Nurse-perceived barriers and facilitators influencing optimal delirium care in acute care patients: Findings from the INVOLVE_RN study on barriers and facilitators

Aim: To describe nurses' practices and highlight perceived barriers and facilitators influencing optimal delirium care in acute care patients. Methods: A two phase, multi method design was used. The quantitative phase utilized a self-reported survey to assess nurses' knowledge, practice, confidence, and collaboration regarding delirium care. The qualitative phase employed focus groups. Recruitment took place on nine acute surgical and medical units across two university-affiliated hospitals in Canada. Results: 231 nurses exhibited solid knowledge of delirium symptoms and outcomes, yet 23 % did not identify the hypoactive form's prevalence. While 81 % reported receiving information on delirium screening, challenges included time constraints and excessive tool use. Qualitative analysis highlighted themes such as communication's vital role and challenges posed by delirium presentations. Conclusions: The findings align with existing literature, emphasizing the multifaceted nature of delirium care and the need for tailored approaches, education, and collaborative strategies to improve overall care quality. (c) 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.