Is it My Job? The Role of RNs in the Assessment and Identification of Delirium in Hospitalized Older Adults: An Exploratory Qualitative Study.

@article{Coyle2017IsIM,
  title={Is it My Job? The Role of RNs in the Assessment and Identification of Delirium in Hospitalized Older Adults: An Exploratory Qualitative Study.},
  author={Miriam Anne Coyle and Pippa Burns and Victoria Traynor},
  journal={Journal of gerontological nursing},
  year={2017},
  volume={43 4},
  pages={
          29-37
        }
}
Delirium is characterized by acute and fluctuating cognitive decline, which is often missed in older adults who are assumed to be experiencing age-related changes or dementia. [] Key Method Qualitative methods were adopted using eight semi-structured group interviews with 24 RNs. Thematic analysis revealed a dichotomy in practice where RNs described delirium assessment and identification as (a) It's Not My Job, (b) It is My Job, and (c) It's Complex. The imperative to improve delirium assessment and…
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Professional Socialization: A Grounded Theory of the Clinical Reasoning Processes That RNs and LPNs Use to Recognize Delirium
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Professional Socialization makes explicit the similarities and variations in the clinical reasoning processes between RNs and LPNs and highlights their main concerns when interacting with delirious patients.
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It is demonstrated that interactive education is a promising contemporary approach for raising awareness about best practice delirium care by health care practitioners and to adopt a more consistent method of reporting findings to ensure successful transferability across care settings.
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Gerontological nurses should demonstrate emotional competence in caring for older people and include a positive attitude, spiritual maturity, emotional self-control, adherence to professional ethics, creativity in care, successful relationship management and compassionate care in their practice.
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The systematic management program fordelirium decreased the incidence of delirium and improved several clinical outcomes, suggesting that this simple cost-effective program is feasible and implementable as routine care in busy wards.
Diagnostic test accuracy of the Nursing Delirium Screening Scale: A systematic review and meta-analysis.
TLDR
This review supports the Nursing Delirium Screening Scale as a validate tool of screening for delirium as well as recommending nursing leaders to use this easy-to-use and validated tool for daily screening ofDelirium in any hospital setting.
Nurses’ experiences in the management of delirium among older persons in acute care ward settings: A qualitative systematic review and meta-aggregation

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