Factors Influencing Nurses' Knowledge About Delirium in Acute Care Settings in Hail Region, Saudi Arabia: A Cross-Sectional Study.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES Risk Management and Healthcare Policy Pub Date : 2024-12-21 eCollection Date: 2024-01-01 DOI:10.2147/RMHP.S494402

Mokhtar A Almoliky, Sameer A Alkubati, Salman H Alsaqri, Khalil A Saleh, Mujeeb A Sultan, Saddam Ahmed Al-Ahdal, Anas Mahmoud Balawi, Hajer Ibrahim Moatakef

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Abstract

Background: The factors influencing nurses' knowledge of delirium in acute care settings have not been fully investigated in Saudi Arabia. Therefore, this study aimed to investigate these factors among nurses in acute care settings in the northern region of Saudi Arabia.

Methodology: A cross-sectional study was conducted using a convenience sample of 234 acute care nurses at the main public hospitals in the Hail region of Saudi Arabia. Data were collected using a structured, self-administered questionnaire, from November 2023 to February 2024. Multiple linear regression was used to identify factors of knowledge about delirium.

Results: Of the acute care nurses, 7.3% had a good level of overall knowledge about delirium, while 66.1% and 26.6% showed poor and moderate levels, respectively. Most nurses (78.2%) had poor knowledge of delirium assessment. Significantly higher scores on delirium assessment were observed for nurses who reported receiving in-service training on delirium (P = 0.006) and when a clear job description was applied (P = 0.031), whereas significantly higher scores on knowledge about risk factors were observed for those who had previous experience in caring for delirious patients (P <0.001), received educational sessions on delirium (P = 0.001), and participated in training on delirium care (P <0.001). Lack of previous experience in caring for delirious patients and participation in delirium care training were significant factors for lower knowledge about delirium scores (CI=-5.750 --1.200, P <0.001).

Conclusion: In-service training, daily clinical discussion, availability of instructional materials, and specific training on delirium significantly influence nurses' knowledge about delirium, particularly regarding delirium assessment and early recognition. Enhancing these factors could improve nurses' knowledge and the care and management of patients complaining of delirium in acute care settings.

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影响沙特阿拉伯Hail地区急性护理机构护士谵妄知识的因素：一项横断面研究。

背景：在沙特阿拉伯，急性护理环境中影响护士谵妄知识的因素尚未得到充分调查。因此，本研究旨在调查这些因素护士在急性护理设置在沙特阿拉伯北部地区。方法：横断面研究采用沙特阿拉伯冰雹地区主要公立医院234名急症护理护士的方便样本进行。从2023年11月到2024年2月，使用结构化的自我管理问卷收集数据。采用多元线性回归方法确定谵妄知识的影响因素。结果：急症护理护士对谵妄的总体知识水平为良好的占7.3%，较差的占66.1%，中等的占26.6%。大多数护士（78.2%）对谵妄评估的认识较差。接受过在职谵妄培训（P = 0.006）和明确岗位描述（P = 0.031）的护士谵妄评估得分较高，而有过谵妄患者护理经验（P = 0.001）和参加过谵妄护理培训（P P）的护士谵妄危险因素知识得分较高。在职培训、日常临床讨论、教学材料的可用性以及谵妄的专门培训显著影响护士对谵妄的认识，特别是谵妄评估和早期识别。加强这些因素可以提高护士的知识和护理和管理谵妄患者在急性护理设置。

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来源期刊

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.