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COVID-19 and the Impact on Delirium Care of Hospitalized Older Adults: A Qualitative Study
Tru Byrnes1, Kimberly Pate, Latasia Belin
1Author Affiliations: Atrium Health Carolinas Medical Center, Charlotte, North Carolina (Drs Byrnes and Pate and Ms Weaver); Atrium Health Mercy, Charlotte, North Carolina (Dr Belin); and Carolinas Center for Surgical Outcomes Science, Atrium Health, and Wake Forest University School of Medicine, Charlotte, North Carolina (Dr Cochran).
Background:
Older adult patients with COVID-19 and delirium experience higher rates of adverse outcomes. Early recognition of at-risk patients and implementation of management strategies improve outcomes, though understanding barriers to acute care nurses implementing these strategies is limited.
Purpose:
This study's purpose was to understand the experiences of acute care nurses providing care to older adults with COVID-19 and delirium. Experiences explored included assessment, nursing management interventions, and barriers to care.
Methods:
Purposive sampling to recruit nurses for semistructured focus groups was performed, and thematic analysis was generated by 4 members of the research team.
Results:
Twenty-one nurses participated in focus groups. Thematic analysis revealed themes of increased patient social isolation, barriers to delirium assessment and prevention, increased staff demands, and stressful work environments.
Conclusion:
Rich findings reveal the profound impact of the pandemic on assessment for delirium and implementation of strategies for prevention and management in older adult patients.
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