Delirium screening instruments administered by nurses for hospitalized patients – literature review

Aim: The aim of the paper was to create a literature review of valid and reliable delirium screening instruments administered by nurses for hospitalized patients. Design: Literature review. Methods: An advanced search of three licensed electronic databases (EBSCO, MEDLINE, PROQUEST) was selected. Tw...

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Main Authors: Blažena Ševčíková, Hana Matějovská Kubešová, Lenka Šáteková, Elena Gurková
Format: Article
Language:English
Published: University of Ostrava 2019-12-01
Series:Central European Journal of Nursing and Midwifery
Subjects:
Online Access: https://periodika.osu.cz/ojs/index.php/cejnm/article/view/298/134
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author Blažena Ševčíková
Hana Matějovská Kubešová
Lenka Šáteková
Elena Gurková
author_facet Blažena Ševčíková
Hana Matějovská Kubešová
Lenka Šáteková
Elena Gurková
author_sort Blažena Ševčíková
collection DOAJ
description Aim: The aim of the paper was to create a literature review of valid and reliable delirium screening instruments administered by nurses for hospitalized patients. Design: Literature review. Methods: An advanced search of three licensed electronic databases (EBSCO, MEDLINE, PROQUEST) was selected. Twenty-one research studies complied with the inclusion criteria. Results: The predictive validity of ten delirium screening measuring tools were studied. The best predictive validity was found in the Nursing Delirium Screening Scale (Nu-DESC), with sensitivity values ranging from 32% to 100%, and specificity from 83% to 100%, with highest value for reliability of 0.94. The Delirium Observation Screening Scale (DOS) came second, with sensitivity from 25% to 97%, and specificity from 89% to 98.4%, with highest value for reliability of 0.77. The 4AT tool had sensitivity values from 83.3% to 90%, and specificity from 84% to 86.3%, with highest value for reliability of 0.99. Conclusion: The best screening tool for evaluating delirium by nurses was the Nu-DESC, followed by the DOS, and the 4AT. We recommend testing the predictive validity and reliability of selected screening tools administered by nurses in conditions of Czech clinical practice.
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spelling doaj.art-4c7a98ed70724bc49e23db64d9a8a21f2022-12-22T01:46:47ZengUniversity of OstravaCentral European Journal of Nursing and Midwifery2336-35172336-35172019-12-011041167117810.15452/CEJNM.2019.10.0028CEJNM.2019.10.0028Delirium screening instruments administered by nurses for hospitalized patients – literature reviewBlažena Ševčíková0Hana Matějovská Kubešová1Lenka Šáteková2Elena Gurková3 Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Czech Republic Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Czech Republic Department of Nursing, Faculty of Health Sciences, Palacký University Olomouc, Czech Republic Department of Nursing, Faculty of Health Sciences, Palacký University Olomouc, Czech Republic Aim: The aim of the paper was to create a literature review of valid and reliable delirium screening instruments administered by nurses for hospitalized patients. Design: Literature review. Methods: An advanced search of three licensed electronic databases (EBSCO, MEDLINE, PROQUEST) was selected. Twenty-one research studies complied with the inclusion criteria. Results: The predictive validity of ten delirium screening measuring tools were studied. The best predictive validity was found in the Nursing Delirium Screening Scale (Nu-DESC), with sensitivity values ranging from 32% to 100%, and specificity from 83% to 100%, with highest value for reliability of 0.94. The Delirium Observation Screening Scale (DOS) came second, with sensitivity from 25% to 97%, and specificity from 89% to 98.4%, with highest value for reliability of 0.77. The 4AT tool had sensitivity values from 83.3% to 90%, and specificity from 84% to 86.3%, with highest value for reliability of 0.99. Conclusion: The best screening tool for evaluating delirium by nurses was the Nu-DESC, followed by the DOS, and the 4AT. We recommend testing the predictive validity and reliability of selected screening tools administered by nurses in conditions of Czech clinical practice. https://periodika.osu.cz/ojs/index.php/cejnm/article/view/298/134 adultdeliriummeasuring instrumentnursepsychometric propertiesscreening
spellingShingle Blažena Ševčíková
Hana Matějovská Kubešová
Lenka Šáteková
Elena Gurková
Delirium screening instruments administered by nurses for hospitalized patients – literature review
Central European Journal of Nursing and Midwifery
adult
delirium
measuring instrument
nurse
psychometric properties
screening
title Delirium screening instruments administered by nurses for hospitalized patients – literature review
title_full Delirium screening instruments administered by nurses for hospitalized patients – literature review
title_fullStr Delirium screening instruments administered by nurses for hospitalized patients – literature review
title_full_unstemmed Delirium screening instruments administered by nurses for hospitalized patients – literature review
title_short Delirium screening instruments administered by nurses for hospitalized patients – literature review
title_sort delirium screening instruments administered by nurses for hospitalized patients literature review
topic adult
delirium
measuring instrument
nurse
psychometric properties
screening
url https://periodika.osu.cz/ojs/index.php/cejnm/article/view/298/134
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AT lenkasatekova deliriumscreeninginstrumentsadministeredbynursesforhospitalizedpatientsliteraturereview
AT elenagurkova deliriumscreeninginstrumentsadministeredbynursesforhospitalizedpatientsliteraturereview