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.

Basic information

Original name

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

Authors

LAFARGA-MOLINA, Laura, Laura ALBORNOS-MUNOZ, Esther GONZALEZ-MARIA, Tereza VRBOVÁ (203 Czech Republic, belonging to the institution), Maria Teresa MORENO-CASBAS, Miloslav KLUGAR (203 Czech Republic, belonging to the institution) and Jitka KLUGAROVÁ (203 Czech Republic, belonging to the institution)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30230 Other clinical medicine subjects

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 2.300 in 2022

RIV identification code

RIV/00216224:14110/23:00133712

Organization unit

Faculty of Medicine

DOI

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

UT WoS

001111566500003

Keywords in English

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

Abstract

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 and 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, vol. 21, S1, p. "S9"-"S18", 10 pp. ISSN 2691-3321. Available from: 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 and 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, vol.~21, S1, p.~''S9''-''S18'', 10 pp. ISSN~2691-3321. Available from: https://dx.doi.org/10.1097/XEB.0000000000000393.

Detailed Information on Publication Record