NagmEldean, T., Abd el aziz, M., Khalaf, G., Bakri, M. (2024). Effect of Implementation ICU Liberation Bundle on Critically Ill Patients Outcomes. Assiut Scientific Nursing Journal, 12(45), 255-268. doi: 10.21608/asnj.2024.297413.1843
Tahany Nagy NagmEldean; Mervat Anwar Abd el aziz; Ghada Shalaby Khalaf; Mohamed Hassan Bakri. "Effect of Implementation ICU Liberation Bundle on Critically Ill Patients Outcomes". Assiut Scientific Nursing Journal, 12, 45, 2024, 255-268. doi: 10.21608/asnj.2024.297413.1843
NagmEldean, T., Abd el aziz, M., Khalaf, G., Bakri, M. (2024). 'Effect of Implementation ICU Liberation Bundle on Critically Ill Patients Outcomes', Assiut Scientific Nursing Journal, 12(45), pp. 255-268. doi: 10.21608/asnj.2024.297413.1843
NagmEldean, T., Abd el aziz, M., Khalaf, G., Bakri, M. Effect of Implementation ICU Liberation Bundle on Critically Ill Patients Outcomes. Assiut Scientific Nursing Journal, 2024; 12(45): 255-268. doi: 10.21608/asnj.2024.297413.1843
Effect of Implementation ICU Liberation Bundle on Critically Ill Patients Outcomes
1Assistant Lecturer in Critical Care and Emergency Nursing, Faculty of Nursing, South Valley University, Egypt
2Professor of Critical Care and emergency Nursing, Faculty of Nursing, Assiut University, Egypt
3Assistant Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt
4Professor of Anesthesia and Intensive Care, Faculty of Medicine, Assiut University, Egypt
Abstract
Patients with intensive care unit require mechanical ventilation for a number of reasons. Although it has advantages, there could be a higher chance of serious consequences. Therefore, an evidence-based series of procedures referred to as the liberation bundle when taken together, will improve the prognosis for patients on mechanical ventilation. Aim of study: This study aimed to investigate effect of implementation ICU liberation bundle on critically Ill patients outcomes. Design: Quasi experimental research design was used to conduct this research. Setting: This study was carried out at intensive care unit at Asyut University Hospitals. Sample: 60 patients, divided equally into study and control groups30 patients for each. Tools included four tools Tool 1: Patient assessment sheet Tool 2: Assessing muscle strength sheet Tool 3: Family Engagement Assessment Sheet Tool 4: Patients outcomes assessment Sheet. Results: - Findings of the present study revealed that study group had lowered the mean pain score was 1.17±1.63compared to 5.40±1.43 for the control group. Also study group had a significantly shorter time of mechanical ventilation connection 1.63±0.96 days for study group and 8.58±3.82 for control group that resulting in shorter length of hospital stays for the study group 7.83±1.29 compared to control 17.10±4.46. Conclusion: Implementing liberation bundle is an effective approach in critically ill patients and it has lower intensive care stay duration, lower mortality rate and period on ventilator. Recommendation: Encouraging early mobilization, family involvement, and the implementation the liberation bundle for patients in intensive care units to enhance patient outcomes.
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