What is the Delirium Bibliography? The searchable Delirium Bibliography page is one of our most popular features, allowing you to quickly gain access to the literature on delirium and acute care of older persons. It is primarily intended for clinicians and researchers interested in exploring these topics. The NIDUS team keeps it updated for you on a monthly basis!
How to Search for Articles: Search by author, title, year, and/or keywords. Each article is indexed by keywords taken from MEDLINE and other relevant databases. Click on the title of the article to read the abstract, journal, etc.
Reference Information
- Title
- Improved quality of care of older patients experiencing a delirium within the acute hospital setting: A quality improvement project
- Authors
- Chapman, J.
- Year
- 2016
- Journal
- European Geriatric Medicine
- Abstract
Introduction: Delirium is a clinical syndrome characterized by disturbed consciousness, cognitive function or perception, which has an acute onset and fluctuating course (NICE, 2010). It has a high incidence in frail older people (Ferguson, Miller et al, 2008). It affects between 6 and 56% of older hospital patients and is associated with adverse outcomes. Despite this, delirium goes under-recognised with many cases remaining undiagnosed (Fong, Tulebaev & Inouye, 2009). Nurses have a critical role in recognising the signs of delirium, working closely with junior doctors to care for these patients. However, poor communication and understanding surrounding delirium and its management can result in suboptimal care. Methods: The aim of this project is to improve quality of care of older patients experiencing a delirium within the acute hospital setting by improving knowledge and communication around delirium between the multidisciplinary team. The model for improvement (NHS Institute, 2008) in association with Plan, Do, Study, Act (PDSA) cycles will be used to analyse whether key educational interventions and implementation strategies have been effective in improving care for these patients’. PDSA 1: evaluation of small group education sessions using pre/post teaching knowledge and confidence questionnaires. PDSA 2: an audit of communication around delirium in nursing and medical notes before and after education. PDSA 3: an audit of multidisciplinary (MDT) board round communication before and after education. Results: A small improvement in practitioners’ knowledge was noticed with a clear increase in staff confidence was demonstrated post teaching. This resulted in improved communication at MDT board round and better documentation of delirium diagnosis and management in patient records. Conclusion: This project improved quality of care for older patients experiencing a delirium. Greater knowledge, increased confidence and improved communication results in earlier detection and better management of delirium in frail older people.
- PMID
- Keywords
- Page(s)
- S105
- Volume
- 7
- Issue
| Title | Authors | Journal | Year | Keywords |
|---|---|---|---|---|
| Undiagnosed delirium is frequent and difficult to predict: Results from a prevalence survey of a tertiary hospital. | Lange, P. W. Lamanna, M. Watson, R. Maier, A. B. | J Clin Nurs | 2019 |
Undiagnosed delirium |