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Introduction:

Delirium is a common and serious complication in intensive care units (ICUs), affecting up to 80% of patients at some point during their stay. Despite its prevalence, delirium remains underrecognized and undertreated in ICUs, leading to negative outcomes such as increased morbidity, mortality, and length of stay. Evidence-based delirium prevention strategies have been developed to address this issue, but their implementation in ICUs remains limited. This thesis aims to explore the barriers and facilitators to implementing evidence-based delirium prevention strategies in ICUs and to develop recommendations for improving their uptake.

Table of Contents:

Chapter 1: Introduction
1.1 Introduction
1.2 Background of the study
1.3 Problem Statement
1.4 Objective of the study
1.5 Limitation of the study
1.6 Scope of the study
1.7 Significance of the study
1.8 Structure of the Thesis
1.9 Definition of terms

Chapter 2: Literature Review
2.1 Overview of delirium in ICU
2.2 Risk factors for delirium in ICU
2.3 Consequences of delirium in ICU
2.4 Evidence-based delirium prevention strategies
2.5 Barriers to implementing delirium prevention strategies in ICU
2.6 Facilitators of implementing delirium prevention strategies in ICU
2.7 Current practices in delirium prevention in ICUs
2.8 Impact of delirium prevention strategies on patient outcomes
2.9 Gaps in the literature
2.10 Summary of the literature review

Chapter 3: Research Methodology
3.1 Research design
3.2 Sampling and recruitment
3.3 Data collection methods
3.4 Data analysis
3.5 Ethical considerations
3.6 Rigor and trustworthiness
3.7 Limitations of the research methodology
3.8 Research timeline
3.9 Budget considerations

Chapter 4: Discussion of Findings
4.1 Barriers to implementing delirium prevention strategies in ICUs
4.2 Facilitators of implementing delirium prevention strategies in ICUs
4.3 Recommendations for improving the uptake of delirium prevention strategies
4.4 Implications for practice
4.5 Implications for future research

Chapter 5: Conclusion and Summary
5.1 Summary of key findings
5.2 Conclusions
5.3 Recommendations for practice
5.4 Recommendations for future research
5.5 Reflections on the research process

Thesis Overview:

Delirium is a common and serious complication in intensive care units (ICUs), with detrimental effects on patient outcomes. Despite the availability of evidence-based delirium prevention strategies, their implementation in ICUs is limited. This thesis aims to explore the barriers and facilitators to implementing these strategies in ICUs and to develop recommendations for improving their uptake. The literature review will provide an overview of delirium in ICUs, risk factors, consequences, evidence-based prevention strategies, and current practices. The research methodology will outline the design, sampling, data collection, analysis, ethical considerations, limitations, timeline, and budget considerations. The discussion of findings will highlight barriers, facilitators, recommendations, implications for practice, and future research. The conclusion and summary will summarize key findings, conclusions, recommendations, and reflections on the research process. This thesis will contribute to the growing body of knowledge on delirium prevention in ICUs and have implications for clinical practice and research in this area.

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