ICU delirium: a survey into nursing and medical staff knowledge of current practices and perceived barriers towards ICU delirium in the intensive care unit.

作者: Sara R. Elliott

DOI: 10.1016/J.ICCN.2014.06.004

关键词:

摘要: Summary Background Delirium is an independent predictor of mortality and morbidity in the intensive care unit associated with a prolonged hospital stay. National guidelines suggest that delirium screened for daily using confusion assessment method validated screening tool. Research suggests there lack knowledge on delirium, its tools it inadequately for. Aims The aim study to assess nursing medical staff knowledge, understanding management perceived barriers design setting A survey was used questionnaire designed collect data. sample consisted 149 working three district units within United Kingdom. Results data yielded reveals 44% ( n =33) respondents were not educated ICU delirium. Furthermore only being one out sites surveyed this found be at best sporadic, fails adhere current (NICE, 2010). Those non structured way detecting observed hallucinations agitation. Common quoted literature such as time restraints did appear issue study. Conclusion This has shown despite national tool performed two site employs however sporadic. contributes evidence base suggesting under recognised guidelines.

参考文章(23)
Rose Marie Nieswiadomy, Foundations of nursing research ,(1993)
E. Wesley Ely, Valerie J. Page, Delirium in Critical Care ,(2011)
Stephen Polgar, Shane A. Thomas, Introduction to Research in the Health Sciences ,(1991)
Glenn M. Eastwood, Leah Peck, Rinaldo Bellomo, Ian Baldwin, Michael C. Reade, A questionnaire survey of critical care nurses' attitudes to delirium assessment before and after introduction of the CAM-ICU Australian Critical Care. ,vol. 25, pp. 162- 169 ,(2012) , 10.1016/J.AUCC.2012.01.005
Alawi Luetz, Anja Heymann, Finn M. Radtke, Chokri Chenitir, Ulrike Neuhaus, Irit Nachtigall, Vera von Dossow, Susanne Marz, Verena Eggers, Andreas Heinz, Klaus D. Wernecke, Claudia D. Spies, Different assessment tools for intensive care unit delirium: Which score to use?* Critical Care Medicine. ,vol. 38, pp. 409- 418 ,(2010) , 10.1097/CCM.0B013E3181CABB42
Eric B. Milbrandt, Stephen Deppen, Patricia L. Harrison, Ayumi K. Shintani, Theodore Speroff, Renée A. Stiles, Brenda Truman, Gordon R. Bernard, Robert S. Dittus, E. Wesley Ely, Costs associated with delirium in mechanically ventilated patients. Critical Care Medicine. ,vol. 32, pp. 955- 962 ,(2004) , 10.1097/01.CCM.0000119429.16055.92
Ayman M Hamdan-Mansour, Ne’ameh Abbas Farhan, Elham Hani Othman, Mohammed Ibrahim Yacoub, None, Knowledge and Nursing Practice of Critical Care Nurses Caring for Patients With Delirium in Intensive Care Units in Jordan Journal of Continuing Education in Nursing. ,vol. 41, pp. 571- 576 ,(2010) , 10.3928/00220124-20100802-01
Bea Riekerk, Evert Jan Pen, José G.M. Hofhuis, Johannes H. Rommes, Marcus J. Schultz, Peter E. Spronk, Limitations and practicalities of CAM-ICU implementation, a delirium scoring system, in a Dutch intensive care unit Intensive and Critical Care Nursing. ,vol. 25, pp. 242- 249 ,(2009) , 10.1016/J.ICCN.2009.04.001
John W Devlin, Jeffrey J Fong, Greg Schumaker, Heidi O'Connor, Robin Ruthazer, Erik Garpestad, None, Use of a validated delirium assessment tool improves the ability of physicians to identify delirium in medical intensive care unit patients. Critical Care Medicine. ,vol. 35, pp. 2721- 2724 ,(2007) , 10.1097/01.CCM.0000292011.93074.82