Recognizing intensive care unit delirium : are critical care nurses ready?

Mu-Hsing Ho, Hui-Chen (Rita) Chang, Megan F. Liu, Kee-Hsin Chen, Shu-Tai Shen Hsiao, Victoria Traynor

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Background: Delirium remains significantly undetected in the intensive care unit (ICU). Little is known regarding the level of delirium care knowledge among critical care nurses in Taiwan. Purpose: This study was designed to investigate the level of knowledge about delirium care among critical care nurses using a multiple-choice question quiz. Methods: A descriptive, cross-sectional approach was used, and data were collected using a web-based survey. The demo-graphic characteristics including age, years worked as critical care nurse, gender, advanced ICU training, educational level, and type of ICU, along with a delirium care knowledge quiz, were collected. The quiz consisted of 16 items measuring (a) symptoms, types, and outcomes; (b) high-risk groups; (c) pre-disposing and precipitating factors; and (d) assessment and detection of delirium. Data were collected between October 6 and November 16, 2020. Results: In total, 324 critical care nurses completed the survey. The rate of correct response on the delirium care quiz for each do- main was measured: (a) symptoms, types, and outcomes: 67.1%; (b) high-risk groups: 76.2%; (c) predisposing and precipitating fac- tors: 78.9%; and (d) assessment and detection: 41.5%. The item with the lowest correct response rate was related to the interpretation of delirium assessments. Conclusion/Implications for Practice: The findings of this study suggest that future studies and education should focus on the use and interpretation of the assessment using a valid delirium assessment tool to improve the ability of critical care nurses to detect delirium in ICU settings.
Original languageEnglish
Article numbere214
Number of pages4
JournalJournal of Nursing Research
Volume30
Issue number3
DOIs
Publication statusPublished - 2022

Open Access - Access Right Statement

© 2022 The Authors. Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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