Risk Management and Healthcare Policy最新文献

{"title":"Engaging Community Pharmacies in Promoting Outpatient Medication Safety - Identifying and Prioritizing Research Needs by Modified Nominal Group Technique.","authors":"Emilia Mäkinen, Anna-Kaisa Taimi, Charlotta Sandler, Anna Marietta Schoultz, Anna-Riia Holmström","doi":"10.2147/RMHP.S483642","DOIUrl":"https://doi.org/10.2147/RMHP.S483642","url":null,"abstract":"<p><strong>Introduction: </strong>Medication errors are one of the most endangering factors for patient safety, and they have become a key target for improvement in health- and social care systems worldwide. The most current development needs are related to outpatient care; however, up-to-date medication safety research and improvement activities have primarily focused on hospital environments. To promote medication safety in outpatient care, community pharmacies could be more effectively utilized.</p><p><strong>Objective: </strong>To identify the most central research needs, which would promote the use of community pharmacies in outpatient medication risk management and enhance collaboration between community pharmacies and other parts of the health- and social care system.</p><p><strong>Methods: </strong>The study applied a modified nominal group technique. A group of Finnish patient and medication safety experts (n=28) participated in the study and were divided into four nominal groups (incl. a pilot group). Data collection was conducted through electronic surveys and facilitated online group meetings. The collected data were analyzed using qualitative inductive thematic analysis and quantitative descriptive analysis by the van Breda technique.</p><p><strong>Results: </strong>The final data comprised 83 research needs organized under five main themes with 22 subthemes. The most prioritized research needs covered all five main themes, which were: medication safety collaboration (final rank proportion 30%); medication care pathways (27%); operating processes of community pharmacies (17%); medication safety incident reporting (16%); and community pharmacy-based services improving medication safety (11%).</p><p><strong>Conclusion: </strong>The identified research needs for promoting outpatient medication safety by involving community pharmacies in medication risk management, covered a wide range of areas. Producing evidence about the effectiveness and cost-effectiveness of activities in these areas is particularly needed for practice development and policymaking, together with updating regulations supporting the implementation of the produced evidence.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1-18"},"PeriodicalIF":2.7,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Narrative Review with Strategic Analysis of Home Care Services for Older Adults in Seoul, South Korea: Toward a Comprehensive Care Approach.","authors":"Dasom Kim, Hyeongsu Kim, Rahil Hwang, Sungwon Jung, Mi Young Kim, Young Ko, Jina Kang, Jinbeom Park, Seoyoung Yun","doi":"10.2147/RMHP.S478550","DOIUrl":"https://doi.org/10.2147/RMHP.S478550","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to establish a role framework and organizational redesign for home care services in response to the evolving internal and external environments in South Korea. The specific objectives were: (1) to perform a Strengths, Weaknesses, Opportunities, Threats (SWOT) analysis based on the external and internal factors related to home care services; (2) to propose key ideas for restructuring services and human resources; and (3) to suggest strategies for enhancing the quality of home-based care services.</p><p><strong>Patients and methods: </strong>The policy landscape for older adult healthcare in Seoul, South Korea along with the current state and challenges of home care services were reviewed. A systematic analysis of internal and external factors influencing organizational goals and strategies was conducted following the SWOT analysis framework.</p><p><strong>Results: </strong>We highlight the difficulties in grassroots health management and suggest the need for regional organizational structures. A transition from individual nurse-centric care to a team-based approach is suggested with an emphasis on targeting services to vulnerable groups.</p><p><strong>Conclusion: </strong>Restructuring of home care services is essential with a focus on vulnerable populations and the establishment of performance metrics. Seamless communication between stakeholders and specialized training for team leaders are crucial for successful implementation.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3341-3353"},"PeriodicalIF":2.7,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Severity of the COVID-19 Among Chronic Disease Patients in the Selected Hospitals in Riyadh, Saudi Arabia - A Retrospective Study.","authors":"Mahmood Basil A Al-Rawi, Amer Hayat Ibrahim Khan, Siti Maisharah Sheikh Ghadzi","doi":"10.2147/RMHP.S456155","DOIUrl":"10.2147/RMHP.S456155","url":null,"abstract":"<p><strong>Background and aims: </strong>Chronic disease is a lifelong disorder that necessitates continuing medical care and is more prone to infections such as COVID-19, compared to healthy individuals. Therefore, this study aimed to assess the severity of COVID-19 among chronic disease patients in the Kingdom of Saudi Arabia.</p><p><strong>Methods and materials: </strong>A cross-sectional study was conducted in selected hospitals in the Riyadh region in Saudi Arabia, over 6 months in 2022. All participants' records were reviewed for socio-demographic data including age, gender, residence, marital status, level of education, occupation, and special habits such as smoking or addiction. In addition to this main complaint and present history, history of chronic illnesses, drug intake, surgical interference, general examination findings including vital signs, state of consciousness, general condition at admission and discharge, and outcome of cases were recorded.</p><p><strong>Results: </strong>The mean age of the patient was 54.46 ± 15.85 (median of 53.67 years). In this study, the severity of COVID-19 was significantly associated with chronic diseases. For instance, 22.31% of the patients with diabetes reported mild symptoms, compared with 77.69% of the patients without diabetes. The current findings reported 2.18% of COVID-19 patients with respiratory diseases and 97.82% of the patients without respiratory diseases reported mild symptoms of COVID-19 infection. In comparison, 97.75% of COVID-19 patients without respiratory diseases and 2.25% of patients with respiratory diseases reported moderately severe COVID-19 infection.</p><p><strong>Conclusion: </strong>The current findings revealed that 66.2% of the COVID-19 patients with chronic diseases were free of symptoms, 5.3% of them died and 0.9% of the patients were in a worse situation. The severity of COVID-19 was significantly associated with the presence of chronic diseases. Additionally, medical practitioners must be more knowledgeable about the long-term illnesses that put patients at risk for serious COVID-19 challenges and mortality.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3327-3339"},"PeriodicalIF":2.7,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11687317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Physical Exercise and Risk of Depression: An Assessment of Intermediate Variables Through Self-Assessed Health Status and Life Satisfaction in the Chinese Family Tracking Survey (CFPS) Data.","authors":"Chaoming Gong, Yue Li, Gaopeng Chen","doi":"10.2147/RMHP.S499489","DOIUrl":"10.2147/RMHP.S499489","url":null,"abstract":"<p><strong>Objective: </strong>Depression is a potential health killer. As an important means of preventing various human diseases, physical exercise plays an important role in reducing the risk of depression. Using data from the Chinese Household Tracking Survey, this study analyzed the mechanisms by which physical exercise, self-rated health and life satisfaction reduce the risk of depression.</p><p><strong>Methods: </strong>The data for this study comes from the China Family Panel Studies (CFPS) released by the China Social Science Survey Centre of Peking University. The 2020 survey data was used as the sample, which contained a total of 21,057 individuals. The study variables were analyzed in sequence for reliability and validity, correlation analysis, regression analysis, structural equation model testing, and bias-corrected percentile Bootstrap testing using SPSS 23.0 software and Hayes' (2013) Process plug-in.</p><p><strong>Results: </strong>Physical exercise was significantly positively correlated with self-assessed health status and satisfaction of life (<i>β</i> = 0.049, <i>p</i> < 0.01; <i>β</i> = 0.075, <i>p</i> < 0.01), and significantly negatively correlated with risk of depression (<i>β</i> = -0.022, <i>p</i> < 0.01); self-assessed health status was significantly positively correlated with satisfaction of life (<i>β</i> = 0.440, <i>p</i> < 0.01), and significantly negatively correlated with risk of depression (<i>β</i> = -0.047, <i>p</i> < 0.01); satisfaction of life was significantly negatively correlated with risk of depression (<i>β</i> = -0.137, <i>p</i> < 0.01).</p><p><strong>Conclusion: </strong>Physical exercise not only negatively predicted the risk of depression, but also indirectly predicted the risk of depression through the independent mediating effects of self-assessed health status and satisfaction of life, as well as chain mediating effects. There were no differences in the effects of physical exercise on depression risk by age, gender and marital status. Significant differences in the effect of physical exercise on depression risk were found among groups with different places of residence.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3315-3325"},"PeriodicalIF":2.7,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11682662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Early-Life Factors and Self-Reported Age at Myopia Onset: A Study Based on a Sample of Chinese Adults.","authors":"Bing Sun, Jiali Huang, Xiaojun Chen, Chunhua Zhang, Hujie Lu, Mengyue Zhang, Dandan Jiang, Yanyan Chen","doi":"10.2147/RMHP.S486569","DOIUrl":"10.2147/RMHP.S486569","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the influence of early-life factors (Season of birth, premature birth and breastfeeding) on the age at myopia onset.</p><p><strong>Methods: </strong>A total of 331 myopic students aged 18 years or above were recruited from one medical university in Wenzhou, China. Questionnaires were administered to collect data on age at myopia onset, early-life factors, and vision hygiene habits. Participants underwent noncycloplegic autorefraction. Generalized Linear Model was used to analyse the influencing factors of the age at myopia onset, early life factors as independent variables, spherical equivalent, parental myopia and eye hygiene habits as confounding factors into the generalized linear model.</p><p><strong>Results: </strong>In this study, the mean spherical equivalent (SE) of myopic university students was -4.55±2.19 D, and the mean age at myopia onset was 13.31±2.64 years old. Subjects born in the summer had a younger age at myopia onset (β=-1.79, P=0.001); subjects born prematurely tended to have a younger age at myopia onset (β=-1.50, P=0.011); and breastfeeding was not statistically associated with the age at myopia onset.</p><p><strong>Conclusion: </strong>Season of birth and premature birth were associated with age at myopia onset, and children born in the summer and born prematurely had a younger age at myopia onset.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3305-3313"},"PeriodicalIF":2.7,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11681905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community Health Nursing in Saudi Arabia: Practices and Learning Needs.","authors":"Khalid Abdullah Aljohani","doi":"10.2147/RMHP.S504277","DOIUrl":"10.2147/RMHP.S504277","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated the daily practices of community nurses working in Primary Health Care Centers (PHCCs) and their learning needs.</p><p><strong>Participants and methods: </strong>This descriptive cross-sectional correlational study was guided by the eight sections of the Canadian Community Health Nursing Standards of Practice 2019 expressing daily clinical activities and learning needs based on a five-point Likert scale. Participants were recruited from three Saudi Arabian cities. Descriptive data were processed regarding mean and Confidence Intervals for items, subscales, and the entire instrument. Comparisons for subgroups' mean scores were assessed using one-way ANOVA followed by a Tukey HSD pairwise comparison.</p><p><strong>Results: </strong>318 nurses participated in the study (75.5% response rate). The top practiced nursing activities were health education and supporting those who are unable to take action for themselves. On the other hand, the least practiced were participating in research invitations and research groups. Participants expressed their learning needs in utilizing health education theories and strategies and using Health informatics to support optimum nursing care.</p><p><strong>Conclusion: </strong>Saudi Arabia has a young community health nursing taskforce that needs to upgrade its knowledge and skills to match international standards. Understanding the real-life activities and learning needs of community health nurses in comparison to international standards will help health policymakers support the optimal contribution of nursing to patients outcomes and healthcare system utilization.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3239-3245"},"PeriodicalIF":2.7,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Paradigm Transformation of Global Health Data Regulation: Challenges in Governance and Human Rights Protection of Cross-Border Data Flows.","authors":"Linhua Xia, Zhen Cao, Yue Zhao","doi":"10.2147/RMHP.S450082","DOIUrl":"10.2147/RMHP.S450082","url":null,"abstract":"<p><p>The growing global exchange of healthcare data requires more cohesive and effective regulatory frameworks to ensure fair access and protect patient privacy. However, cross-border regulatory rules for healthcare data diverge across countries, such as the EU, which highlights personal data rights and restricts cross-border flow of healthcare data through the GDPR, the United States, which emphasizes the free flow of healthcare data trade or services, and China, which emphasizes cross-border regulatory rules for healthcare data at the level of national data security. Such inconsistent policies often impede international medical research collaborations, undermine the effectiveness of telemedicine, and create barriers for healthcare providers to share patient information. Documents containing national human rights laws, the Global Initiative on Digital Health and the Global Digital Compact, which advocate for cooperation and behavioral co-regulation of healthcare data stakeholders to achieve the strategic goal of putting people at the center of healthcare, provide new ideas for solving the problem. Based on an exploration of these challenges, this paper proposes a harmonized, human rights-based approach that in turn bridges regulatory gaps and ensures data security, privacy, and accessibility in all countries.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3291-3304"},"PeriodicalIF":2.7,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11668341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hope is Not a Strategy: Key Lessons from COVID-19 for Future Health Crises.","authors":"Søren Valgreen Knudsen, Inge Kristensen, Nanna Kure-Biegel, Mickael Bech, Hanne Agerbak, Camilla Plambeck Hansen, Christina Mohr-Jensen, Jan Brink Valentin, Michael Bang Petersen, Jan Mainz","doi":"10.2147/RMHP.S495041","DOIUrl":"10.2147/RMHP.S495041","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic disrupted global economies, social structures, and public health systems. However, Denmark stood out as an exception, maintaining steady life expectancy during this period. This raises important questions about the factors that strengthened the Danish healthcare system and society against the pandemic's challenges.</p><p><strong>Methods: </strong>The Danish healthcare system serves 5.8 million citizens with free care, advanced digital infrastructure, and comprehensive health registers. Under the auspices of the Danish Society for Patient Safety, insights from Denmark's response to COVID-19 were collected from the onset of the pandemic. This paper builds on these collected experiences, covering crucial areas such as strategies to reduce transmission, digitalization, management of non-COVID diseases, tracking adverse events, workplace well-being, development and use of predictive models, and maintaining public trust. Patient-level data on contacts, contact types, and clinical procedures were obtained from health administrative systems and clinical quality registries. All results were reported as raw counts, with no statistical analyses applied.</p><p><strong>Results: </strong>During COVID-19, Denmark's healthcare system demonstrated resilience by adapting swiftly, achieving a high vaccination rate, shifting to virtual care, enhancing response capacity through real-time adverse event tracking, and supporting healthcare workers through crisis teams minimizing prolonged sick leave. Predictive models accurately forecasted healthcare demands, while public health strategies focused on monitoring public behavior and trust in authorities.</p><p><strong>Discussion: </strong>A key lesson from Denmark's handling of COVID-19 is that much of the observed resilience stemmed from pre-existing structures that could be reused, further developed, and expanded. This resilience was further enhanced by an unprecedented readiness for change, cross-sectoral and interdisciplinary collaboration, and the removal of typical barriers. These experiences aim to further improve the quality and resilience of healthcare in Denmark and inspire other countries' healthcare systems. Moving forward, acknowledging chronic conflicts as the new normal, coupled with the reminder that \"hope is not a strategy\", could serve as a pivotal approach.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3247-3256"},"PeriodicalIF":2.7,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the Overall Technical Efficiency, Pure Technical Efficiency, and Scale Efficiency of United States Department of Defense Hospitals.","authors":"Dongjin Oh, Keon-Hyung Lee, Donwe Choi","doi":"10.2147/RMHP.S491139","DOIUrl":"10.2147/RMHP.S491139","url":null,"abstract":"<p><strong>Introduction: </strong>This study aims to evaluate US Department of Defense hospital efficiency.</p><p><strong>Methods: </strong>Drawing on the American Hospital Association's annual survey data, the study employs data envelopment analysis, slack analysis, and the Malmquist Productivity Index to identify the differences in hospital efficiency between Air Force, Army, and Navy hospitals as well as the trends of their efficiency from 2010 to 2021.</p><p><strong>Results: </strong>US Department of Defense hospitals operated inefficiently from 2010 to 2021, although the average technical efficiency of all DOD hospitals increased slightly during this period. The inefficiency of all US Department of Defense hospitals may be due to the lack of pure technical efficiency rather than the suboptimal scale. However, as the efficiency trends in Navy hospitals differ from those in Army and Air Force hospitals, we should be careful in addressing the inefficiency of each type of US Department of Defense hospital.</p><p><strong>Conclusion: </strong>Informed by the findings, this study enhances our understanding of US Department of Defense hospital efficiency and the policy implications, offering practical advice to healthcare policymakers, hospital executives, and managers on managing military hospitals.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3267-3289"},"PeriodicalIF":2.7,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Nurses' Knowledge About Delirium in Acute Care Settings in Hail Region, Saudi Arabia: A Cross-Sectional Study.","authors":"Mokhtar A Almoliky, Sameer A Alkubati, Salman H Alsaqri, Khalil A Saleh, Mujeeb A Sultan, Saddam Ahmed Al-Ahdal, Anas Mahmoud Balawi, Hajer Ibrahim Moatakef","doi":"10.2147/RMHP.S494402","DOIUrl":"10.2147/RMHP.S494402","url":null,"abstract":"<p><strong>Background: </strong>The factors influencing nurses' knowledge of delirium in acute care settings have not been fully investigated in Saudi Arabia. Therefore, this study aimed to investigate these factors among nurses in acute care settings in the northern region of Saudi Arabia.</p><p><strong>Methodology: </strong>A cross-sectional study was conducted using a convenience sample of 234 acute care nurses at the main public hospitals in the Hail region of Saudi Arabia. Data were collected using a structured, self-administered questionnaire, from November 2023 to February 2024. Multiple linear regression was used to identify factors of knowledge about delirium.</p><p><strong>Results: </strong>Of the acute care nurses, 7.3% had a good level of overall knowledge about delirium, while 66.1% and 26.6% showed poor and moderate levels, respectively. Most nurses (78.2%) had poor knowledge of delirium assessment. Significantly higher scores on delirium assessment were observed for nurses who reported receiving in-service training on delirium (<i>P</i> = 0.006) and when a clear job description was applied (<i>P</i> = 0.031), whereas significantly higher scores on knowledge about risk factors were observed for those who had previous experience in caring for delirious patients (<i>P</i> <0.001), received educational sessions on delirium (<i>P</i> = 0.001), and participated in training on delirium care (<i>P</i> <0.001). Lack of previous experience in caring for delirious patients and participation in delirium care training were significant factors for lower knowledge about delirium scores (CI=-5.750 --1.200, <i>P</i> <0.001).</p><p><strong>Conclusion: </strong>In-service training, daily clinical discussion, availability of instructional materials, and specific training on delirium significantly influence nurses' knowledge about delirium, particularly regarding delirium assessment and early recognition. Enhancing these factors could improve nurses' knowledge and the care and management of patients complaining of delirium in acute care settings.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3257-3266"},"PeriodicalIF":2.7,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}