Contributions of the ABCDEF bundle to the care of critically ill patients in the ICU: scoping review
DOI:
https://doi.org/10.29352/mill0230.45668Keywords:
nursing; ABCDEF bundle; intensive care unit; critically ill patient; critical careAbstract
Introduction: Hospitalization in intensive care units is associated with complications that compromise patient recovery. Evidence-based strategies, such as the ABCDEF bundle, are essential for improving the quality and safety of care.
Objective: To map the evidence on the contributions of the ABCDEF bundle to the care of critically ill patients in intensive care units.
Methods: A scoping review was conducted according to the guidelines of the Joanna Briggs Institute. The bibliographic search was performed on the EBSCO platform, using MeSH descriptors, in the MEDLINE, CINAHL Complete, Academic Search Complete, MedicLatina, Nursing & Allied Health Collection – Comprehensive, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Cochrane Clinical Answers and Library, Information Science & Technology Abstracts, PubMed, and the Portuguese Open Access Scientific Repository. Studies published in Portuguese or English were included. The selection was documented in a PRISMA diagram, and the data were summarized descriptively.
Results: Forty studies were included. The evidence shows that the ABCDEF bundle reduces the duration of mechanical ventilation, the incidence of delirium, and excessive sedation, thereby decreasing readmission and mortality rates. It promotes early mobilization, strengthens multidisciplinary communication, and optimizes resource management. Family involvement promotes therapeutic adherence, emotional well-being, and satisfaction with care.
Conclusion: The ABCDEF bundle improves the quality of care in intensive care units, demonstrating clinical, organizational, and relational benefits.
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