Attitudes, knowledge and practices concerning delirium: a survey among intensive care unit professionals
| Autor: | H. H. Ponssen, J Schoonderbeek, Serge J. C. Verbrugge, Erwin Ista, Annemieke Dijkstra, Frodo Schreiner, Mathieu van der Jagt, Jan Bakker, Zoran Trogrlić |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Critical Care Nursing behavioral disciplines and activities law.invention 03 medical and health sciences 0302 clinical medicine law Intervention (counseling) mental disorders Health care medicine 030212 general & internal medicine Intensive care medicine Response rate (survey) business.industry Guideline adherence 030208 emergency & critical care medicine Guideline medicine.disease Intensive care unit nervous system diseases Delirium Knowledge deficit Medical emergency medicine.symptom business |
| Zdroj: | Nursing in Critical Care. 22:133-140 |
| ISSN: | 1362-1017 |
| DOI: | 10.1111/nicc.12239 |
| Popis: | Background Delirium is a common form of vital organ dysfunction in intensive care unit (ICU) patients and is associated with poor outcomes. Adherence to guideline recommendations pertaining to delirium is still suboptimal. Aims We performed a survey aimed at identifying barriers for implementation that should be addressed in a tailored implementation intervention targeted at improved ICU delirium guideline adherence. Design The survey was conducted among ICU professionals. Methods An online survey was conducted among 360 ICU health care professionals (nurses, physicians and delirium consultants) from six ICUs in the southwest of the Netherlands as part of a multicentre prospective implementation project [response rate: 64% of 565 invited; 283 (79%) were nurses]. Results Although the majority (83%) of respondents considered delirium a common and major problem in the ICU, we identified several barriers for implementation of a delirium guideline. The most important barriers were knowledge deficit, low delirium screening rate, lack of trust in the reliability of delirium screening tools, belief that delirium is not preventable, low familiarity with delirium guidelines, low satisfaction with physician-described delirium management, poor collaboration between nurses and physicians, reluctance to change delirium care practices, lack of time, disbelief that patients would receive optimal care when adhering to the guideline and the perception that the delirium guideline is cumbersome or inconvenient in daily practice. Conclusion Although ICU professionals consider delirium a serious problem, several important barriers to adhere to guidelines on delirium management are still present today. Relevance to clinical practice Identification of implementation barriers for adherence to guidelines pertaining to delirium is feasible with a survey. Results of this study may help to design-targeted implementation strategies for ICU delirium management. |
| Databáze: | OpenAIRE |
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