Yevchak, A. M.Fick, D. M.McDowell, J.Monroe, T.May, K.Grove, L.Kolanowski, A. M.Waller, J. L.Inouye, Sharon2017-04-272013Yevchak, A. M., D. M. Fick, J. McDowell, T. Monroe, K. May, L. Grove, A. M. Kolanowski, J. L. Waller, and S. K. Inouye. 2013. “Barriers and Facilitators to Implementing Delirium Rounds in a Clinical Trial Across Three Diverse Hospital Settings.” Clinical Nursing Research 23, no. 2: 201–215. doi:10.1177/10547738135053211054-7738http://nrs.harvard.edu/urn-3:HUL.InstRepos:32605862Delirium occurs in more than half of hospitalized older adults with dementia, substantially worsening outcomes. The use of multiple strategies and a local opinion leader, unit champion, has cumulative and lasting effects compared with single-strategy interventions. The purpose of this article is to describe the early barriers and facilitators to rounding with unit champions in a cluster randomized clinical trial in Year 2 of a 5-year trial (5R01NR011042-02). This is a mixed-method study nested within an ongoing multisite cluster-randomized, controlled clinical trial. Descriptive and comparative statistics were collected on N = 192 nursing rounds. Qualitative data were thematically analyzed. On average, rounds lasted 25.54 min (SD = 13.18) and were conducted with the unit champion 64% of the time. This is one of the first studies to systematically address quantitative and qualitative barriers and facilitators to nurse-led delirium rounds, demonstrating the gradual adoption of an intervention in diverse clinical settings.en-USacute caredeliriumevidence-based practiceJournal Article2014-12-20Yevchak AM, Fick DM, McDowell J, Monroe T, May K, Grove L, Kolanowski A, Waller JL, Inouye SK2017-04-2710.1177/1054773813505321