Delirium risk screening and assessment among older patients in
general wards and the emergency department: a best practice
implementation project

J 2023

Delirium risk screening and assessment among older patients in general wards and the emergency department: a best practice implementation project

LAFARGA-MOLINA, Laura, Laura ALBORNOS-MUNOZ, Esther GONZALEZ-MARIA, Tereza VRBOVÁ, Maria Teresa MORENO-CASBAS et. al.

Základní údaje

Originální název

Delirium risk screening and assessment among older patients in general wards and the emergency department: a best practice implementation project

Autoři

LAFARGA-MOLINA, Laura, Laura ALBORNOS-MUNOZ, Esther GONZALEZ-MARIA, Tereza VRBOVÁ (203 Česká republika, domácí), Maria Teresa MORENO-CASBAS, Miloslav KLUGAR (203 Česká republika, domácí) a Jitka KLUGAROVÁ (203 Česká republika, domácí)

Vydání

JBI EVIDENCE IMPLEMENTATION, PHILADELPHIA, LIPPINCOTT WILLIAMS & WILKINS, 2023, 2691-3321

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30230 Other clinical medicine subjects

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.300 v roce 2022

Kód RIV

RIV/00216224:14110/23:00133712

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1097/XEB.0000000000000393

UT WoS

001111566500003

Klíčová slova anglicky

delirium; elderly; evidence-based practice; frail; orientation

Štítky

14119612, 14119613, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 1. 3. 2024 13:23, Mgr. Tereza Miškechová

Anotace

V originále

Objectives:The aim of this project was to improve compliance with evidence-based criteria regarding risk of delirium and the assessment of delirium among older patients in the general hospitalization wards and the emergency department.Introduction:More than 50% of older hospitalized patients experience delirium. Some studies have highlighted the need to implement an orientation protocol in the emergency department and to continue this in the general wards, with the aim of decreasing the delirium rate among older patients admitted to hospital.Methods:The project followed the JBI evidence implementation framework. We conducted a baseline audit, a half-way audit, and final audit of 50 patients at risk of delirium admitted to the emergency department and the general wards, respectively. The audits measured compliance with eight criteria informed by the available evidence.Results:In the final audit, three of the eight criteria achieved more than 50% compliance in the general wards: pressure injury screening (96%); monitoring changes (74%); and performing interventions (76%). In the emergency department, worse results were reported because of the service conditions. The exception was the criterion on the training of nurses on the topic, with 98%. The integration of a tool to screen for delirium in older patients in the hospital's electronic clinical history records increased the percentage of compliance with audit criteria regarding the use of the scale and delirium detection (rising from 0% to 32% in the final audit in the general wards).Conclusion:Through the implementation of this project, validated and evidence-based evaluation will ensure that nurses are supported through appropriate measures to reduce patient confusion and aggression resulting from delirium.

Citovat

LAFARGA-MOLINA, Laura, Laura ALBORNOS-MUNOZ, Esther GONZALEZ-MARIA, Tereza VRBOVÁ, Maria Teresa MORENO-CASBAS, Miloslav KLUGAR a Jitka KLUGAROVÁ. Delirium risk screening and assessment among older patients in general wards and the emergency department: a best practice implementation project. JBI EVIDENCE IMPLEMENTATION. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS, 2023, roč. 21, S1, s. "S9"-"S18", 10 s. ISSN 2691-3321. Dostupné z: https://dx.doi.org/10.1097/XEB.0000000000000393.

@article{2380238,
   author = {LafargaandMolina, Laura and AlbornosandMunoz, Laura and GonzalezandMaria, Esther and Vrbová, Tereza and MorenoandCasbas, Maria Teresa and Klugar, Miloslav and Klugarová, Jitka},
   article_location = {PHILADELPHIA},
   article_number = {S1},
   doi = {http://dx.doi.org/10.1097/XEB.0000000000000393},
   keywords = {delirium; elderly; evidence-based practice; frail; orientation},
   language = {eng},
   issn = {2691-3321},
   journal = {JBI EVIDENCE IMPLEMENTATION},
   title = {Delirium risk screening and assessment among older patients in general wards and the emergency department: a best practice implementation project},
   url = {https://journals.lww.com/ijebh/fulltext/2023/12001/delirium_risk_screening_and_assessment_among_older.2.aspx},
   volume = {21},
   year = {2023}
}

TY  - JOUR
ID  - 2380238
AU  - Lafarga-Molina, Laura - Albornos-Munoz, Laura - Gonzalez-Maria, Esther - Vrbová, Tereza - Moreno-Casbas, Maria Teresa - Klugar, Miloslav - Klugarová, Jitka
PY  - 2023
TI  - Delirium risk screening and assessment among older patients in general wards and the emergency department: a best practice implementation project
JF  - JBI EVIDENCE IMPLEMENTATION
VL  - 21
IS  - S1
SP  - "S9"-"S18"
EP  - "S9"-"S18"
PB  - LIPPINCOTT WILLIAMS & WILKINS
SN  - 26913321
KW  - delirium
KW  - elderly
KW  - evidence-based practice
KW  - frail
KW  - orientation
UR  - https://journals.lww.com/ijebh/fulltext/2023/12001/delirium_risk_screening_and_assessment_among_older.2.aspx
N2  - Objectives:The aim of this project was to improve compliance with evidence-based criteria regarding risk of delirium and the assessment of delirium among older patients in the general hospitalization wards and the emergency department.Introduction:More than 50% of older hospitalized patients experience delirium. Some studies have highlighted the need to implement an orientation protocol in the emergency department and to continue this in the general wards, with the aim of decreasing the delirium rate among older patients admitted to hospital.Methods:The project followed the JBI evidence implementation framework. We conducted a baseline audit, a half-way audit, and final audit of 50 patients at risk of delirium admitted to the emergency department and the general wards, respectively. The audits measured compliance with eight criteria informed by the available evidence.Results:In the final audit, three of the eight criteria achieved more than 50% compliance in the general wards: pressure injury screening (96%); monitoring changes (74%); and performing interventions (76%). In the emergency department, worse results were reported because of the service conditions. The exception was the criterion on the training of nurses on the topic, with 98%. The integration of a tool to screen for delirium in older patients in the hospital's electronic clinical history records increased the percentage of compliance with audit criteria regarding the use of the scale and delirium detection (rising from 0% to 32% in the final audit in the general wards).Conclusion:Through the implementation of this project, validated and evidence-based evaluation will ensure that nurses are supported through appropriate measures to reduce patient confusion and aggression resulting from delirium.
ER  -

LAFARGA-MOLINA, Laura, Laura ALBORNOS-MUNOZ, Esther GONZALEZ-MARIA, Tereza VRBOVÁ, Maria Teresa MORENO-CASBAS, Miloslav KLUGAR a Jitka KLUGAROVÁ. Delirium risk screening and assessment among older patients in general wards and the emergency department: a best practice implementation project. \textit{JBI EVIDENCE IMPLEMENTATION}. PHILADELPHIA: LIPPINCOTT WILLIAMS \&{} WILKINS, 2023, roč.~21, S1, s.~''S9''-''S18'', 10 s. ISSN~2691-3321. Dostupné z: https://dx.doi.org/10.1097/XEB.0000000000000393.

Podrobný výpis o publikaci