Screening for delirium and dementia in older hospitalised adults in Zambia

George, Grace; Fricker, Monty; Todd, Oliver; Makowa, Dennis; Tembo, Chimozi; Dotchin, Catherine; Gray, William K.; Walker, Richard; Mbwele, Bernard; Paddick, Stella‐Maria

doi:10.1016/j.jns.2022.120186

Cited by 2 publications

(1 citation statement)

References 34 publications

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“…Therefore, nurses were an integral part of the nursing staff. During the process of caring for the older adult, nursing staff might have encountered various challenges from the older adult, such as cognitive decline ( 5 ), psychological disorders ( 6 ), muscle weakness ( 7 ), difficulty swallowing ( 8 ), and more.…”

Section: Introductionmentioning

confidence: 99%

Challenges and coping experiences faced by nursing staff in long-term care facilities in China: a qualitative meta-analysis

Zhang,

Xiao,

et al. 2024

Front. Public Health

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ObjectiveThe aim of this study is to discern the challenges and coping experiences encountered by nursing staff in long-term care facilities in China. This will be achieved through the identification, evaluation, and qualitative synthesis of comprehensive data.DesignThis is a qualitative meta-analysis.MethodsThe research systematically examined relevant literature sourced from six databases, concluding the search in August 2023. The inclusion criteria encompassed qualitative and mixed-methods studies in both Chinese and English, focusing on challenges faced by nursing staff in long-term care facilities and their corresponding coping strategies. The application of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework facilitated the qualitative meta-integration process. Three independent researchers meticulously screened and assessed the quality of the chosen studies. The synthesis process sought to amalgamate and structure analogous findings into novel categories through multiple readings of the original literature. These categories were subsequently distilled into comprehensive themes.ResultsAnalyzed 15 articles revealed 14 sub-themes and 4 overarching analytical themes. These encompassed Sources of Challenges such as multitasking, clinical emergencies, workplace conflict, demand exceeding resources, and occupational discrimination. Psychological impacts included suppressed emotion, compassion fatigue, and self-doubt. Practical consequences involved damaged health, imbalanced life, and occupational disappointment. Coping strategies identified were self-adjusting, feeling validation and belonging, and finding support.ConclusionOur research identified the challenges faced by nursing staff in Chinese long-term care facilities and their coping experiences. We found that most challenges could be mitigated through appropriate adjustments in managerial strategies, such as reasonable human resources planning, and providing resource support, including material, emotional, and informational support. Similarly, institutions should have offered necessary emotional and psychological support to nursing staff to overcome the negative impacts of challenges and encourage them to adopt positive coping strategies.

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Section: Introductionmentioning

confidence: 99%

Challenges and coping experiences faced by nursing staff in long-term care facilities in China: a qualitative meta-analysis

Zhang,

Xiao,

et al. 2024

Front. Public Health

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Delirium em idosos internados: avaliação dos fatores precipitantes

Antonio,

Gomes Dellaroza,

Sarria Cabrera

et al. 2023

CienCuidSaude

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Objetivo: Avaliar a associação de fatores precipitantes com a ocorrência de delirium em idosos hospitalizados. Método: Estudo quantitativo, longitudinal, exploratório realizado em um hospital público do norte do Paraná em pacientes com idade igual ou superior a 60 anos. A amostra coletada foi de 315 idosos, dos quais 67 apresentaram delirium durante o estudo. Foram incluídos os pacientes com internação mínima de 48 horas, sendo os dados coletados com o próprio idoso, acompanhante, profissional de saúde ou no prontuário, diariamente, durante a primeira semana de internação ou até a alta hospitalar, transferência, óbito ou diagnóstico de delirium. Resultados: Na análise de regressão logística, houve associação de delirium com os fatores precipitantes: maior tempo de internação no pronto-socorro, contenção física, presença de acompanhante, gravidade da doença, alterações nos níveis de ureia, creatinina e proteína C reativa, presença de infecção; privação de luz natural, uso de oxigenoterapia e cateterismo urinário. Houve 26 correlações significativas entre os fatores precipitantes associados ao desencadeamento do delirium. Houve associação de delirium com piora prognóstica, maior tempo de internação e óbito. Conclusão: Intervenções multiprofissionais controlando a ocorrência de fatores precipitantes poderão contribuir para a redução dos casos de delirium, impactando no tempo de internação, morbimortalidades e sobrevida do idoso internado.

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Screening for delirium and dementia in older hospitalised adults in Zambia

Cited by 2 publications

References 34 publications

Challenges and coping experiences faced by nursing staff in long-term care facilities in China: a qualitative meta-analysis

Challenges and coping experiences faced by nursing staff in long-term care facilities in China: a qualitative meta-analysis

Delirium em idosos internados: avaliação dos fatores precipitantes

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