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  1. Bowen, Constance Mary DNP, APN-C, CCNS, CCRN, CEN
  2. Stanton, Marietta PhD, RN
  3. Manno, Martin MSN, RN, ACNS-BC


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.