Intensive care nurses' perceptions and awareness of delirium and delirium prevention guidelines.
Background: Delirium is an acute and fluctuating disturbance of cognition and is a common occurrence in critically ill patients. It is a manifestation of an acute brain dysfunction often attributed to higher survival rates and a subsequently aging population. Intensive Care Unit (ICU) treatment and...
| Publicado en: | Nursing in Critical Care Vol. 29; no. 5; pp. 943 - 953 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=179374789&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 179374789 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13621017 Q15 jtl: Nursing in Critical Care issn: 13621017 maglogo: Y pubinfo: dt: Sep2024 vid: 29 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 179374789 176646420 179374789 179374789 10.1111/nicc.13060 179374789 ppf: 943 ppct: 10 formats: tig: atl: Intensive care nurses' perceptions and awareness of delirium and delirium prevention guidelines. aug: au: Meghani, Salima Timmins, Fiona affil: Department of Pulmonary Hypertension, Mater Hospital, Dublin, Ireland sug: subj: Delirium Prevention and Control Critical Care Nurses Nurse Attitudes Cognition Practice Guidelines Human Male Female Adult Middle Age Critically Ill Patients Quantitative Studies Exploratory Research Self Report Surveys Ireland Instrument Validation Nursing Practice Hospitals Health Policy Policy Making Online Education Seminars and Workshops Questionnaires Descriptive Statistics Convenience Sample Academic Medical Centers Pilot Studies Data Analysis Software Summated Rating Scaling T-Tests Mann-Whitney U Test Pearson's Correlation Coefficient Chi Square Test Clinical Assessment Tools Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background: Delirium is an acute and fluctuating disturbance of cognition and is a common occurrence in critically ill patients. It is a manifestation of an acute brain dysfunction often attributed to higher survival rates and a subsequently aging population. Intensive Care Unit (ICU) treatment and survival often contributes towards development of delirium, and lack of or inappropriate management can translate into the development of long‐term psychological effects that last even after discharge. While a lot is already known about this topic, and several assessment tools exist, these are not being consistently used by ICU nurses and as a result delirium often goes unrecognized, with unwarranted consequences. Aims: The study aimed to explore the perception of delirium among ICU nurses, and the extent of their awareness about guidelines to assess and prevent delirium in ICU patients. It also sought to understand the application of delirium guidelines in ICU practice. Study Design: A quantitative, exploratory, self‐reporting survey was conducted among 145 ICU nurses from one critical care unit in the Republic of Ireland. Results: The overall response rate was 71% (103/145). Most nurses (85%) who participated in this survey believed delirium was expected. However, only 45% acknowledged it is a complication. Only 31% of nurses monitored delirium using a validated scale and few observed this as a part of routine care. Most nurses had received education; however, this did not translate to their clinical practice. Conclusions: Guidelines on managing delirium may not be routinely implemented in the ICU settings of hospitals in the Republic of Ireland. Relevance to Clinical Practice: As the findings suggest, a gap exists between theory and practice, necessary revision of policy or creating a new policy, supplemental educational sessions such as bedside sessions, e‐learning module, study day or seminars need to be organized to improve nurses' awareness related to delirium and delirium prevention guidelines. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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