COVID-19 and the Impact on Delirium Care of Hospitalized Older Adults: A Qualitative Study.

IF 1.2 4区 医学 Q3 NURSING
Journal of nursing care quality Pub Date : 2024-07-01 Epub Date: 2024-03-11 DOI:10.1097/NCQ.0000000000000764
Tru Byrnes, Kimberly Pate, Latasia Belin, Kelley Jo A Weaver, Allyson Cochran
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引用次数: 0

Abstract

Background: Older adult patients with COVID-19 and delirium experience higher rates of adverse outcomes. Early recognition of at-risk patients and implementation of management strategies improve outcomes, though understanding barriers to acute care nurses implementing these strategies is limited.

Purpose: This study's purpose was to understand the experiences of acute care nurses providing care to older adults with COVID-19 and delirium. Experiences explored included assessment, nursing management interventions, and barriers to care.

Methods: Purposive sampling to recruit nurses for semistructured focus groups was performed, and thematic analysis was generated by 4 members of the research team.

Results: Twenty-one nurses participated in focus groups. Thematic analysis revealed themes of increased patient social isolation, barriers to delirium assessment and prevention, increased staff demands, and stressful work environments.

Conclusion: Rich findings reveal the profound impact of the pandemic on assessment for delirium and implementation of strategies for prevention and management in older adult patients.

COVID-19 和对住院老年人谵妄护理的影响:定性研究。
背景:患有 COVID-19 和谵妄的老年患者不良后果发生率较高。目的:本研究旨在了解急症护理护士为患有 COVID-19 和谵妄的老年患者提供护理的经验。探讨的经验包括评估、护理管理干预和护理障碍:方法:进行有目的的抽样,招募护士参加半结构式焦点小组,并由研究小组的 4 名成员进行专题分析:结果:21 名护士参加了焦点小组。专题分析揭示的主题包括:患者社会隔离增加、谵妄评估和预防障碍、员工需求增加以及工作环境压力大:丰富的研究结果揭示了大流行病对老年患者谵妄评估以及预防和管理策略实施的深远影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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