Nurses’ Experience of Caring for Patients with Delirium: Systematic Review and Qualitative Evidence Synthesis

Delirium is an acute deterioration in attention, conscious state, perception, and cognition of a person. While nurses possess the theoretical understanding of the condition, they lack insight into its early recognition and management. This systematic review aims to understand what factors influence...

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Main Authors: Nissy Thomas, Mardhie Coleman, Daniel Terry
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Nursing Reports
Subjects:
Online Access:https://www.mdpi.com/2039-4403/11/1/16
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author Nissy Thomas
Mardhie Coleman
Daniel Terry
author_facet Nissy Thomas
Mardhie Coleman
Daniel Terry
author_sort Nissy Thomas
collection DOAJ
description Delirium is an acute deterioration in attention, conscious state, perception, and cognition of a person. While nurses possess the theoretical understanding of the condition, they lack insight into its early recognition and management. This systematic review aims to understand what factors influence nurses as they care for patients with delirium, and to identify best practices to improve overall clinical care. The Qualitative Evidence Synthesis (QES), as a strategy process to identify gaps in research, formulate new models or strategies for care, underpinned the review. In addition to specific inclusion and exclusion criteria, a methodological assessment, data were analysed using QES, as informed by the Joanna Briggs Institute Review process. Ten studies were identified and synthesised to generate four key themes. The themes included (1) nurse’s knowledge deficit; (2) increased workload and stress; (3) safety concerns among nurse when caring for patients with delirium; and (4) strategies used when caring for patients with delirium. Overall, the review has highlighted the need for increased delirium education and coping strategies among nurses to effectively care for patients with delirium. This may be augmented through regular education sessions to provide nurses with the confidence and competence to care for the acutely confused person.
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spelling doaj.art-a78e9f104be74ff6b1bd127067aa1af72023-12-03T12:40:25ZengMDPI AGNursing Reports2039-439X2039-44032021-03-0111116417410.3390/nursrep11010016Nurses’ Experience of Caring for Patients with Delirium: Systematic Review and Qualitative Evidence SynthesisNissy Thomas0Mardhie Coleman1Daniel Terry2School of Health, Federation University Australia, Ballarat 3350, AustraliaSchool of Health, Federation University Australia, Ballarat 3350, AustraliaSchool of Health, Federation University Australia, Ballarat 3350, AustraliaDelirium is an acute deterioration in attention, conscious state, perception, and cognition of a person. While nurses possess the theoretical understanding of the condition, they lack insight into its early recognition and management. This systematic review aims to understand what factors influence nurses as they care for patients with delirium, and to identify best practices to improve overall clinical care. The Qualitative Evidence Synthesis (QES), as a strategy process to identify gaps in research, formulate new models or strategies for care, underpinned the review. In addition to specific inclusion and exclusion criteria, a methodological assessment, data were analysed using QES, as informed by the Joanna Briggs Institute Review process. Ten studies were identified and synthesised to generate four key themes. The themes included (1) nurse’s knowledge deficit; (2) increased workload and stress; (3) safety concerns among nurse when caring for patients with delirium; and (4) strategies used when caring for patients with delirium. Overall, the review has highlighted the need for increased delirium education and coping strategies among nurses to effectively care for patients with delirium. This may be augmented through regular education sessions to provide nurses with the confidence and competence to care for the acutely confused person.https://www.mdpi.com/2039-4403/11/1/16anxietyassessmentdeliriumeducationnursepatient
spellingShingle Nissy Thomas
Mardhie Coleman
Daniel Terry
Nurses’ Experience of Caring for Patients with Delirium: Systematic Review and Qualitative Evidence Synthesis
Nursing Reports
anxiety
assessment
delirium
education
nurse
patient
title Nurses’ Experience of Caring for Patients with Delirium: Systematic Review and Qualitative Evidence Synthesis
title_full Nurses’ Experience of Caring for Patients with Delirium: Systematic Review and Qualitative Evidence Synthesis
title_fullStr Nurses’ Experience of Caring for Patients with Delirium: Systematic Review and Qualitative Evidence Synthesis
title_full_unstemmed Nurses’ Experience of Caring for Patients with Delirium: Systematic Review and Qualitative Evidence Synthesis
title_short Nurses’ Experience of Caring for Patients with Delirium: Systematic Review and Qualitative Evidence Synthesis
title_sort nurses experience of caring for patients with delirium systematic review and qualitative evidence synthesis
topic anxiety
assessment
delirium
education
nurse
patient
url https://www.mdpi.com/2039-4403/11/1/16
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AT danielterry nursesexperienceofcaringforpatientswithdeliriumsystematicreviewandqualitativeevidencesynthesis