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Journal article
A Toolkit for Delirium Identification and Promoting Partnerships Between Carers and Nurses: A Pilot Pre-Post Feasibility Study
Journal of General Internal Medicine, Vol.39, pp.2001-2008
2024
PMID: 38647970
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Expert Quote
Carers toolkit can make delirium less frightening and less dire: Study
UniSC NewsAbstract
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 UniversityAlison Craswell - University of the Sunshine Coast, Queensland, School of Health - NursingKasia Bail - University of CanberraRoslyn M Compton - University of SaskatchewanMark Hughes - Southern Cross UniversityGolam Sorwar - Southern Cross UniversityJames Baker - Southern Cross UniversityJennene Greenhill - Southern Cross UniversityLucy Shinners - Southern Cross UniversityBelinda Nichols - Northern NSW Local Health District, Lismore, NSW, AustraliaRachel 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; 0884-8734
- PMID
- 38647970
- 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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