Attitudes, knowledge and practices concerning delirium: a survey among intensive care unit professionals

Trogrlić, Zoran; Ista, Erwin; Ponssen, H. H.; Schoonderbeek, J; Schreiner, Frodo; Verbrugge, Serge; Dijkstra, Annemieke; Bakker, Jan; Jagt, Mathieu van der

doi:10.1111/nicc.12239

Cited by 69 publications

(96 citation statements)

References 41 publications

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“…This unsatisfactory practice may results from their poor knowledge and their negative attitude toward delirium as well as may because lack of studied nurses' autonomy as they expected to obtain direction on patient care from physicians. This results contradicted with [21] who founded that The majority of the respondents were frequently performed promotion of day time wakefulness (81%), use of glasses when patients are visually impaired (74%) and use of hearing aids when patients are hearing impaired (67%). However, Yue et al, [20] explained unsatisfactory delirium practice from the side of nurses resulting from the lack of knowledge, absence of evidence-based nursing practice, complex symptoms, and changing shifts which leads to difficulties in detecting the early delirium signs.…”

Section: Discussioncontrasting

confidence: 54%

“…Also, Yue, et al, [20] who stated lack of knowledge and skills required to assess and manage the delirium patients lead to preventing nurses from recognizing early symptoms. As well as Trogrlic et al, [21] who made a survey among intensive care unit professionals about their attitude, knowledge and practices concerning delirium, the study indicated that knowledge deficit were presented more clearly in nurses than in physicians. Another supported study made by Flaigle et al, [22] who make a study on 105 nurse and found that nurses who answered each question correctly ranged from 35% to 100% and only one nurse scored 100% , the staff required further education regarding the importance, risk factors, and treatments for pediatric delirium.…”

Section: Discussionmentioning

confidence: 98%

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Learning Needs Assessment of Pediatric Nurses Regarding Delirium and Its Barriers of Screening at Intensive Care Units

Abusaad¹,

Mostafa²,

Ibraheim³

2017

AJNR

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Pediatric delirium is a significant issue among critically ill children; Professional and highly qualified nurses are usually the first who identify delirium in ICU patients, with a need for close monitoring, recognition, and prevention. Aim of the study was to assess learning needs of critical care nurses regarding pediatric delirium and its barrier of screening at ICUs. Method: A descriptive design was conducted on a purposive sample of 91 pediatric critical care nurses working at Mansoura University Children's hospital and New Mansoura General hospital who fulfills the criteria of selection using pediatric nurses learning needs structured questionnaire that includes questions about characteristics of studied nurses, nurse's knowledge, attitude and practice about pediatric delirium and barriers of delirium screening among pediatric critical care nurses. Results: the level of nurses' knowledge was poor in 94.5%, fair in 5.5% and there was any one with good knowledge, the negative attitude toward delirium was reported in 54.9% of nurses, while only 3.3% of nurses has positive attitude and the level of practice was unsatisfactory in 81.3% of nurses. The most common barriers for delirium screening as reported by the studied nurses is absent of tool to evaluate delirium (86.8%), difficult to determine delirium in children on ventilator (78.0%) and inefficient of symptoms registering in children taking sedation (70.3%). Conclusions: the majority of studied nurses have poor knowledge about pediatric delirium particularly for its definition, causes and its management. Also, more than half of them has negative attitude regarding delirium and majority of them has unsatisfactory practice. The commonest barriers for delirium screening were absent of tool and difficulties of delirium screening for children on ventilator at ICUs. Recommendation: pediatric critical care nurses learning needs should be assessed constantly and progressively through implementing educational training program to increase competences of Pediatric ICUs staff focused on practical guidelines for hospitalized children with delirium.

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Section: Discussioncontrasting

confidence: 54%

Section: Discussionmentioning

confidence: 98%

Learning Needs Assessment of Pediatric Nurses Regarding Delirium and Its Barriers of Screening at Intensive Care Units

Abusaad¹,

Mostafa²,

Ibraheim³

2017

AJNR

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“…It is likely that the lack of incentives to complete the survey and lack of time due to the nature of work in the ICU setting might be contributory. Previous surveys in Europe among ICU nurses have similarly reported low response rates (Fulbrook, Albarran, Baktoft, & Sidebottom, 2012;Trogrlić et al, 2017). Finally, the survey asks the respondents to rate themselves so there can be a certain level of self-perception bias incorporated into the results.…”

Section: Study Limitationsmentioning

confidence: 99%

Critical care nurses' perception of care coordination competency for management of mechanically ventilated patients

Alsharari

Aroury

Dhiabat

et al. 2020

Journal of Clinical Nursing

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Aims and Objectives To evaluate nurses’ care coordination competency for mechanically ventilated patients in intensive care units (ICUs) of Saudi Arabia (SA). Background ICUs are increasingly using multidisciplinary approach to provide critical care. Functionality gaps remain within these teams preventing optimum performance, including a lack of adequate care coordination in the management of mechanically ventilated (MV) patients. Design A cross‐sectional survey of ICU nurses working across 20 hospitals in SA. Methods The Nurses’ Care Coordination Competency Scale (NCCCS) survey for MV patients was administered to all the nurses to assess their care coordination competence. The data were analysed using Student's t test, ANOVA and linear regression. Reporting of this research follows STROBE guidelines. Results A total of 254 nurses participated in the survey. The overall NCCCS mean score was 3.94 (±0.69) out of a 5‐point scale. Also, the “promoting team cohesion factor (Factor 1)” had a mean score of 3.90 (±0.77), the “understanding care coordination needs factor (Factor II)” had a mean score of 4.00 (±0.77), the “aggregating and disseminating information factor (Factor III)” had a mean score of 4.05 (±0.76), and the “devising and clearly articulating the care vision factor (Factor IV)” had a mean score of 3.78 (±0.87). The mean overall NCCCS score was 4.10 among Indians, 3.98 among Filipinos and 3.81 among Saudi nationals. Conclusion There were a high overall score and subscale scores of nurses’ care coordination competence for mechanically ventilated patients, but few gaps were identified in some of the items. Relevance to Clinical Practice The results provide information on the status and gaps in ICU nurses’ care coordination competencies to address the needs of mechanically ventilated critically ill patients. The NCCCS can be utilised as an educational tool for nurses who are new to the ICU work environment.

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“…Missing knowledge and training were identified as major factors in the implementation of delirium management (Elliott, 2014). Trogrlić et al (2016) added missing co-operation between physicians and nurses as a barrier, and Richardson et al (2016) pointed out that the differentiation between delirium and dementia is not well established yet. Inter-professional training and education is not well established, leading to the usage of different assessment tools within different professions (Bellelli et al, 2014).…”

Section: Barriersmentioning

confidence: 99%

“…Previous surveys from recent years were considered to design a new and adapted survey (Morandi et al, 2013;Luetz et al, 2014;Demir Korkmaz et al, 2016;Saller et al, 2016;Selim and Wesley Ely, 2017;Trogrlić et al, 2016). The main result of all surveys mentioned above was a lack of adherence to existing guidelines, a large variation of assessment methods and a lack of knowledge of health care providers.…”

Section: Introductionmentioning

confidence: 99%

Survey among critical care nurses and physicians about delirium management

Nydahl

Dewes

Dubb

et al. 2017

Nursing in Critical Care

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Background: Delirium is a serious complication in patients in intensive care units. Previous surveys on delirium management in daily practice showed low adherence to published guidelines. Aim: To evaluate delirium management in nurses and physicians working in intensive care units in German-speaking countries and to identify related differences between nurses and physicians. Design: The study used an open online survey with multiple-choice responses. Methods: An invitation for participation was spread via journals and electronic resources using a snowball system. Apart from recording socio-demographical characteristics, the survey collected data on delirium assessment, delirium-related processes, non-pharmacological prevention and treatment and barriers for implementation. Differences between nurses and physicians were tested by Fisher's exact test with sequential Bonferroni correction. Results: The survey was conducted in autumn 2016, and 559 clinicians participated. More nurses than physicians reported screening for delirium. The majority of clinicians reported screening for delirium when this was suspected; more than 50% used validated instruments. Half of the clinicians had delirium-related structures implemented, such as two thirds reporting delirium-related processes. Most cited barriers were lack of time and missing knowledge about delirium and its assessment. With significant difference, physicians recommended more than nurses early removal of catheters and daily interprofessional goals for patients. Conclusion: In German-speaking countries, assessment of delirium needs further improvement, leading to accurate assessment. Delirium-related structures and processes appear to be implemented widely, with only a few differences between nurses and physicians. Relevance to clinical practice: Nurses and physicians in this survey reported similar perceptions and attitudes towards management of delirium. Both professions need more knowledge and inter-professional training on when and how to use validated assessment instruments.

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Attitudes, knowledge and practices concerning delirium: a survey among intensive care unit professionals

Abstract: Identification of implementation barriers for adherence to guidelines pertaining to delirium is feasible with a survey. Results of this study may help to design-targeted implementation strategies for ICU delirium management.

Cited by 69 publications

References 41 publications

Learning Needs Assessment of Pediatric Nurses Regarding Delirium and Its Barriers of Screening at Intensive Care Units

Learning Needs Assessment of Pediatric Nurses Regarding Delirium and Its Barriers of Screening at Intensive Care Units

Critical care nurses' perception of care coordination competency for management of mechanically ventilated patients

Survey among critical care nurses and physicians about delirium management

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