ArticleNursing in critical care2025
A Family-Centred Paediatric Delirium Bundle: A Feasibility Study.
Article in Nursing in critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
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Who cites it
2 citing papers in PubMed.
- The Lived Experience of Delirium in a Critically Ill Child: A Narrative Study.Scandinavian journal of caring sciences · 2026Article
- A Family-Centred Paediatric Delirium Bundle: A Feasibility Study.Nursing in critical care · 2025Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundPaediatric delirium (PD) is a common disorder in critically ill children. PD management, however, needs improvement. To this end, we developed a family-centred non-pharmacological delirium management bundle based on consensus from paediatric intensive care unit experts and parents. The bundle included interventions such as developing a day structure and encouraging parent presence.
aimWe aimed to test the feasibility of our PD bundle by investigating acceptability, implementation and practicality for parents, nurses and physicians. STUDY
designA multiple-method process evaluation study with quantitative and qualitative data, using questionnaires and focus group interviews. To determine the feasibility of the PD bundle, we set provisional goals for the acceptability, implementation and practicality prior to conducting our study. The study took place in two paediatric cardiac units from March to May 2024.
resultsTwo focus group interviews were held with 15 nurses and four physicians. Parents, nurses and physicians found the PD bundle acceptable because all the interventions were intuitively relevant and familiar, meeting our target goals to proceed with an RCT study. We surveyed 31 parents to estimate the degree of implementation of the 11 interventions in the PD bundle. Six of the interventions in the bundle were delivered in more than 80% reported by the parents, while five fell short of our target goals. Nurses and physicians suggested that the PD bundle could be implemented if the interventions were consolidated into fewer elements. We trained 90% of the invited nurses and physicians to deliver the PD bundle, which met our target goal of 80%. Hospital organisation, environment and differences in hygienic policy interpretations challenged the practical application of the PD bundle according to the nurses and physicians.
conclusionsThe PD bundle appears promising for acceptance, implementation and practical application in clinical practice. However, as the delivery of the PD bundle fell short of our target goals, a revised PD bundle should be tested before performing an RCT. RELEVANCE TO CLINICAL PRACTICE: A non-pharmacological paediatric delirium bundle is now available to critical care nurses to prevent and manage delirium in critically ill children.
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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.