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Nurses' assessment of subsyndromal delirium and barriers to assessment: A cross‐sectional survey in the intensive care unit

AIMS: The aims of the study are to investigate the current status of nurses' assessment of subsyndromal delirium (SSD) in the intensive care unit (ICU) and explore possible barriers to assessment. BACKGROUND: SSD is a dynamic, recognizable disorder commonly seen in the ICU that can lead to poor...

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Autores principales: Gao, Yan, Zhang, Chuanlai, Liao, Chunlian, Gan, Xiuni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10099329/
https://www.ncbi.nlm.nih.gov/pubmed/36326205
http://dx.doi.org/10.1111/jonm.13887
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author Gao, Yan
Zhang, Chuanlai
Liao, Chunlian
Gan, Xiuni
author_facet Gao, Yan
Zhang, Chuanlai
Liao, Chunlian
Gan, Xiuni
author_sort Gao, Yan
collection PubMed
description AIMS: The aims of the study are to investigate the current status of nurses' assessment of subsyndromal delirium (SSD) in the intensive care unit (ICU) and explore possible barriers to assessment. BACKGROUND: SSD is a dynamic, recognizable disorder commonly seen in the ICU that can lead to poor patient outcomes. Timely recognition and management can prevent its progression. METHODS: A cross‐sectional survey design was used to collect data from ICU registered nurses in southwest China. The online survey containing an analysis of the current status of SSD assessment and barriers was completed by 237 nurses. RESULTS: A total of 51.5% of nurses chose to assess SSD using an assessment tool, the most commonly used being the Confusion Assessment Method for the Intensive Care Unit; the frequency of assessment was mostly once a day (66, 41.0%) and often at shift change (178, 87.3%). There were statistically significant differences in the barrier factor scores by assessment frequency, assessment method, status of training in SSD, ability of SSD‐related knowledge to meet clinical needs and willingness to receive SSD training. CONCLUSION: Our study confirms that the current state of assessment of SSD in the ICU is unsatisfactory, with nurses' lack of assessment knowledge and skills, poor organization and management, and the complexity of patients' conditions being barriers. IMPLICATIONS FOR NURSING MANAGEMENT: Nursing managers should systematically conduct training programmes on effective SSD assessment knowledge and skills, incorporate SSD assessment into the daily workflow, have standardized assessment tools, develop standardized processes and assign dedicated staff to monitor, audit and provide feedback on SSD assessments.
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spelling pubmed-100993292023-04-14 Nurses' assessment of subsyndromal delirium and barriers to assessment: A cross‐sectional survey in the intensive care unit Gao, Yan Zhang, Chuanlai Liao, Chunlian Gan, Xiuni J Nurs Manag Regular Issue AIMS: The aims of the study are to investigate the current status of nurses' assessment of subsyndromal delirium (SSD) in the intensive care unit (ICU) and explore possible barriers to assessment. BACKGROUND: SSD is a dynamic, recognizable disorder commonly seen in the ICU that can lead to poor patient outcomes. Timely recognition and management can prevent its progression. METHODS: A cross‐sectional survey design was used to collect data from ICU registered nurses in southwest China. The online survey containing an analysis of the current status of SSD assessment and barriers was completed by 237 nurses. RESULTS: A total of 51.5% of nurses chose to assess SSD using an assessment tool, the most commonly used being the Confusion Assessment Method for the Intensive Care Unit; the frequency of assessment was mostly once a day (66, 41.0%) and often at shift change (178, 87.3%). There were statistically significant differences in the barrier factor scores by assessment frequency, assessment method, status of training in SSD, ability of SSD‐related knowledge to meet clinical needs and willingness to receive SSD training. CONCLUSION: Our study confirms that the current state of assessment of SSD in the ICU is unsatisfactory, with nurses' lack of assessment knowledge and skills, poor organization and management, and the complexity of patients' conditions being barriers. IMPLICATIONS FOR NURSING MANAGEMENT: Nursing managers should systematically conduct training programmes on effective SSD assessment knowledge and skills, incorporate SSD assessment into the daily workflow, have standardized assessment tools, develop standardized processes and assign dedicated staff to monitor, audit and provide feedback on SSD assessments. John Wiley and Sons Inc. 2022-11-17 2022-11 /pmc/articles/PMC10099329/ /pubmed/36326205 http://dx.doi.org/10.1111/jonm.13887 Text en © 2022 The Authors. Journal of Nursing Management published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Regular Issue
Gao, Yan
Zhang, Chuanlai
Liao, Chunlian
Gan, Xiuni
Nurses' assessment of subsyndromal delirium and barriers to assessment: A cross‐sectional survey in the intensive care unit
title Nurses' assessment of subsyndromal delirium and barriers to assessment: A cross‐sectional survey in the intensive care unit
title_full Nurses' assessment of subsyndromal delirium and barriers to assessment: A cross‐sectional survey in the intensive care unit
title_fullStr Nurses' assessment of subsyndromal delirium and barriers to assessment: A cross‐sectional survey in the intensive care unit
title_full_unstemmed Nurses' assessment of subsyndromal delirium and barriers to assessment: A cross‐sectional survey in the intensive care unit
title_short Nurses' assessment of subsyndromal delirium and barriers to assessment: A cross‐sectional survey in the intensive care unit
title_sort nurses' assessment of subsyndromal delirium and barriers to assessment: a cross‐sectional survey in the intensive care unit
topic Regular Issue
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10099329/
https://www.ncbi.nlm.nih.gov/pubmed/36326205
http://dx.doi.org/10.1111/jonm.13887
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