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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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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. |
format | Online Article Text |
id | pubmed-10099329 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
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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