By
Richard Parks
Texas Tech University Health Sciences Center
Submit to
Jennifer Collins
In partial fulfillment of the requirements for NURS 5391
December 9, 2012
Table of Contents
Abstract 2
Chapter 1: Introduction to the Study 2
Introduction 2 Purpose 3 Background and Significance to Nursing 3 Statement of the Problem 3 Research Question/Hypothesis 4 Conceptual Framework 4 Definitions 5 Assumptions 6 Limitations 6 Summary 7
Chapter 2: Review of the Literature 7
Introduction 7 Relevant Literature for each Study Variable 7 Relevant Literature for Selected Framework 8 Synthesis of Findings 9 Gaps Identified 9 Summary 9
Chapter 3: Methods 10
Introduction 10 Design 10 Population & Sample 11 Data Collection Procedures 11 Instruments 12 Control Methods 12 Statistical Analysis/Coding Procedures 12 Protection of Human Subjects 12 Summary 14
References 16
Abstract
Purpose: The purpose of this study is to determine if the Nursing Instrument for the Communication of Sedation (NICS) yield more accurate or appropriate sedation assessment than individual nursing judgment in an effort to build support for its use as a sedation assessment tool among adults in general medical ICU’s that are mechanically ventilated. Accuracy of the NICS on Sedation Assessment Design: Quasi experimental Setting: Level II Trauma center Population: Adult general Medical ICU patients Methods/Measurements: Spearman’s Rho (rs)
Chapter 1: Introduction to the Study
Introduction
Many times patients in general medical intensive care units (ICU) need mechanical ventilation support. The 2002 clinical practice guidelines of the Society of Critical Care Medicine (SCCM) for the sustained use of analgesics and sedatives are geared toward the preservation of optimal comfort for critically ill patients by concentrating on pain and
References: Mirski, M. A., Ledroux, S. N., Lewin III, J. J., Thompson, C. B., Mirski, K. T., & G. M. (2010). Validity and reliability of an intuitive conscious sedation scoring tool: The nursing instrument for the communication of sedation. Critical Care Medicine, 38(8), 1674-1684. Polit, D. F., & Beck, C. T. (2012). Nursing Research: generatiing and ssessing evicence for nursing practice. Philadelphia: Wolters Luwer Health|Lippincott Williams & Wilkins. Pun, B., Gordon, S., Peterson, J., & al, e. (2005). Large-scale implementation of sedation and delirium monitoring in the intensive care unit: A report from two medical centers. CRITICAL CARE MEDICINE, 33(6), 1199-1205. Weinert, C. R., & Calvin, A. D. (2006). Epidemiology of sedation and sedation adequacy for mechanically ventilated patients in a medical and surgical intensive care unit. CRITICAL CARE MEDICINE, 35(2), 393-401.