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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护士感知障碍和促进因素影响急性护理患者谵妄最佳护理：来自INVOLVE_RN障碍和促进因素研究的结果

目的描述护士的实践，突出影响急性护理患者谵妄护理的障碍和促进因素。方法采用两期多法设计。定量阶段采用自我报告的调查来评估护士关于谵妄护理的知识、实践、信心和合作。定性阶段采用焦点小组。招聘工作在加拿大两所大学附属医院的9个急症外科和医疗单位进行。结果231名护士对谵妄症状和结果有扎实的了解，但23%的护士不清楚谵妄的患病率。虽然81%的人报告收到了谵妄筛查的信息，但挑战包括时间限制和过度使用工具。定性分析强调了沟通的重要作用和谵妄演讲带来的挑战等主题。结论：研究结果与现有文献一致，强调谵妄护理的多面性，需要量身定制的方法、教育和合作策略来提高整体护理质量。

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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.