Barriers to frontline surgical nurse detection of delirium in the hospitalized older adult

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dc.contributor.author Duncan, Vera
dc.date.accessioned 2011-12-13T17:17:28Z
dc.date.available 2011-12-13T17:17:28Z
dc.date.copyright 2011 en_US
dc.date.issued 2011-12-13
dc.identifier.uri http://hdl.handle.net/1828/3719
dc.description.abstract Many older adults experience complications related to hospitalization. The most prevalent of complications is delirium which often goes undetected and untreated and results in increased morbidity and mortality. Nurses are in an ideal position to detect and manage delirium because of their close patient contact, however delirium remains underrecognized even when using a valid screening tool. This study adopts a qualitative descriptive approach to identify the barriers to nurse detection of delirium. Ten frontline surgical nurses participated in semi-structured interviews from which five major themes emerged through an inductive thematic analysis. Nurses have a knowledge deficit of the features of delirium and find it difficult to access information regarding their patients’ baseline cognitive function. Nurses reported inadequate time with patients that led to a self-perpetuating delirium cycle and furthermore, nurses stated that hyperactive delirium symptoms prevented adequate assessment and care. Nurse-physician communication plays an important role in delirium detection and treatment with both psychological and feminist perspectives offered. Recommendations include improvements in nursing knowledge, management of time and enhancements to current written and verbal communication about delirium. en_US
dc.language English eng
dc.language.iso en en_US
dc.subject delirium en_US
dc.subject delirium detection en_US
dc.subject nurse detection en_US
dc.subject older adult en_US
dc.subject surgical nurses en_US
dc.title Barriers to frontline surgical nurse detection of delirium in the hospitalized older adult en_US
dc.type Thesis en_US
dc.contributor.supervisor Schreiber, Rita Sara
dc.degree.department School of Nursing en_US
dc.degree.level Master of Nursing M.N. en_US
dc.rights.temp Available to the World Wide Web en_US
dc.description.scholarlevel Graduate en_US

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