Improving the Recognition and Assessment of ICU Delirium.

IF 1.1 4区 医学 Q3 NURSING Journal of Continuing Education in Nursing Pub Date : 2024-11-01 Epub Date: 2024-09-05 DOI:10.3928/00220124-20240829-03
Abbie Tuomisto, Patrick Kennedy
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Abstract

Background: Delirium is acute neurological failure that alters cognition and results in a state of confusion and lack of self-awareness. It commonly affects critically ill patients within intensive care units (ICUs), and the wide array of fluctuating symptoms frequently leads to underdiagnosis. Delirium results in cognitive impairment and increased rates of fatality, and accurate assessments are essential for improving patient outcomes. Barriers to delirium assessment stem from a lack of knowledge and assessment training among ICU nurses.

Method: Using the Cumulative Index to Nursing and Allied Health Literature electronic database, a literature synthesis was conducted, analyzing journal articles addressing delirium education and training among ICU nurses and barriers associated with assessment.

Results: Current literature identifies methods to overcome barriers through training, education, and continuous reinforcement of delirium assessment. The goals of this review are to identify the barriers to delirium assessment and make recommendations for education methods to increase the confidence of ICU nurses in the recognition of delirium to improve patient outcomes.

Conclusion: Early identification of delirium is crucial to improving patient outcomes. A standardized delirium educational program should be developed and implemented throughout the U.S. health care system. [J Contin Educ Nurs. 2024;55(11):530-534.].

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改进对重症监护室谵妄的识别和评估。
背景:谵妄是一种急性神经功能衰竭,会改变认知能力,导致意识模糊和缺乏自知力。它通常影响重症监护病房(ICU)中的危重病人,由于症状变化多端,常常导致诊断不足。谵妄会导致认知障碍并增加死亡率,因此准确评估对改善患者预后至关重要。ICU 护士缺乏相关知识和评估培训是谵妄评估的障碍:方法:利用《护理与专职医疗文献累积索引》电子数据库进行了文献综述,分析了有关 ICU 护士谵妄教育和培训以及与评估相关的障碍的期刊文章:目前的文献确定了通过培训、教育和不断加强谵妄评估来克服障碍的方法。本综述旨在确定谵妄评估的障碍,并就教育方法提出建议,以增强 ICU 护士识别谵妄的信心,从而改善患者预后:结论:早期识别谵妄对改善患者预后至关重要。结论:早期识别谵妄对改善患者预后至关重要,应制定标准化的谵妄教育计划,并在全美医疗保健系统实施。[J Contin Educ Nurs.
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.80
自引率
8.30%
发文量
107
审稿时长
6-12 weeks
期刊介绍: The Journal of Continuing Education in Nursing is a monthly peer-reviewed journal publishing original articles on continuing nursing education that are directed toward continuing education and staff development professionals, nurse administrators, and nurse educators in all health care settings, for over 50 years.
期刊最新文献
Improving the Recognition and Assessment of ICU Delirium. Using Performance Improvement Methods to Evaluate Processes for Writing Multiple-Choice Test Questions in the Postlicensure Clinical Environment: A Case Study. Effectiveness of Cognitive Rehearsal in Addressing Nursing Incivility: An Integrative Review. A Guide for Nurse-Led Advocacy for Safe Staffing and the Quality of Nursing Work Life. Copyright: Who Owns What.
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