Barriers to delirium screening and management during hospital admission
Barriers to delirium screening and management during hospital admission: a qualitative analysis of inpatient nursing perspectives.
A great article by Jacqueline Ragheb, Alexandra Norcott, Lakeshia Benn, Nirav Shah, Amy McKinney, Lillian Min & Phillip E. Vlisides on 'Barriers to delirium screening and management during hospital admission'.
Full article at: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-023-09681-4
A snippet from the Introduction:
Delirium is a major complication of hospital admission that is associated with increased length of hospitalization [1], cognitive and functional decline [2, 3], and substantial healthcare costs [4]. Older patients are particularly vulnerable to delirium, which may ominously predict future Alzheimer’s Disease and Related Dementias [5]. Preventing, identifying, and managing delirium are thus important elements of optimizing clinical care for older, vulnerable patients during hospitalization.
Unfortunately, delirium screening tools used in routine clinical practice demonstrate low sensitivity (~ 30%) with delirium detection [6], despite validation studies indicating sensitivities > 80% [7].
Major Themes Surrounding Inpatient Delirium Care – Nursing Perspectives
Within the article, 4 themes are highlighted:
- Delirium Screening Challenges and Perceptions
- Organizational Culture Towards Delirium
- Competing Clinical Priorities
- Desired Improvements
Full article
The full article can be found here: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-023-09681-4
