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Delirium in intensive care patients is a complication associated with many adverse consequences. It negatively affects patient outcomes, is an independent predictor of mortality, prolongs intensive care unit (ICU) stay and causes cognitive impairment. It is estimated that delirium affects up to 80% of ICU patients. Unfortunately, delirium still remains undiagnosed in many cases. Due to the high prevalence of this complication in critically ill patients, it is important to implement an effective management protocol to prevent delirium.
Nurses' knowledge of delirium, learning about nursing practices and identifying barriers to delirium assessment, may be an important basis for early recognition and the creation of procedures for delirium prevention in the intensive care unit.
The survey questionnaire is aimed at nurses working in the intensive care unit.
First, respondents are asked to answer questions on socio-demographic data. Then, two questionnaires were used to conduct the study:
The Nurses' Knowledge of Delirium questionnaire.
The questionnaire consists of two parts:
Fourteen of these statements relate to delirium, its symptoms and management, and 14 relate to risk factors for delirium.
Nursing Practices and Perceptions Towards Delirium in the Intensive Care Unit questionnaire.
The questionnaire consists of two parts:
Consents were obtained from the authors for the use of both research tools. Completion of the questionnaire is voluntary, anonymous and equivalent to giving informed consent to participate in the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nurses |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Questionnaire | Other | Questionnaire completed by ICU nurses |
|
| Measure | Description | Time Frame |
|---|---|---|
| Knowledge of delirium | Assessment of nurses' knowledge of delirium in the intensive care unit using The Nurses' Knowledge of Delirium questionnaire. | 4 month |
| Barriers to delirium assessment | Identifying barriers to assessment and treatment of delirium in the intensive care unit using The Nursing Practices and Perceptions Towards Delirium in the Intensive Care Unit questionnaire. | 4 month |
| Practices and perceptions of delirium | Exploring nurses' practices and perceptions of delirium in the intensive care unit using The Nursing Practices and Perceptions Towards Delirium in the Intensive Care Unit questionnaire. | 4 month |
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Inclusion Criteria:
Exclusion Criteria:
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The study group will include nurses working in an adult intensive care unit.
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| Name | Affiliation | Role |
|---|---|---|
| Wioletta Mędrzycka-Dąbrowska, Dr. Habil. | Medical University of Gdańsk, Department of Anesthesiology Nursing & Intensive Care | Study Chair |
| Sandra Lange, MSN | Medical University of Gdańsk, Department of Internal and Pediatric Nursing | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Internal and Pediatric Nursing/ Department of Anesthesiology Nursing & Intensive Care | Gdansk | Gdansk/Pomorskie, Poland | 80-211 | Poland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36935691 | Derived | Lange S, Medrzycka-Da Browska W, Tomaszek L, Wujtewicz M, Krupa S. Nurses' knowledge, barriers and practice in the care of patients with delirium in the intensive care unit in Poland-A cross-sectional study. Front Public Health. 2023 Mar 3;11:1119526. doi: 10.3389/fpubh.2023.1119526. eCollection 2023. |
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| ID | Term |
|---|---|
| D003693 | Delirium |
| D001519 | Behavior |
| ID | Term |
|---|---|
| D003221 | Confusion |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D011795 | Surveys and Questionnaires |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
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| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |