Nurses' knowledge, barriers and practice in the care of patients with delirium in the intensive care unit in Poland—A cross-sectional study
BackgroundDelirium is a cognitive disorder that occurs with high frequency in patients in intensive care units and affects patient outcomes. Despite recommendations for monitoring and assessing delirium in the ICU, studies show that it is still not routinely assessed and often remains undiagnosed or...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1119526/full |
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| author | Sandra Lange Wioletta Mȩdrzycka-Da̧browska Lucyna Tomaszek Lucyna Tomaszek Magdalena Wujtewicz Sabina Krupa |
| author_facet | Sandra Lange Wioletta Mȩdrzycka-Da̧browska Lucyna Tomaszek Lucyna Tomaszek Magdalena Wujtewicz Sabina Krupa |
| author_sort | Sandra Lange |
| collection | DOAJ |
| description | BackgroundDelirium is a cognitive disorder that occurs with high frequency in patients in intensive care units and affects patient outcomes. Despite recommendations for monitoring and assessing delirium in the ICU, studies show that it is still not routinely assessed and often remains undiagnosed or misinterpreted as dementia or depression.AimThe aim of this study was (1) to assess nurses' knowledge and clinical practices regarding delirium, (2) to identify the factors associated with nurses' knowledge, and (3) to define barriers to effective control of delirium.MethodsA cross-sectional study was conducted among 371 ICU nurses in Poland.Results53.1% of nurses had never been educated on delirium control resulting in a deficit in knowledge of delirium symptoms, risk factors and complications associated with delirium in ICU patients. Master's degree in nursing (vs. Registered nurses + Bachelor's), female gender, and working in university hospital (vs. other) were positively correlated with nurse's knowledge, while age had a negative impact on knowledge. Delirium is a marginalized state in ICU patients, only 16.4% of nurses assessed delirium routinely and 35.8% assessed delirium occasionally, rarely using validated scales. Barriers to effective delirium control were primarily the lack of a requirement to assess delirium, the difficulty of assessing delirium in intubated patients and nurses' lack of confidence in their ability to use delirium assessment tools.ConclusionsThere is an urgent need to educate nurses about delirium and to make delirium assessment obligatory in clinical practice. The area of change should also include a hospital policy on delirium monitoring and management. The study was registered on ClinicalTrials.gov (NCT05384964). |
| first_indexed | 2024-04-10T06:02:31Z |
| format | Article |
| id | doaj.art-36ac079187c2451ea0f8c67f1077573b |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-10T06:02:31Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-36ac079187c2451ea0f8c67f1077573b2023-03-03T05:58:12ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-03-011110.3389/fpubh.2023.11195261119526Nurses' knowledge, barriers and practice in the care of patients with delirium in the intensive care unit in Poland—A cross-sectional studySandra Lange0Wioletta Mȩdrzycka-Da̧browska1Lucyna Tomaszek2Lucyna Tomaszek3Magdalena Wujtewicz4Sabina Krupa5Department of Internal and Pediatric Nursing, Faculty of Health Sciences, Medical University of Gdańsk, Gdańsk, PolandDepartment of Anaesthesiology Nursing and Intensive Care, Faculty of Health Sciences, Medical University of Gdansk, Gdańsk, PolandFaculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, Kraków, PolandDepartment of Thoracic Surgery, Institute of Tuberculosis and Lung Diseases, Rabka-Zdrój, PolandDepartment of Anaesthesiology and Intensive Therapy, Faculty of Medicine, Medical University of Gdańsk, Gdańsk, PolandInstitute of Health Sciences, College of Medical Sciences of the University of Rzeszow, Rzeszow, PolandBackgroundDelirium is a cognitive disorder that occurs with high frequency in patients in intensive care units and affects patient outcomes. Despite recommendations for monitoring and assessing delirium in the ICU, studies show that it is still not routinely assessed and often remains undiagnosed or misinterpreted as dementia or depression.AimThe aim of this study was (1) to assess nurses' knowledge and clinical practices regarding delirium, (2) to identify the factors associated with nurses' knowledge, and (3) to define barriers to effective control of delirium.MethodsA cross-sectional study was conducted among 371 ICU nurses in Poland.Results53.1% of nurses had never been educated on delirium control resulting in a deficit in knowledge of delirium symptoms, risk factors and complications associated with delirium in ICU patients. Master's degree in nursing (vs. Registered nurses + Bachelor's), female gender, and working in university hospital (vs. other) were positively correlated with nurse's knowledge, while age had a negative impact on knowledge. Delirium is a marginalized state in ICU patients, only 16.4% of nurses assessed delirium routinely and 35.8% assessed delirium occasionally, rarely using validated scales. Barriers to effective delirium control were primarily the lack of a requirement to assess delirium, the difficulty of assessing delirium in intubated patients and nurses' lack of confidence in their ability to use delirium assessment tools.ConclusionsThere is an urgent need to educate nurses about delirium and to make delirium assessment obligatory in clinical practice. The area of change should also include a hospital policy on delirium monitoring and management. The study was registered on ClinicalTrials.gov (NCT05384964).https://www.frontiersin.org/articles/10.3389/fpubh.2023.1119526/fulldeliriumknowledgedelirium assessmentnursing practicebarriersICU |
| spellingShingle | Sandra Lange Wioletta Mȩdrzycka-Da̧browska Lucyna Tomaszek Lucyna Tomaszek Magdalena Wujtewicz Sabina Krupa Nurses' knowledge, barriers and practice in the care of patients with delirium in the intensive care unit in Poland—A cross-sectional study Frontiers in Public Health delirium knowledge delirium assessment nursing practice barriers ICU |
| title | Nurses' knowledge, barriers and practice in the care of patients with delirium in the intensive care unit in Poland—A cross-sectional study |
| title_full | Nurses' knowledge, barriers and practice in the care of patients with delirium in the intensive care unit in Poland—A cross-sectional study |
| title_fullStr | Nurses' knowledge, barriers and practice in the care of patients with delirium in the intensive care unit in Poland—A cross-sectional study |
| title_full_unstemmed | Nurses' knowledge, barriers and practice in the care of patients with delirium in the intensive care unit in Poland—A cross-sectional study |
| title_short | Nurses' knowledge, barriers and practice in the care of patients with delirium in the intensive care unit in Poland—A cross-sectional study |
| title_sort | nurses knowledge barriers and practice in the care of patients with delirium in the intensive care unit in poland a cross sectional study |
| topic | delirium knowledge delirium assessment nursing practice barriers ICU |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1119526/full |
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