A Toolkit for Delirium Identification and Promoting Partnerships Between Carers and Nurses: A Pilot Pre-Post Feasibility Study

Christina Aggar; Alison Craswell; Kasia Bail; Roslyn M Compton; Mark Hughes; Golam Sorwar; James Baker; Jennene Greenhill; Lucy Shinners; Belinda Nichols; Rachel Langheim; Allison Wallis; Karen Bowen; Hazel Bridgett

doi:10.1007/s11606-024-08734-6

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A Toolkit for Delirium Identification and Promoting Partnerships Between Carers and Nurses: A Pilot Pre-Post Feasibility Study

Journal article

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Peer reviewed

A Toolkit for Delirium Identification and Promoting Partnerships Between Carers and Nurses: A Pilot Pre-Post Feasibility Study

Christina Aggar, Alison Craswell, Kasia Bail, Roslyn M Compton, Mark Hughes, Golam Sorwar, James Baker, Jennene Greenhill, Lucy Shinners, Belinda Nichols, …

Journal of General Internal Medicine, Vol.39, pp.2001-2008

2024

DOI: https://doi.org/10.1007/s11606-024-08734-6

PMCID: PMC11306898

PMID: 38647970

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Abstract

family

caregiving

carers

delirium

Delirium is frightening for people experiencing it and their carers, and it is the most common hospital-acquired complication worldwide. Delirium is associated with higher rates of morbidity, mortality, residential care home admission, dementia, and carer stress and burden, yet strategies to embed the prevention and management of delirium as part of standard hospital care remain challenging. Carers are well placed to recognize subtle changes indicative of delirium, and partner with nurses in the prevention and management of delirium. To evaluate a Prevention & Early Delirium Identification Carer Toolkit (PREDICT), to support partnerships between carers and nurses to prevent and manage delirium. A pre-post-test intervention and observation study. Changes in carer knowledge of delirium; beliefs about their role in partnering with nurses and intended and actual use of PREDICT; carer burden and psychological distress. Secondary measures were rates of delirium. Participants were carers of Indigenous patients aged 45 years and older and non-Indigenous patients aged 65 years and older. Nurses implemented PREDICT, with a view to provide carers with information about delirium and strategies to address caregiving stress and burden. Participants included 25 carers (43% response rate) (n = 17, 68% female) aged 29-88 (M = 65, SD = 17.7 years). Carer delirium knowledge increased significantly from pre-to-post intervention (p = < .001; CI 2.07-4.73). Carers' intent and actual use of PREDICT was (n = 18, 72%; and n = 17, 68%). Carer burden and psychological distress did not significantly change. The incidence of delirium in the intervention ward although not significant, decreased, indicating opportunity for scaling up. The prevention and management of delirium are imperative for safe and quality care for patients, carers, and staff. Further comprehensive and in-depth research is required to better understand underlying mechanisms of change and explore facets of nursing practice influenced by this innovative approach.

Details

Title: A Toolkit for Delirium Identification and Promoting Partnerships Between Carers and Nurses: A Pilot Pre-Post Feasibility Study
Authors: Christina Aggar (Corresponding Author) - Southern Cross University
Alison Craswell - University of the Sunshine Coast, Queensland, School of Health - Nursing
Kasia Bail - University of Canberra
Roslyn M Compton - University of Saskatchewan
Mark Hughes - Southern Cross University
Golam Sorwar - Southern Cross University
James Baker - Southern Cross University
Jennene Greenhill - Southern Cross University
Lucy Shinners - Southern Cross University
Belinda Nichols - Northern NSW Local Health District, Lismore, NSW, Australia
Rachel Langheim - Northern NSW Local Health District (Australia)
Allison Wallis - Northern NSW Local Health District (Australia)
Karen Bowen - Northern NSW Local Health District (Australia)
Hazel Bridgett - Northern NSW Local Health District (Australia)
Publication details: Journal of General Internal Medicine, Vol.39, pp.2001-2008
Publisher: Springer New York LLC
Date published: 2024
DOI: 10.1007/s11606-024-08734-6
ISSN: 1525-1497
PMID: 38647970; PMC11306898
Copyright note: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Data Availability: The data presented in this study are available on request from the corresponding author (Christina Aggar).
Organisation Unit: Healthy Ageing Research Cluster; School of Health - Nursing
Language: English
Record Identifier: 991019598802621
Output Type: Journal article

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