Caring for a patient with delirium in an acute hospital: The lived experience of cardiology, elderly care, renal, and respiratory nurses

Brooke, Joanne; Manneh, Claire

doi:10.1111/ijn.12643

Cited by 21 publications

(25 citation statements)

References 42 publications

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“…Participants in the study reported high levels of fear, using terms such as 'terrifying' and 'scared', emotions that are associated with aggressive behaviour (Brooke & Manneh 2018) Reduced sense of personal autonomy has also been associated with the aggressive behaviours sometimes observed in people with delirium (Darbyshire et al 2016;Fagerberg & J€ onhagen 2002). Understanding these emotions provides nurses with opportunities for intervention, including building trust, reorientation, and promoting a safe environment with predictable stimuli.…”

Section: Discussionmentioning

confidence: 99%

“…Participants in the study reported high levels of fear, using terms such as ‘terrifying’ and ‘scared’, emotions that are associated with aggressive behaviour (Brooke & Manneh ) Reduced sense of personal autonomy has also been associated with the aggressive behaviours sometimes observed in people with delirium (Darbyshire et al . ; Fagerberg & Jönhagen ).…”

Section: Discussionmentioning

confidence: 99%

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Don't go there – It's not a nice place: Older adults’ experiences of delirium

Weir

O’Brien

2018

Int J Mental Health Nurs

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Delirium is a common neuropsychiatric disorder that causes fluctuations in consciousness and attention, impairments in cognitive functioning and information processing, and changes in how individuals perceive what is going on around them. Delirium is associated with increased mortality, ongoing impairment in cognitive functioning, and a high possibility of discharge to residential care. The experience of delirium may be distressing for the patient and their family. Despite the frequency of delirium in hospitalized elderly patients, there is a dearth of literature that examines their experience of this phenomenon, and how it affects individuals as they continue their lives. This study uses descriptive qualitative methodology to explore the question: ‘What is the experience of delirium for older adults during hospitalisation?’ Data were collected from older adults who had received hospital care in a tertiary general hospital setting. Seven participants were recruited between January and June 2017. Semi‐structured individual interviews were used to gather data which was analysed using content analysis. Four themes were identified. These were sense of confusion, disrupted sense of autonomy, perceptual disturbances, and emotional response. Participants exercised agency in the way they responded to these experiences. The study highlighted the need for delirium prevention, and education to improve nurses’ recognition, understanding, and management of delirium. In particular, there is a need for nurses to attend to the psychological and emotional experience of delirium.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Don't go there – It's not a nice place: Older adults’ experiences of delirium

Weir

O’Brien

2018

Int J Mental Health Nurs

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“…Experiencing delirium and having flashbacks of delirious episodes is frightening for patients and affects their psychological and emotional well-being [11][12][13]. Providing appropriate care to delirious patients imposes a great burden on healthcare professionals, for example, because of difficult behaviors of patients and overlapping symptoms with dementia [14,15].…”

Section: Deliriummentioning

confidence: 99%

“…Low detection rates of delirium are often related to low delirium awareness, inadequate knowledge and education, lack of time, feeling uncomfortable with delirium assessment, and missing co-operation between professions. However, if the presence of delirium and/or increased risks are detected, such barrierstogether with negative attitudes towards deliriumare also related to suboptimal delirium management [2,14,[17][18][19].…”

Section: Deliriummentioning

confidence: 99%

“…It is important to pay more attention to negative attitudes of healthcare professionals towards delirium, the lack of understanding of how frightening delirium is, and behavior and communication skills in delirium care [4,6]. On the other hand, there is a call for educating delirium care using methods that incorporate interaction and active involvement of learners, sufficient feedback loops, and simulations [3,6,14,20,21]. Delirium education should become more patient-oriented instead of only focusing on specific disease-related knowledge [4].…”

Section: Deliriummentioning

confidence: 99%

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The influence of a serious game’s narrative on students’ attitudes and learning experiences regarding delirium: an interview study

et al. 2020

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Background: Delirium is a neuropsychiatric syndrome that affects patients' attention and awareness as a result of a physical condition. In recent years, persistent gaps in delirium education have led to suboptimal delirium care. Still, little is known about what are the most important aspects of effective delirium education. Serious games are both entertainment and an interactive, safe learning environment where players can experiment and create new knowledge. They have the potential to contribute to improved delirium education. We used a video-based serious games' narrative to explore aspects essential to enhance students' attitudes and learning experiences regarding delirium. Methods: We created a semi-structured interview guide and interviewed seven nursing and nine medical students about their attitudes and learning experiences, after they had played the game. A qualitative descriptive design and inductive content analysis with constant comparison were used. Results: The patient's and nurse's perspective, interactivity to experiment, realistic views on care options, and feedback on care actions were important for enhancing students' attitudes and learning experiences regarding delirium. Students felt these aspects encouraged them to get actively involved in and experiment with the study material, which in turn led to enhanced reflection on delirium care and education. Our findings highlight the importance of a more patient-oriented focus to delirium education to drive attitudinal change. Students' learning experiences were further enhanced through their affective responses provoked by the perspectives, interactivity, realism, and feedback.

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Difficulties faced by intensive care nurses in caring for patients with delirium: A cross-sectional, multicentre study

Jiang,

Tung,

Wang

et al. 2024

Australian Critical Care

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Caring for a patient with delirium in an acute hospital: The lived experience of cardiology, elderly care, renal, and respiratory nurses

Abstract: The need for education across specialities, with a combination of classroom and simulation teaching. Alongside, the development of structures to support the development of nursing teamwork and reporting of near miss incidents that occur with patients during an episode of delirium.

Cited by 21 publications

References 42 publications

Don't go there – It's not a nice place: Older adults’ experiences of delirium

Don't go there – It's not a nice place: Older adults’ experiences of delirium

The influence of a serious game’s narrative on students’ attitudes and learning experiences regarding delirium: an interview study

Difficulties faced by intensive care nurses in caring for patients with delirium: A cross-sectional, multicentre study

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