Critical Care Nurses' Knowledge, Perception and Barriers Regarding Delirium in Adult Critical Care Units

Shaimaa Ahmed Awad^1,

¹Critical Care and Emergency Nursing Department, Faculty of Nursing, Mansoura University, Egypt

Cite this paper:
Shaimaa Ahmed Awad. Critical Care Nurses' Knowledge, Perception and Barriers Regarding Delirium in Adult Critical Care Units. American Journal of Nursing Research. 2019; 7(2):193-198. doi: 10.12691/ajnr-7-2-11

Abstract

Purpose/Aims: the purpose of this study was to evaluate critical care nurses' knowledge, perception and barriers regarding delirium in adult critical care units. Design: A descriptive exploratory research design was used to conduct this study. Methods: the current study was conducted at Intensive care units located at Mansoura Emergency Hospital. A total of 40 nurses completed the study. Assessment of critical care nurses' perception, knowledge and barriers regarding delirium was done through direct interview method using study questionnaires. Results: nurses' experience in ICU has a positive impact on their knowledge and perception regarding delirium. The mean score of perception, general knowledge and knowledge related to risk factors were significantly higher among diploma degree nurses. The mean score of nurses' perception of delirium was 27.4 ±6.4. The mean score of general knowledge was 25.0 ±8.6 which represents 69.4% of total possible score. The mean score of knowledge regarding risk factors of delirium was 35.1 ±10.1which represents 73.1% of total possible score. Critical care nurses face many barriers regarding delirium assessment. The mean score regarding barriers to proper delirium assessment was 25.1 ±4.8. Conclusion: In light of the results of our study, we can emphasize that there is a need to upgrade critical care nurses' knowledge and perception regarding delirium to help nurses to be more active in performing delirium assessment and management.

Keywords:
delirium critical care nursing delirium monitoring

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	Forsgren, L. M., & Eriksson, M. (2010). Delirium—Awareness, observation and interventions in intensive care units: A national survey of Swedish ICU head nurses. Intensive and Critical Care Nursing, 26(5), 296-303.
[2]	Van Rompaey, B., Elseviers, M. M., Schuurmans, M. J., Shortridge-Baggett, L. M., Truijen, S., & Bossaert, L. (2009). Risk factors for delirium in intensive care patients: a prospective cohort study. Critical Care, 13(3), R77.
[3]	Ouimet, S., Kavanagh, B. P., Gottfried, S. B., & Skrobik, Y. (2007). Incidence, risk factors and consequences of ICU delirium. Intensive Care Medicine, 33(1), 66-73.
[4]	Page, V. (2012). Delirium in intensive care patients. BMJ, 344. Retrieved from http://www.bmj.com/content/344/bmj.e346.abstract.
[5]	Spronk, P. E., Riekerk, B., Hofhuis, J., & Rommes, J. H. (2009). Occurrence of delirium is severely underestimated in the ICU during daily care. Intensive Care Medicine, 35(7), 1276-1280.
[6]	Hare, M., Wynaden, D., McGowan, S., Landsborough, I., & Speed, G. (2008). A questionnaire to determine nurses’ knowledge of delirium and its risk factors. Contemporary Nurse, 29(1), 23-31.
[7]	Christensen, M. (2014). An exploratory study of staff nurses’ knowledge of delirium in the medical ICU: An Asian perspective. Intensive and Critical Care Nursing, 30(1), 54-60.
[8]	Bélanger, L., & Ducharme, F. (2011). Patients’ and nurses’ experiences of delirium: a review of qualitative studies. Nursing in Critical Care, 16(6), 303-315.
[9]	Anbu, A. S. (2014). An evaluation of nursing practices regarding delirium assessments in adult critical care units in Western seaboard region of Ireland (Doctoral dissertation).‏
[10]	Faria, R. D. S. B., & Moreno, R. P. (2013). Delirium in intensive care: an under-diagnosed reality. Revista Brasileira de terapia intensiva, 25(2), 137-147.‏
[11]	Andrews, L., Silva, S. G., Kaplan, S., & Zimbro, K. (2015). Delirium monitoring and patient outcomes in a general intensive care unit. American Journal of Critical Care, 24(1), 48-56.‏
[12]	Ely Ew., Siegel MD., Inouye SK. (2001). Delirium in the intensive care unit: an under-recognized syndrome of organ dysfunction. Semin Respir Crit Care Med.; 22(2): 115-26.
[13]	Duppils GS, Wikblad K. (1999). Acute confusional states in patients undergoing hip surgery, Gerontology 46: 36-43.
[14]	Marcantonio ER, Flacker JM, Michaels M and Resnick NM (2000) Delirium is independently associated with poor functional recovery after hip fracture, journal of the American Geriatrics Society 48: 618-624.
[15]	Tsuruta R, Nakahara T, et al. (2010). Prevalence and associated factors for delirium in critically ill patients at a Japanese intensive care unit. Gen Hosp Psychiatry; 32(6): 607-11.
[16]	Boot, R. (2012). Delirium: A review of the nurse’s role in the intensive care unit. Intensive and Critical Care Nursing.28 (3), 185-189.