Bowen Constance Mary, Stanton Marietta, Manno Martin
Kennedy University Hospital, Cherry Hill, New Jersey, USA.
J Nurs Care Qual. 2012 Apr-Jun;27(2):139-45. doi: 10.1097/NCQ.0b013e3182461eaf.
Routine screening of mechanically ventilated patients for delirium is essential for prompt recognition and management; however, this represents a change in practice. Rogers' Diffusion of Innovations Theory can be useful as a strategy to facilitate adoption of a practice change. This case study describes the effectiveness of identifying barriers to a change in practice and developing strategies, specific to Rogers' innovation decision process, for implementing the Confusion Assessment Method for the intensive care unit.
对机械通气患者进行谵妄的常规筛查对于及时识别和处理至关重要；然而，这代表了一种实践上的改变。罗杰斯创新扩散理论可作为一种策略，以促进实践改变的采用。本案例研究描述了识别实践改变障碍并制定特定于罗杰斯创新决策过程的策略以实施重症监护病房意识模糊评估方法的有效性。
