biostudies-literaturePerry MAEunice Kennedy Shriver National Institute of Child Health and Human DevelopmentNICHD NIH HHSNIDDK NIH HHSNational Institutes of Health100840https://www.ebi.ac.uk/biostudies/studies/S-EPMC8385396biostudies-literatureUnknown23Often, pediatric intensive care environments are not conducive to healing the sick. Critically ill children experience disruptions in their circadian rhythms, which can contribute to delayed recovery and poor outcomes. We aim to test the hypothesis that children managed via <i>RESTORE Resilience (</i>R²), a nurse-implemented chronotherapeutic bundle, will experience restorative circadian rhythms compared to children receiving usual care. In this two-phased, prospective cohort study, two separate pediatric intensive care units in the United Sates will enroll a total of 20 baseline subjects followed by 40 intervention subjects, 6 months to less than 18 years of age, requiring invasive mechanical ventilation. During the intervention phase, we will implement the R² bundleContemporary clinical trials communicationsStudy protocol for a two-center test of a nurse-implemented chronotherapeutic restoring bundle in critically ill children: RESTORE Resilience (R²).PMC8385396R01 DK132348R21 HD093369Asaro LAAwojoodu REKudchadkar SRCurley MAQWypij DZuppa AFPerry MABlumenthal JDawkins-Henry OSfalseStudy protocol for a two-center test of a nurse-implemented chronotherapeutic restoring bundle in critically ill children: RESTORE Resilience (R²).Often, pediatric intensive care environments are not conducive to healing the sick. Critically ill children experience disruptions in their circadian rhythms, which can contribute to delayed recovery and poor outcomes. We aim to test the hypothesis that children managed via <i>RESTORE Resilience (</i>R²), a nurse-implemented chronotherapeutic bundle, will experience restorative circadian rhythms compared to children receiving usual care. In this two-phased, prospective cohort study, two separate pediatric intensive care units in the United Sates will enroll a total of 20 baseline subjects followed by 40 intervention subjects, 6 months to less than 18 years of age, requiring invasive mechanical ventilation. During the intervention phase, we will implement the R² bundle2021-01-01T00:00:00Z2021 Sep2026-05-08T22:05:26.822Z2022-02-11T10:09:08.462ZS-EPMC83853963446671110.1016/j.conctc.2021.100840