Evidence map›Paper›PMID 37457918›Full record

ArticleCritical care explorations2023

Development and Validation of an ICU Delirium Playbook for Provider Education.

Hirsh Makhija, Janelle M Fine, Daniel Pollack, Francesca Novelli, Judy E Davidson, Shannon A Cotton, Bianca Diaz De Leon, Paola Alicea Reyes, Jessica L Montoya, Carmen Mabel Arroyo-Novoa and 10 more

Registry-linked trialAbstract read
In one paragraph

Article in Critical care explorations, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07759310 (Evaluation of the Effectiveness of the ICU Delirium Playbook in Nursing Education), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07759310 narecruitingnot on this mapstarted 2025, after this paper: background citation

Evaluation of the Effectiveness of the ICU Delirium Playbook in Nursing Education: A Pre-Post Study in the ICUs of the Pisa University Hospital

TypeinterventionalSponsorNicola PagnucciRan2025 to 2026Enrolled60ConditionsNursing Education, Delirium Confusional State, ICUArmsICU Delirium PlayBook educational program
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Hirsh MakhijaDivision of Pulmonary, Critical Care and Sleep Medicine, University of California, San Diego (UCSD) Health, San Diego, CA.
Janelle M FineDivision of Pulmonary, Critical Care and Sleep Medicine, University of California, San Diego (UCSD) Health, San Diego, CA.
Daniel PollackNursing Education & Development Research Department, UCSD Health, San Diego, CA.
Francesca NovelliNursing Education & Development Research Department, UCSD Health, San Diego, CA.
Judy E DavidsonNursing Education & Development Research Department, UCSD Health, San Diego, CA.
Shannon A CottonNursing Education & Development Research Department, UCSD Health, San Diego, CA.
Bianca Diaz De LeonDivision of Pulmonary, Critical Care and Sleep Medicine, University of California, San Diego (UCSD) Health, San Diego, CA.
Paola Alicea ReyesSchool of Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.
Jessica L MontoyaDepartment of Psychiatry, UCSD Health, San Diego, CA.
Carmen Mabel Arroyo-NovoaSchool of Nursing, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.
Milagros I Figueroa-RamosSchool of Nursing, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.
Yeonsu SongSchool of Nursing, University of California, Los Angeles (UCLA), Los Angeles, CA.
Ana Lucia FuentesDivision of Pulmonary, Critical Care and Sleep Medicine, University of California, San Diego (UCSD) Health, San Diego, CA.
Jamie Nicole LaBuzettaDivision of Neurocritical Care, UCSD Health, San Diego, CA.
Alison A MooreDivision of Geriatrics, Gerontology and Palliative Care, UCSD Health, San Diego, CA.
E Wesley ElyCritical Illness, Brain Dysfunction and Survivorship (CIBS) Center, Vanderbilt University Medical Center, Nashville, TN.
Atul MalhotraDivision of Pulmonary, Critical Care and Sleep Medicine, University of California, San Diego (UCSD) Health, San Diego, CA.
Dale M NeedhamDivision of Pulmonary & Critical Care Medicine, and Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD.
Jennifer L MartinGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, North Hills, CA.
Biren B KamdarDivision of Pulmonary, Critical Care and Sleep Medicine, University of California, San Diego (UCSD) Health, San Diego, CA.

Funding

Multicomponent intervention to improve delirium and sleep-wake rhythms in older ICU patientsK76AG059936 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KAMDAR, BIREN BHARAT · 2018 to 2022
$1.4M
An integrated incentive-based treatment to optimize HIV treatment engagement among persons who use methamphetamineK23DA051324 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MONTOYA, JESSICA LYNETTE · 2021 to 2025
$1.0M
Sleep health in special populationsK24HL143055 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MARTIN, JENNIFER L · 2018 to 2025
$898k
HSR&D Research Career Scientist AwardIK6HX003160 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI MARTIN, JENNIFER L · 2020 to 2025
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HSRD VA IK6 HX003160NHLBI NIH HHS K24 HL143055NIA NIH HHS K76 AG059936NIDA NIH HHS K23 DA051324
6 · The paper itself

Abstract

Although delirium detection and prevention practices are recommended in critical care guidelines, there remains a persistent lack of effective delirium education for ICU providers. To address this knowledge-practice gap, we developed an "ICU Delirium Playbook" to educate providers on delirium detection (using the Confusion Assessment Method for the ICU) and prevention.

designBuilding on our previous ICU Delirium Video Series, our interdisciplinary team developed a corresponding quiz to form a digital "ICU Delirium Playbook." Playbook content validity was evaluated by delirium experts, and face validity by an ICU nurse focus group. Additionally, focus group participants completed the quiz before and after video viewing. Remaining focus group concerns were evaluated in semi-structured follow-up interviews.

settingOnline validation survey, virtual focus group, and virtual interviews. SUBJECTS: The validation group included six delirium experts in the fields of critical care, geriatrics, nursing, and ICU education. The face validation group included nine ICU nurses, three of whom participated in the semi-structured feedback interviews.

interventionsNone. MEASUREMENTS AND MAIN

resultsThe 44-question quiz had excellent content validity (average scale-level content validity index [S-CVI] of individual items = 0.99, universal agreement S-CVI = 0.93, agreement κ ≥ 0.75, and clarity

conclusionsThe ICU Delirium Playbook is a novel, first-of-its-kind asynchronous digital education tool aimed to standardize delirium detection and prevention practices. After a rigorous content and face validation process, the Playbook is now available for widespread use.

Indexed as

critical caredeliriumearly diagnosisnursing educationvalidation study

Identifiers

PMID37457918
PMCPMC10348729

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.