دورية أكاديمية
Nurse-Driven Assessment, Prevention, and Management of Delirium on an Acute Inpatient Neurology Unit.
العنوان: | Nurse-Driven Assessment, Prevention, and Management of Delirium on an Acute Inpatient Neurology Unit. |
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المؤلفون: | Francisco MA; Department of Evidence Based Practice and Research (Ms Francisco) and Center for Clinical Professional Practice (Dr Meletis), University of Chicago Medical Center (Mr Gesell and Dr Bohr), Chicago, Illinois; Biological Sciences Division (Dr Bohr) and Section of Geriatrics and Palliative Medicine, Department of Medicine (Dr Gleason), The University of Chicago Medicine, Chicago, Illinois., Gesell T, Meletis S, Bohr NL, Gleason LJ |
المصدر: | Journal of nursing care quality [J Nurs Care Qual] 2022 Oct-Dec 01; Vol. 37 (4), pp. 334-341. Date of Electronic Publication: 2022 Apr 28. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9200672 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-5065 (Electronic) Linking ISSN: 10573631 NLM ISO Abbreviation: J Nurs Care Qual Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: Frederick, MD : Aspen Publishers, c1991- |
مواضيع طبية MeSH: | Delirium*/diagnosis , Delirium*/prevention & control , Neurology* , Nurses*, Adult ; Clinical Competence ; Humans ; Inpatients ; Intensive Care Units |
مستخلص: | Background: Delirium commonly affects hospitalized patients and is associated with increased hospital length of stay, discharge to skilled care, cost, morbidity, and mortality. Local Problem: At our organization, there was no formal delirium assessment performed by the nursing staff outside of the intensive care unit. Methods: Assessment of nurses' knowledge about delirium, a nurse-driven delirium screening protocol, and patient education were implemented on an adult inpatient neurology unit. Knowledge change, protocol implementation, and patient-level outcomes were assessed. Interventions: Staff nurse delirium education and a nurse-driven delirium screening protocol were implemented. Results: No change in nursing knowledge occurred pre/postintervention. Falls, falls with injury, and restraint and sitter usage decreased. Changes in length of stay varied over the intervention period. The trend to discharge to home increased, while the trend to discharge to skilled nursing care decreased. Conclusions: Formal delirium screening protocols may add organizational value by positively impacting patient outcomes. Competing Interests: The authors declare no conflict of interest. (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.) |
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تواريخ الأحداث: | Date Created: 20220429 Date Completed: 20220826 Latest Revision: 20220826 |
رمز التحديث: | 20221213 |
DOI: | 10.1097/NCQ.0000000000000628 |
PMID: | 35486389 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1550-5065 |
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DOI: | 10.1097/NCQ.0000000000000628 |