Nurse-perceived barriers and facilitators influencing optimal delirium care in acute care patients: Findings from the INVOLVE_RN study on barriers and facilitators

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-03-29 DOI:10.1016/j.gerinurse.2025.03.023

Tanya Mailhot RN PhD , Laura Crump RN BSc , Christina Clausen RN PhD , Tania Valentine-Joannette RN BSc , Zineb Bouaouina RN BSc , Marie-Eve Leblanc RN MSc , Vasiliki Bitzas RN PhD , Imène Khetir RN MSc , Patrick Lavoie RN PhD

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引用次数: 0

Abstract

Aim

To describe nurses' practices and highlight perceived barriers and facilitators influencing optimal delirium care in acute care patients.

Methods

A two phase, multi method design was used. The quantitative phase utilized a self-reported survey to assess nurses' knowledge, practice, confidence, and collaboration regarding delirium care. The qualitative phase employed focus groups. Recruitment took place on nine acute surgical and medical units across two university-affiliated hospitals in Canada.

Results

231 nurses exhibited solid knowledge of delirium symptoms and outcomes, yet 23 % did not identify the hypoactive form's prevalence. While 81 % reported receiving information on delirium screening, challenges included time constraints and excessive tool use. Qualitative analysis highlighted themes such as communication's vital role and challenges posed by delirium presentations.

Conclusions

The findings align with existing literature, emphasizing the multifaceted nature of delirium care and the need for tailored approaches, education, and collaborative strategies to improve overall care quality.

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.