Implementing a Nurse-Driven Delirium Prevention Bundle in the Intensive Care Unit

Delirium is a common complication among the critically ill and can be influenced by modifiable factors. This evidence-based practice project proposes implementing a standardized, nurse-driven delirium prevention bundle for adult intensive care unit patients. Drawing on three randomized clinical trials, the proposed bundle incorporates delirium screening, reorientation, sleep promotion, sensory support, early mobility, family involvement, and interdisciplinary collaboration to improve consistency in nursing care and reduce delirium risk. The Iowa Model of Evidence-Based Practice provides a good framework for translating current evidence into practice, while the Plan-Do-Study-Act cycles guide pilot implementation, evaluation, and ongoing improvement. The proposed bundle provides a structured approach to integrating evidence-based, nonpharmacological delirium-prevention strategies into routine ICU nursing care.