Delirium and generalized muscle weakness are commonly occurring consequences among patients receiving mechanical ventilation in the intensive care unit (ICU). When implemented, the ABCDE bundle (Awakening and Breathing, Coordination, Delirium assessment and management, and Early mobility) has yielded significant reductions in the occurrence of delirium, the duration of mechanical ventilation, and the length of hospital stay, as well as increases in early mobilization of critically ill patients. Despite compelling evidence of the effectiveness of the ABCDE bundle, the adoption and use of this evidence-based strategy have been limited, and too little is known about the factors that affect the implementation of and adherence to the ABCDE bundle.

The authors of this study conducted a multicenter, prospective cohort study of critical care providers to describe associations among provider attitudes and adherence to the ABCDE bundle. Participants were critical care providers (ie, registered nurses, advanced...

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