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The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
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Related Experiment Video

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Knowledge, attitudes and practices regarding diagnosis and management of delirium at the Cayetano Heredia Hospital

Grethel Díaz-Vargas1, Abigail Quiñones-Condezo1, Karlos Acurio-Ortiz2

  • 1Médica cirujana, Universidad Peruana Cayetano Heredia. Lima, Perú.. grethelzarimah@hotmail.com.

Vertex (Buenos Aires, Argentina)
|January 21, 2025
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Summary

Medical staff show knowledge gaps in delirium management, with only 57.8% correct answers on delirium. While non-pharmacological interventions are common, confidence in using antipsychotics for delirium is low.

Keywords:
deliriumknowledgeapproachhospitalization (MeSH)

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Area of Science:

  • Clinical Medicine
  • Neuroscience
  • Geriatrics

Background:

  • Delirium is a common clinical syndrome.
  • Understanding healthcare professionals' knowledge, attitudes, and practices (KAP) is crucial for effective delirium management.
  • Third-level hospitals serve complex patient populations, necessitating high standards of care.

Purpose of the Study:

  • To assess the knowledge, attitudes, and practices of medical personnel regarding delirium.
  • To evaluate the validity of an instrument designed to measure delirium-related KAP.
  • To identify areas for improvement in delirium care within a tertiary hospital setting.

Main Methods:

  • A 3-phase cross-sectional study was conducted.
  • Phase 1 involved content validation of the assessment instrument.
  • Phase 2 administered the instrument to 148 medical staff (attendings, residents, final-year students).
  • Phase 3 focused on construct validation.

Main Results:

  • Content validation of the instrument was satisfactory.
  • Medical personnel achieved an average score of 57.8% on delirium knowledge.
  • Significant gaps were observed in delirium knowledge and management practices.
  • Only 25% used a standardized confusion assessment method.
  • 31.1% felt confident using antipsychotics for delirium.
  • 86.5% employed non-pharmacological measures.

Conclusions:

  • Deficiencies in medical staff's knowledge and management of delirium were identified.
  • The developed instrument demonstrated optimal content validity but unsatisfactory construct validity.
  • Further psychometric analysis is essential before widespread use of the instrument.