Assessment of ICU nurses' competency towards delirium among critically ill patients

被引:2
作者
Hebeshy, Mona Ibrahim [1 ]
Gaballah, Samia Hussieny [1 ]
Ibrahim, Noha Mohammed [2 ,3 ]
机构
[1] Suez Canal Univ, Fac Nursing, Med Surg Nursing, 4-5 KM Ring Rd, Ismailia 41522, Egypt
[2] Univ Bisha, Coll Appl Med Sci, Dept Nursing, POB 551, Bisha, Saudi Arabia
[3] Port Said Univ, Fac Nursing, Med Surg Nursing, Port Said, Egypt
来源
BMC NURSING | 2024年 / 23卷 / 01期
关键词
ICU nurses; Delirium; Knowledge; Practice; Attitudes; Patient outcomes;
D O I
10.1186/s12912-024-02330-z
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background ICU nurses play a critical role in managing delirium in critically ill patients, yet their competency in this area remains under-explored. Aim To assess ICU nurses' competency including their knowledge, practice, and attitudes toward delirium among critically ill patients. Methods A correlational descriptive study was conducted with 67 nurses in the medical intensive care unit at Suez Canal University Hospitals. Data was collected using an online survey and analyzed using descriptive statistics, ANOVA, and Pearson's correlation. Results Nurses showed a moderate knowledge level (M = 8.55), a low practice level (M = 6.62), and positive attitudes (M = 21.65) toward ICU delirium. ANOVA results indicated significant differences in practice scores based on educational level, F (2, 64) = 3.361, p = .041, and in knowledge scores based on ICU experience, F(3, 63) = 6.455, p < .001. Nurses with Master of Science in Nursing (MSN) degrees had higher practice scores than those with diplomas or Bachelor of Science in Nursing (BSN) degrees. There were no significant differences in knowledge and attitude scores based on educational level or age. Gender differences were minimal, with male nurses slightly outperforming female nurses. Correlation analysis showed positive relationships between age, education, ICU experience, and ICU nurses' levels of knowledge and practice. Conclusion ICU nurses demonstrate a knowledge-practice gap in delirium management. Targeted educational interventions, mentorship programs, and a focus on practical skills are essential to enhance delirium care. Relevance to clinical practice These findings highlight the urgent need for comprehensive delirium education and training programs for ICU nurses. By improving nurses' knowledge and practice, healthcare organizations can significantly enhance the early detection, prevention, and management of delirium, ultimately leading to improved patient outcomes and reduced length of stay in the ICU.
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页数:10
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共 31 条
  • [1] Abusaad FES, 2017, Am. J. Nurs. Res., V5, P70
  • [2] Pharmacologic Management of Intensive Care Unit Delirium and the Impact on the Duration of Delirium, Length of Intensive Care Unit Stay and 30-Day Mortality: A Network Meta-Analysis of Randomized-Control Trials
    Afzal, Muhammad Sohaib
    Atunde, Folajimi J.
    Yousaf, Rao Ahmed
    Ali, Shahid
    Nasir, Namra
    Medarametla, Gnana Deepthi
    Muhammad, Nazar
    Amin, Adil
    [J]. CUREUS JOURNAL OF MEDICAL SCIENCE, 2023, 15 (03)
  • [3] Awareness, Attitudes, Prevention, and Perceptions of COVID-19 Outbreak among Nurses in Saudi Arabia
    Al-Dossary, Reem
    Alamri, Majed
    Albaqawi, Hamdan
    Al Hosis, Khaled
    Aljeldah, Mohammed
    Aljohan, Mohammed
    Aljohani, Khalid
    Almadani, Noura
    Alrasheadi, Bader
    Falatah, Rawaih
    Almazan, Joseph
    [J]. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2020, 17 (21) : 1 - 17
  • [4] American Association of Critical Care Nurses (AACN), Assessment and management of delirium across the life-span
  • [5] American Psychiatric Association, 2013, DIAGN STAT MAN MENT, DOI 10.1176/appi.books.9780890425596
  • [6] American Society Delirium, What is delirium?
  • [7] [Anonymous], 2010, Delirium: prevention, diagnosis and management in hospital and long-term care
  • [8] Benner P., 2011, CLIN WISDOM INTERVEN, V2nd ed., DOI DOI 10.1891/9780826105745
  • [9] Benner P., 1984, From novice to expert: Excellence and power in clinical nursing practice
  • [10] Iranian Nurses Perception and Practices for Delirium Assessment in Intensive Care Units
    Biyabanaki, Fereshte
    Arab, Mansour
    Dehghan, Mahlagha
    [J]. INDIAN JOURNAL OF CRITICAL CARE MEDICINE, 2020, 24 (10) : 955 - 959