An advanced practice provider initiative for delirium management in the ICU Journal Article


Authors: Rebal, S.; Shirzadi, C.; Agatep, J.; Matsoukas, K.; Tan, K. S.; Seier, K.; Alici, Y.; Korc-Grodzicki, B.; Voigt, L.
Article Title: An advanced practice provider initiative for delirium management in the ICU
Abstract: Delirium is the most common neuropsychiatric challenge in cancer patients, particularly in the critically ill population. Without a screening method and constant vigilance by providers, delirium is often misdiagnosed. The purpose of our pilot study was to determine if an educational program targeting critical care medicine advanced practice providers (APPs) and fellows in an oncologic intensive care unit would increase APP knowledge of delirium and their level of comfort with delirium screening and management. Thirty-one APPs and fellows participated in the program. Scores on knowledge-based delirium assessments increased significantly after the intervention and at the 3-month follow-up (p < .0001 and p < .0225, respectively). Providers' comfort with delirium screening and management also improved after the intervention (p = .0020 and p < .0001, respectively) and decreased slightly at the 3-month follow-up (p = .1764 and p = .9840, respectively). A brief and focused APP-led educational initiative successfully improved knowledge of delirium and comfort with screening and management.
Keywords: intensive care units; psycho-oncology; critical care; health education; pilot studies; health screening; health knowledge; delirium -- diagnosis; delirium -- therapy; oncologic care; critically ill patients; human; interns and residents; allied health professions -- psychosocial factors
Journal Title: Journal of the Advanced Practitioner in Oncology
Volume: 11
Issue: 2
ISSN: 2150-0878
Publisher: Harborside Press  
Date Published: 2020-03-01
Start Page: 150
End Page: 156
Language: English
ACCESSION: 142620079
DOI: 10.6004/jadpro.2020.11.2.3
PROVIDER: EBSCOhost
PROVIDER: cinahl
DOI/URL:
Notes: Article --Source: Cinahl
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MSK Authors
  1. Yesne Alici
    53 Alici
  2. Louis Pierre-Paul Voigt
    54 Voigt
  3. Sarah Rebal
    3 Rebal
  4. Kay See   Tan
    110 Tan
  5. Kenneth Seier
    38 Seier
  6. Jennifer Agatep
    2 Agatep