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The confused patient: nurses' knowledge and interventions

R Ludwick, A W O'Toole

    Journal of Gerontological Nursing
    |January 1, 1996
    PubMed
    Summary
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    Nurses frequently care for confused patients and believe they are knowledgeable. However, the study found a high reliance on physical restraints for confusion management, questioning their overuse in acute care settings.

    Area of Science:

    • Nursing
    • Gerontology
    • Patient Care

    Background:

    • Confusion is a common issue in hospital settings, particularly among elderly patients.
    • Nurses play a critical role in managing confused patients and implementing treatment strategies.

    Purpose of the Study:

    • To assess registered nurses' knowledge and experience regarding patient confusion.
    • To investigate current treatment practices for confusion in medical-surgical units.

    Main Methods:

    • A survey was administered to 100 hospital-based, medical-surgical registered nurses.
    • Participants reported their frequency of contact with confused patients and their self-assessed knowledge levels.
    • Data on treatment methods, specifically the use of restraints, were collected.

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    Main Results:

    • Nurses encounter confused patients regularly, averaging approximately three per week.
    • Nurses rated their knowledge of confusion management as 2.96 out of 4.
    • Restraints were utilized for 84% of the last confused patients nurses cared for.

    Conclusions:

    • While nurses feel knowledgeable about confusion, their primary treatment method involves physical restraints.
    • The high incidence of restraint use suggests potential overuse and warrants investigation into alternative interventions.
    • Further research is needed to explore and implement non-restraint alternatives in acute care settings.