Effects of ABCDE Bundle Implementation on Reduction of Delirium among Mechanically Ventilated Patients at Damietta Hospital, Egypt DOI: https://doi.org/10.36811/ojnmc.2021.110007 OJNMC: March-2021: Page No: 01-14 Page: 1 www.raftpubs.com Open Journal of Nursing and Medical Care Research Article Open Access Effects of ABCDE Bundle Implementation on Reduction of Delirium among Mechanically Ventilated Patients at Damietta Hospital, Egypt Khalil NS 1* , El-Kady EM 2 , Fadia Ahmed Abdelkader Reshia 3,5 , and EL-shafey MM 4 1 Department of Critical Care and Emergency Nursing, Faculty of Nursing, Cairo, University, Egypt 2 Dameita Chest Hospital 3 Department of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura, University, Egypt 4 Department of Pulmonary and critical Medicine, Faculty of Medicine, Mansoura, University, Egypt 5 Assistant professor at Department of Nursing, College of Applied Medical Sciences, Jouf University, Sakākā, Saudi Arabia *Corresponding Author: Nahla Shaaban Khalil, Department of Critical Care and Emergency Nursing, Faculty of Nursing, Cairo University, Egypt, Tel: 1066225938; Email: nahlakhalil28@yahoo.com Received Date: Mar 06, 2021 / Accepted Date: Mar 19, 2021/ Published Date: Mar 22, 2021 Abstract Background: One of the principal complications in intensive care unit particularly those connected to mechanical ventilation is delirium. Delirium. It is associated with increased mortality, prolonged mechanical ventilation, and prolonged hospital length of stay (LOS). The ABCDE is a bundle intervention that stands for awakening, breathing coordination, delirium monitoring/management, and early exercise/mobility bundle that has been proposed as a multi-component intervention to reduce the incidence of delirium. Aim of the study: This study aimed to evaluate the effect of implementing the ABCDE bundle on the reduction of delirium among mechanically ventilated patients at Damietta hospital. Material and Methods: A quasi-experimental pre/post-intervention design was used to conduct this study. A purposive sample of 65 adult male and female mechanically ventilated patients aged between 18 and 60 years was recruited. Sedation and Delirium instruments measures were utilized in data collection. Result: significant differences were found in delirium scores among the studied patients (x2= 52.52; p- value=0.001). So, the mechanically ventilated patients who exposed to the implementation of the ABCDE bundle were experienced fewer delirium signs than before the ABCDE bundle implementation. Conclusion: Based on the findings of the current study, it can be concluded ABCDE bundle implementation reduced the occurrence of delirium among mechanically ventilated patients. Recommendations: ABCDE bundle should be recommended on mechanically ventilated patients. Keywords: ABCDE bundle; Mechanically Ventilated Patients; Critically Ill Patients Cite this article as: Khalil NS, El-Kady EM, Reshia FAA, EL-shafey MM. 2021. Effects of ABCDE Bundle Implementation on Reduction of Delirium among Mechanically Ventilated Patients at Damietta Hospital, Egypt. Open J Nurs Med Care. 3: 01-14. Copyright: This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Copyright © 2021; Khalil NS