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.
Een uitstekend artikel geschreven door Jacqueline Ragheb, Alexandra Norcott, Lakeshia Benn, Nirav Shah, Amy McKinney, Lillian Min & Phillip E. Vlisides over 'Barriers to delirium screening and management during hospital admission'.
Het volledige artikel is te vinden op: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-023-09681-4
Een stukje uit de 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
In het artikel worden 4 belangrijke thema's belicht:
- Delirium Screening Challenges and Perceptions
- Organizational Culture Towards Delirium
- Competing Clinical Priorities
- Desired Improvements
Volledige artikel
Het volledige artikel is hier te vinden: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-023-09681-4