unit provider attitudes regarding the ABCDE bundle and ABCDE bundle adherence.<h4>Methods</h4>A 1-time survey of 268 care ... Read more >>

Am J Crit Care (American journal of critical care : an official publication, American Association of Critical-Care Nurses)
[2017, 26(4):e38-e47]

Cited: 12 times

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Organizational Domains and Variation in Attitudes of Intensive Care Providers Toward the ABCDE Bundle.

Leanne M Boehm, Eduard E Vasilevskis, Mary S Dietrich, Nancy Wells, E Wesley Ely, Pratik Pandharipande, Lorraine C Mion,

<h4>Background</h4>The ABCDE interprofessional bundle (Awakening and Breathing Coordination, Delirium monitoring and management, and Early mobility) reduces delirium and weakness in critically ill patients.<h4>Objective</h4>To understand the relationship between organizational domains and provider attitudes.<h4>Methods</h4>A 1-time electronic survey of 315 care providers in 10 intensive care units across the country to examine associations ... Read more >>

Am J Crit Care (American journal of critical care : an official publication, American Association of Critical-Care Nurses)
[2017, 26(3):e18-e28]

Cited: 10 times

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Interprofessional Perspectives on ABCDE Bundle Implementation: A Focus Group Study.

Leanne M Boehm, Eduard E Vasilevskis, Lorraine C Mion,

<h4>Background</h4>The ABCDE bundle is a multifaceted, interprofessional intervention that is associated with reduced ventilator and delirium days as well as increased likelihood of mobility in intensive care.<h4>Objectives</h4>The aim of this study is to describe organizational domains that contribute to variation in ABCDE bundle implementation as reported by intensive care unit ... Read more >>

Dimens Crit Care Nurs (Dimensions of critical care nursing : DCCN)
[2016, 35(6):339-347]

Cited: 7 times

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