Knowledge and application of the ABCDEF bundle in a pediatric intensive care unit: a cross-sectional study Conhecimento e aplicação do bundle ABCDEF em uma unidade de terapia intensiva pediátrica: um estudo transversal
- 1Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Graduate Program in Child and Adolescent Health, Porto Alegre, RS, Brazil.
- 2Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Graduate Program in Pulmonary Sciences, Porto Alegre, RS, Brazil.
Abstract
Objective:: To describe healthcare professionals’ knowledge and use of the ABCDEF bundle in the Pediatric Intensive Care Unit (PICU) of Hospital de Clínicas de Porto Alegre (HCPA) using an online questionnaire.
Methods:: An analytical cross-sectional study was conducted among PICU healthcare professionals at HCPA. An online questionnaire assessed practices related to awakening and spontaneous breathing evaluation, medication selection and adjustment, delirium assessment, early mobilization, and family engagement. Perceived barriers and facilitators to the implementation of the ABCDEF bundle were also investigated.
Results:: A total of 71 questionnaires were analyzed. Participants were predominantly women (91.5%), with a mean age of 41 years; 23.9% were physicians; 42.3%, nursing technicians; and 33.8%, members of the multidisciplinary team. Only 25.4% reported knowing the ABCDEF bundle. The most frequently implemented components were medication adjustment (87.3%), family engagement (74.6%), pain and sedation assessment (60.6%), and early mobilization (60.5%). Delirium assessment is not performed according to 28.2% of respondents, while 21.1% were unsure whether it was conducted. Awakening testing was considered “not implemented” by 38% of participants, and spontaneous breathing trials were reported as “occasionally implemented” by 35.2%. No significant differences in bundle utilization scores were observed across professional categories, work shifts, or levels of education.
Conclusions:: The level of knowledge and implementation of the ABCDEF protocol is low and inconsistent among professionals working in the PICU. The implementation of delirium, sedation, and analgesia assessment and management, as well as spontaneous breathing trials, requires attention from health managers and researchers to standardize the provided care.
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BibTeX
@article{fraga2026knowledge,
title = {{Knowledge and application of the ABCDEF bundle in a pediatric intensive care unit: a cross-sectional study Conhecimento e aplicação do bundle ABCDEF em uma unidade de terapia intensiva pediátrica: um estudo transversal}},
author = {Aline Costa Fraga and Paula Maria Eidt Rovedder and Paulo Roberto Antonaccio Carvalho},
journal = {Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo},
year = {2026},
month = nov,
doi = {10.1590/1984-0462/2026/44/2026069},
url = {https://europepmc.org/article/PMC/PMC13730240},
note = {CC BY},
}
RIS
TY - JOUR
TI - Knowledge and application of the ABCDEF bundle in a pediatric intensive care unit: a cross-sectional study Conhecimento e aplicação do bundle ABCDEF em uma unidade de terapia intensiva pediátrica: um estudo transversal
AU - Aline Costa Fraga
AU - Paula Maria Eidt Rovedder
AU - Paulo Roberto Antonaccio Carvalho
PY - 2026
DA - 2026/11/02
JO - Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo
DO - 10.1590/1984-0462/2026/44/2026069
UR - https://europepmc.org/article/PMC/PMC13730240
AB - Objective:: To describe healthcare professionals’ knowledge and use of the ABCDEF bundle in the Pediatric Intensive Care Unit (PICU) of Hospital de Clínicas de Porto Alegre (HCPA) using an online questionnaire. Methods:: An analytical cross-sectional study was conducted among PICU healthcare professionals at HCPA. An online questionnaire assessed practices related to awakening and spontaneous breathing evaluation, medication selection and adjustment, delirium assessment, early mobilization, and family engagement. Perceived barriers and facilitators to the implementation of the ABCDEF bundle were also investigated. Results:: A total of 71 questionnaires were analyzed. Participants were predominantly women (91.5%), with a mean age of 41 years; 23.9% were physicians; 42.3%, nursing technicians; and 33.8%, members of the multidisciplinary team. Only 25.4% reported knowing the ABCDEF bundle. The most frequently implemented components were medication adjustment (87.3%), family engagement (74.6%), pain and sedation assessment (60.6%), and early mobilization (60.5%). Delirium assessment is not performed according to 28.2% of respondents, while 21.1% were unsure whether it was conducted. Awakening testing was considered “not implemented” by 38% of participants, and spontaneous breathing trials were reported as “occasionally implemented” by 35.2%. No significant differences in bundle utilization scores were observed across professional categories, work shifts, or levels of education. Conclusions:: The level of knowledge and implementation of the ABCDEF protocol is low and inconsistent among professionals working in the PICU. The implementation of delirium, sedation, and analgesia assessment and management, as well as spontaneous breathing trials, requires attention from health managers and researchers to standardize the provided care.
SN - 0103-0582
SN - 1984-0462
ER -