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INTERPROFESSIONAL SIMULATION-BASED TRAINING TO FACILITATE ABCDEF BUNDLE IMPLEMENTATION
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DOI：10.4037/ajcc2025955.png)
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Abstract
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Background The ABCDEF bundle improves outcomes of patients in the intensive care unit, but its adoption remains low worldwide due to multiple implementation barriers. Interprofessional simulation training may help facilitate ABCDEF bundle implementation. Objectives To evaluate the feasibility of an interprofessional simulation-based training to facilitate ABCDEF bundle implementation. Methods A 90-minute interprofessional training program was designed and implemented. Each simulation started with a deeply sedated patient receiving mechanical ventilation, and interprofessional learners assessed sedation and delirium, conducted spontaneous awakening trials, managed delirium and agitation using multicomponent nonpharmacologic interventions, and mobilized the patient out of bed. Feasibility of the training was evaluated by using a participant survey on simulation experiences and measuring participants' attitudes toward ABCDEF bundle implementation before and after training. Results Sixteen clinicians from different disciplines and with various years of intensive care unit experience participated. Most participants agreed that the simulation was realistic, relevant, important to practice, and stress provoking and would improve their clinical performance. After the training, participants reported increased comfort and willingness to perform spontaneous awakening trials, comfort in managing patients with delirium and agitation, and confidence in collaborating with other team members to mobilize patients receiving mechanical ventilation out of bed. Conclusions The interprofessional simulation training was feasible and well accepted and increased positive attitudes toward ABCDEF bundle implementation. (American Journal of Critical Care. 2025;34:463-468)
Keywords:
MECHANICALLY VENTILATED PATIENTS
EARLY EXERCISE/MOBILITY BUNDLE
BREATHING COORDINATION
DELIRIUM MONITORING/MANAGEMENT
PAIN
CHALLENGES
GUIDELINES
AGITATION
SEDATION
OUTCOMES
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