Sedation and Analgesia Bundled Strategies Among ICU Nurses

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.

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.

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.

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

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

A self-designed scale is used to exploring the barriers in the current practice of bundled strategies in ICU nurses.The counting data is represented by frequency and percentiles.Projects include：Barriers related to patients and family members、Barriers related to clinical medical staff、Barriers related to the bundled strategies、Barriers related to ICU environment.