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Managing delirium in the acute care setting: a pilot focus group study
Andrea Yevchak1, Melinda Steis, Theresa Diehl
1The Pennsylvania State University, School of Nursing, University Park, PA 16803, USA. amy139@psu.edu
International Journal of Older People Nursing
|April 20, 2012
Summary
Acute care nurses can effectively manage delirium in older adults using non-pharmacological interventions. This study highlights the need for improved assessment, education, and evidence-based guidelines to support nurses in delirium care.
Area of Science:
- Geriatric Nursing
- Critical Care Medicine
- Patient Safety
Background:
- Delirium is prevalent in hospitalized older adults, often leading to adverse outcomes.
- Effective recognition and management by acute care nurses are crucial for mitigating negative sequelae.
Purpose of the Study:
- To explore acute care nurses' experiences and knowledge of delirium assessment and management in older adults.
- To identify facilitators and barriers to non-pharmacological delirium management.
- To understand the application of non-drug interventions by nurses for delirium.
Main Methods:
- Qualitative pilot study utilizing focus group methodology.
- Involved 16 nurses from medical, surgical, and orthopaedic units in an acute care hospital.
- Two focus groups were conducted to gather in-depth insights.
Main Results:
- Key themes identified: 'confusion is normal,' 'our duty is to protect,' and 'finding a balance.'
- Nurses demonstrated knowledge of non-pharmacological interventions for delirium.
- Facilitators and barriers to implementing these interventions in clinical practice were identified.
Conclusions:
- Regular cognitive status assessment and enhanced nursing education on non-pharmacological delirium management are essential.
- Nurses possess valuable insights for delirium management, indicating areas for future research and policy development.
- Evidence-based guidelines are needed to integrate non-pharmacological strategies into acute care for improved delirium management.
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