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Exploring nurses' recognition of delirium in the elderly by using Q-methodology
1Nursing Department, College of Nursing, Korea University, Seoul, South Korea.
Japan Journal of Nursing Science : JJNS
|December 22, 2017
Summary
Nurses utilize four key approaches to detect delirium in elderly patients, focusing on integrated signs, visible symptoms, observational changes, and diagnostic data. Understanding these subjective viewpoints can improve delirium education for nurses.
Area of Science:
- Gerontology
- Nursing Science
- Psychiatry
Background:
- Delirium is a serious condition often underrecognized by nurses due to its nonspecific symptoms.
- Nurses' subjective assessments are crucial for effective delirium detection in the elderly.
Purpose of the Study:
- To explore nurses' experiences, practices, and viewpoints in recognizing delirium among elderly patients.
- To identify the subjective factors influencing nurses' delirium detection.
Main Methods:
- Q-methodology was employed to analyze nurses' subjective viewpoints.
- 32 nurses sorted 34 Q-statements related to delirium recognition.
- Centroid factor analysis and varimax rotation were performed using PQMethod.
Main Results:
- Four distinct factors emerged regarding nurses' approaches to delirium recognition:
- Factor I: Prediction from integrated signs.
- Factor II: Visible symptom-centered detection.
- Factor III: Detection of abnormal changes through concentrated observation.
- Factor IV: Identification based on diagnostic data.
Conclusions:
- The study provides practical insights into elderly delirium detection from a nursing perspective.
- Findings can inform the development of accessible delirium education tailored to nurses' subjective viewpoints.
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