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Nurses' management of older patients with post-anesthesia delirium: A Q methodology approach.

Purpose: This is an analysis of the experiences of nurses in Post Anesthesia Care Units (PACUs) in caring for older patients with emergence delirium using the Q-methodology. Methods: The Q-methodology, which is used to explore and understand human subjectivity, was applied. Thirty nurses who had exp...

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Published in:Journal of Korean Gerontological Nursing Vol. 24; no. 4; pp. 454 - 464
Main Authors: Minyeong Kang, Eun Young Kim, Sung Ok Chang
Format: research tables/charts Journal Article
Published: Korean Gerontological Nursing Society Nov2022
Online Access:View this record in EBSCOhost
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      dt: Nov2022
      vid: 24
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      pub: Korean Gerontological Nursing Society
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        10.17079/jkgn.2022.24.4.454
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        atl: Nurses' management of older patients with post-anesthesia delirium: A Q methodology approach.
      aug:
        au:
          Minyeong Kang
          Eun Young Kim
          Sung Ok Chang
        affil: Nurse, Postanesthesia Care Unit, Korea University Anam Hospital, Seoul, Korea.
      sug:
        subj:
          Delirium In Old Age
          Post Anesthesia Care Units
          Nurse Attitudes
          Human
          Aged
          Q-Sort
          Interviews
          Factor Analysis
          Descriptive Statistics
          Male
          Female
          Adult
          Exploratory Research
          Independent Variable
          Aged: 65+ years
          Adult: 19-44 years
          Male
          Female
      ab: Purpose: This is an analysis of the experiences of nurses in Post Anesthesia Care Units (PACUs) in caring for older patients with emergence delirium using the Q-methodology. Methods: The Q-methodology, which is used to explore and understand human subjectivity, was applied. Thirty nurses who had experiences in providing nursing for delirium in older patients after surgery in a PACU participated in this study. Results: This study revealed three factors regarding the frame of reference of PACU nurses in detecting and managing older patients' emergence delirium: “detect the deviant changes leading to instability”, “focus on the patient’s degree of cognitive recovery within the framework of recovery time”, and “awareness of possible clues based on the patient’s underlying disease(s)”. Conclusion: These findings are expected to be utilized as a basis for more practical and accessible PACU nurse delirium education that reflects nurses’ subjective viewpoints explained by the three identified factors.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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