Caring for Hospitalized Older Adults at Risk for Delirium: The Silent, Unspoken Piece of Nursing Practice

Dahlke, Sherry; Phinney, Alison

doi:10.3928/00989134-20080601-03

Cited by 85 publications

(84 citation statements)

References 29 publications

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“…Postoperative delirium was perceived by respondents both as a natural occurrence in older patients, and as a time consuming disruption to their regular work. These findings resonate with the results of previous studies [19,20,27] suggesting that negative beliefs and attitude are key factors in preventing effective management of older patients with delirium. Overall, our study indicates that healthcare environment in our hospital does not meet the needs of older adults.…”

Section: Discussionsupporting

confidence: 82%

Nursing Staff Knowledge on Postoperative Delirium in Older Inpatients: An Exploratory Survey

Mouchoux¹,

Fassier²,

Rippert³

et al. 2016

Adv Practice Nurs

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Background/Objectives: Postoperative delirium is common in the elderly and is associated with poor outcome. However, its diagnosis is often missed or delayed. Nursing staff is at the frontline and plays a crucial role in the early detection and management of delirium. This study was designed to explore the knowledge and attitudes of nursing staff about delirium in the scope of an educational program implementation. Methods:Qualitative and quantitative analyses conducted in four surgical wards and one intensive care unit in an Academic Hospital in France. A questionnaire was administered to 171 nurses and nursing assistants and semistructured interviews were conducted.Results: A total of 89 questionnaires were completed (response rate of 52%). Regarding symptoms, most of the nursing staff knew about disorientation and incoherent speech. However, few knew about acute onset and fluctuation, and the hypoactive form of delirium was virtually unknown. Regarding risk factors, while many knew about dehydration, drug use and the use of physical restraints, few knew about fecaloma, sensory impairment and infection. The staff globally knew about the main prevention measures, but knowledge on patient management was especially poor. Finally, no respondent knew about or used the Confusion Assessment Method. The qualitative analysis revealed a trivialization of delirium onset among older inpatients and the continuity of preconceived ideas on delirium, its diagnosis and its risk factors. Conclusions:On the whole, this study provides a clearer understanding of staff learning needs and identifies potential issues to be addressed in order to increase future intervention efficacy.

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Section: Discussionsupporting

confidence: 82%

Nursing Staff Knowledge on Postoperative Delirium in Older Inpatients: An Exploratory Survey

Mouchoux¹,

Fassier²,

Rippert³

et al. 2016

Adv Practice Nurs

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“…Unfortunately, nurses typically do not receive formal training in standardized cognitive or delirium assessment. 3,11,14–16 …”

Section: Introductionmentioning

confidence: 99%

A quality improvement program to increase nurses' detection of delirium on an acute medical unit

et al. 2013

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“…Raising awareness and training of nurses can prevent up to 60% of delirium cases (13,14). Researches show that using training programs and appropriate means have a helping role in detection of delirium (15).…”

Section: Introductionmentioning

confidence: 99%

Comparing Two Training Methods on the Level of Delirium Awareness in Intensive Care Unit Nurses

Asgari

Cheraghi

Shiri

et al. 2016

Jundishapur J Health Sci

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Background: Lack of correct diagnosis of delirium and considering it as an iatrogenic disease are the most important reasons for lack of correct detection of delirium by health care team. Appropriate training of the nurses on delirium can play an important role in its early diagnosis and prevention. Objectives: The current study aimed to compare the effects of two training methods on the level of delirium awareness in nurses in the intensive care units (ICUs). Patients and Methods:The present study was a pretest-posttest clinical trial on two groups conducted in the hospitals affiliated to Tehran University of Medical Sciences in 2014. The qualified subjects were divided into two groups (n = 35 for each) of workshop training and continuous electronic training by random number tabulation. The four-hour workshop training was applied in two days and training content was uploaded on Tehran University of Medical Sciences website for continuous electronic training. The data were collected by a questionnaire containing demographic characteristics and multiple-choice questions on delirium awareness including delirium definition, epidemiology, causes and risk factors, complications, diagnosis and diagnostic means, prevention and treatment with reliability coefficient of r = 0.85. The data were collected before and after the intervention as self-reporting. After collecting the data, the level of awareness of nurses was analyzed through descriptive and analytical statistics of paired and independent T-tests using SPSS ver. 16.

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Caring for Hospitalized Older Adults at Risk for Delirium: The Silent, Unspoken Piece of Nursing Practice

Cited by 85 publications

References 29 publications

Nursing Staff Knowledge on Postoperative Delirium in Older Inpatients: An Exploratory Survey

Nursing Staff Knowledge on Postoperative Delirium in Older Inpatients: An Exploratory Survey

A quality improvement program to increase nurses' detection of delirium on an acute medical unit

Comparing Two Training Methods on the Level of Delirium Awareness in Intensive Care Unit Nurses

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