The Nurse-Implemented Chronotherapeutic Bundle in Critically Ill Children, RESTORE Resilience (R 2 ): Pilot Testing in a Two-Phase Cohort Study, 2017-2021.

ABSTRACT:

Objectives

Pilot test the nurse-led chronotherapeutic bundle in critically ill children, RESTORE Resilience (R 2 ).

Design

A two-phase cohort study was carried out from 2017 to 2021.

Setting

Two similarly sized and organized PICUs in the United States.

Patients

Children 6 months to 17 years old who were mechanically ventilated for acute respiratory failure.

Interventions

R 2 seven-item chronotherapeutic bundle, including: 1) replication of child's pre-hospital daily routine (i.e., sleep/wake, feeding, activity patterns); 2) cycled day-night light/sound modulation; 3) minimal effective sedation; 4) night fasting with bolus enteral daytime feedings; 5) early progressive mobility; 6) nursing care continuity; and 7) parent diaries.

Measurements and main r

SUBMITTER: Curley MAQ 

PROVIDER: S-EPMC11534519 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature