Sedation and Analgesia Bundled Strategies Among ICU Nurses

NCT07132450 | Not Yet Recruiting

• 1 other identifier: ZWQ21886-2025-427
• Study Type: observational
• Target: 228
• Locations: 0 countries
• Sites: N/A

Brief Summary

This is a prospective observational study to investigate the current clinical practice status of sedation and analgesia bundled strategies among ICU nurses

Conditions

Sedation and Analgesia; Delirium; Family Invlovement/Empowerment; Early Mobilization

Outcome Measures

Primary Outcomes (6)

• Scale of management of pain

  A self-designed scale is used to evaluate the nurses clinical practice of the assessment, prevention and management of pain.The counting data is represented by frequency and percentiles. Items include:Use any scale to assess the patient's pain，Scale Commonly used for pain assessment，Administer analgesia to the patient in advance before nursing operations (such as venipuncture, exercise, etc.)，Work in accordance with the standardized procedures for pain management in the ICU.

  Day 1

• Scale of both spontaneous awakening tests(SATs) and spontaneous breathing tests(SBTs)

  A self-designed scale is used to evaluate the nurses clinical practice of the SATs and SBTs experiment.The counting data is represented by frequency and percentiles. Project include:Frequency of the SATs conducted every day、Perform SBTs for mechanically ventilated patients every day、Work in accordance with the standardized procedures of "Awakening and Breathing" in the ICU、Role in SATs/SBTs.

  Day 1

• Scale of choice of sedation and analgesia

  A self-designed scale is used to evaluate the clinical practice of nurses choice of sedation and analgesia. The counting data is represented by frequency and percentiles.Projects include:Scales commonly used to evaluate the sedation status、Work in accordance with the standardized procedures for sedation management in the ICU、Maintain the minimum sedation limit for the patient or no sedation strategy、Advise intensivists to reduce the use of benzodiazepines.

  Day 1

• Scale of delirium: assessment, prevention and management

  A self-designed scale is used to evaluate the clinical practice of nurses in the assessment, prevention, and management of patients' delirium. The counting data is represented by frequency and percentiles.Projects include：Monitor delirium for ICU patients regularly、Scales commomly used to assess delirium、Role in delirium assessment、Pay attention to the underlying causes of delirium in patients、Examinations often being paid attention to understand the causes of delirium in patients、Measures are often taken to prevent delirium、Provide earplugs to patients for use、Non-pharmacological interventions to promote patient sleep、Advise intensivists to use drugs to promote sleep、Work in accordance with the standardized procedures for delirium management in the ICU、Provide cognitive stimulation to ICU patients

  Day 1

• Scale of early mobility and exercise

  A self-designed scale is used to evaluate the clinical practice of nurses in the e early mobility and exercise. The counting data is represented by frequency and percentiles.Projects include：Evaluate the patient's ICU-AW、Common assessment tools used for ICU-AW、Implement early activities for ICU patients、ICU activity scales used for goal-directed early activity (e.g., SOMS, PFIT, CPAx, FSS-ICU)、Types of exercises offered for ICU patients、AS a member of the ICU rehabilitation team.

  Day 1

• Scale of family involvement and empowerment

  A self-designed scale is used to evaluate the clinical practice of nurses in the patients' family involvement and empowerment. The counting data is represented by frequency and percentiles.Projects include：Explain delirium to family members、Enhance the delirium knowledge of family members through brochures or educational materials、Involve family members in delirium management、Strategies commonly used for family participation and empowerment.

  Day 1

Secondary Outcomes (1)

• Scale of barriers in the current practice of bundled strategies in ICU nurses

  Day 1

Study Arms (1)

ICU nurses

ICU nurses work form 28 provinces and cities in China. The inclusion criteria entailed: (1) possessing a valid nurse professional qualification certificate, and (2) having worked in an ICU for a minimum of one year. Conversely, the exclusion criteria stipulated: (1) nurses who were not working in the ICU during the study period, and (2) those in rotation or undergoing advanced training.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

ICU nurses work from 28 provinces and cities in China

You may qualify if:

• possessing a valid nurse professional qualification certificate,
• having worked in an ICU for a minimum of one year.

You may not qualify if:

• nurses who were not working in the ICU during the study period
• those in rotation or undergoing advanced training. All subjects must sign the online informed consent form before filling out the questionnaire.

Sponsors & Collaborators

• Ruijin Hospital: lead

MeSH Terms

Conditions

Agnosia; Delirium; Empowerment

Condition Hierarchy (Ancestors)

Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Confusion; Neurocognitive Disorders; Mental Disorders; Social Behavior; Behavior

Central Study Contacts

weiqing Zhang Ph.D, Ph.D

CONTACT

8618521525300; weiq.zh@163.com

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 4, 2025
• First Posted: August 20, 2025
• Study Start: August 30, 2025
• Primary Completion: December 31, 2025
• Study Completion: January 1, 2026
• Last Updated: August 20, 2025

Record last verified: 2024-11