title: Using Diffusion of Innovations Theory to implement the confusion assessment method for the intensive care unit.
abstract: Routine screening of mechanically ventilated patients for delirium is essential for prompt recognition and management; however, this represents a change in practice. Rogers' Diffusion of Innovations Theory can be useful as a strategy to facilitate adoption of a practice change. This case study describes the effectiveness of identifying barriers to a change in practice and developing strategies, specific to Rogers' innovation decision process, for implementing the Confusion Assessment Method for the intensive care unit.
authors.affiliation: Kennedy University Hospital, Cherry Hill, New Jersey, USA. c.bowen@kennedyhealth.org
authors.forename: Constance Mary
authors.initials: CM
authors.lastname: Bowen
authors.forename: Marietta
authors.initials: M
authors.lastname: Stanton
authors.forename: Martin
authors.initials: M
authors.lastname: Manno
mesh_terms: D003221:Confusion / Q000451:nursing; D003422:Critical Care / Q000379:methods*; D003693:Delirium / Q000175:diagnosis / Q000451:nursing*; D004059:Diffusion of Innovation; D006801:Humans; D007362:Intensive Care Units; D009730:Nursing Assessment / Q000379:methods*; D015403:Nursing Evaluation Research; D011582:Psychological Theory; D012680:Sensitivity and Specificity