Liberation Bundle Use in an Intensive Care Unit

Abstract

Promoting Liberation Bundle in an Intensive Care Unit Purpose This quality improvement (QI) project aimed to increase the knowledge and prospects of advanced practice providers (APPs) and bedside RNs regarding incorporating the Liberation Bundle into daily practice. Background Patients admitted to an intensive care unit were vulnerable to adverse effects from the care rendered during their admission. These effects included an increased chance of developing delirium, in-hospital mortality, prolonged ventilator time, and hospital length of stay. The Liberation Bundle was designed to aid clinicians in assessing aspects of care that reduced rates of delirium, prolonged ventilator time, and hospital length of stay. Methods The QI project measured the knowledge and attitude of APPs and RNs toward incorporating the Liberation Bundle into their practice. Pre and post-tests were conducted with the in-person educational sessions. Recruitment was voluntary. Results The results were gathered and analyzed using the Qualtrics website and software. Each participant used a QR code for the survey. Of the 25 participants (11 APPs and 14 RNs) who attended educational sessions,74% lacked formal training. Capturing knowledge levels before education supported the hypothesis of the increased likelihood of Liberation Bundle use when the material was better understood. Based on survey results, respondents rated the likelihood of using the Liberation Bundle increased from 62.5% to 84%. Conclusions An educational gap was identified among healthcare providers, emphasizing the need for additional educational efforts to ensure broader acceptance and adoption of the Liberation Bundle. Increased participation in other facilities will allow for an increased understanding of the relationship between knowledge and the likelihood of adopting the Liberation Bundle.