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Delirium in patients with cancer: what nurses need to know to improve care
Sharon LaFever1, Angela Bory1, John Nelson2
1Saint Agnes Hospital in Baltimore, MD.
Background:
Delirium is a serious problem when caring for a patient with cancer in the hospital. Delirium causes major risks and concerns for patients, family members, and healthcare workers, and it often goes unrecognized and has many clinical manifestations.
Objectives:
This article aims to evaluate whether a nursing educational program on the topic of delirium would increase the nursing staff's knowledge and confidence in managing patients with delirium.
Methods:
A repeated-measures research design using general linear modeling was used for this study. An evidence-based delirium protocol and an educational session were developed for the nursing staff on an inpatient medical-surgical oncology unit. The nurses attended a delirium educational session to learn about risk factors, prevention, assessment, and management of delirium, as well as the use of the delirium protocol.
Findings:
The nursing educational program on the topic of delirium increased the nursing staff's knowledge from 69% to 86%, and overall confidence in managing patients with delirium increased from 47% to 66%. This study confirms the benefits of delirium education in the inpatient medical-surgical oncology setting.
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