2020 Volume 27 Issue 5 Pages 429-432
We conducted a cross-sectional, online, open, anonymous survey among ICU/high care unit (HCU) nurses with a self-administered questionnaire to assess the implementation of the clinical practice guidelines related to pain, agitation, delirium, sleep promotion and ICU diary in Japan. We obtained 227 responses. Although 66.1% of the ICU/HCUs had implemented written target sedation goals, the goals reassessed on daily basis were only 22.9%. Routine use of a validated pain and delirium assessment tool for patients was reported in 75.7% and 86.3%. The use of an ICU diary was not common (22.5%). Recommended strategies, such as routinely reassessing the target sedation goals and using an ICU diary, were partially implemented. The results of this survey indicated that further efforts were required to meet the national standards.
