title: Intensive Care Unit Nurses' Beliefs About Delirium Assessment and Management.
abstract: Delirium, the most frequent complication of hospitalized older adults, particularly in intensive care units (ICUs), can result in increased mortality rates and length of stay. Nurses are neither consistently identifying nor managing delirium in these patients. The purpose of this study was to explore ICU nurses' identification of delirium, actions they would take for patients with signs or symptoms of delirium, and beliefs about delirium assessment and management. In this cross-sectional study using qualitative descriptive methods guided by the theory of planned behavior, 30 ICU nurses' responses to patient vignettes depicting different delirium subtypes were explored. Descriptive and content analyses revealed that nurses did not consistently identify delirium; their actions varied in different vignettes. Nurses believed that they needed adequate staffing, balanced workload, interprofessional collaboration, and established policy and protocols to identify and manage delirium successfully. Research is needed to determine if implementing these changes increases recognition and decreases consequences of delirium.
authors.affiliation: Kimberly J. Oosterhouse is Assistant Professor, Loyola University Chicago, 1032 W. Sheridan Road, BVM Hall 1008, Chicago, IL 60661 (koosterhouse2@luc.edu). Catherine Vincent is Associate Professor, University of Illinois at Chicago, Illinois. Marquis D. Foreman is John L. and Helen Kellogg Dean of Nursing, Rush University, Chicago, Illinois. Valerie A. Gruss is Clinical Assistant Professor, University of Illinois at Chicago, Illinois. Colleen Corte is Associate Professor, University of Illinois at Chicago, Illinois. Barbara Berger is Clinical Assistant Professor, University of Illinois at Chicago, Illinois.
authors.forename: Kimberly J
authors.initials: KJ
authors.lastname: Oosterhouse
authors.affiliation: Kimberly J. Oosterhouse is Assistant Professor, Loyola University Chicago, 1032 W. Sheridan Road, BVM Hall 1008, Chicago, IL 60661 (koosterhouse2@luc.edu). Catherine Vincent is Associate Professor, University of Illinois at Chicago, Illinois. Marquis D. Foreman is John L. and Helen Kellogg Dean of Nursing, Rush University, Chicago, Illinois. Valerie A. Gruss is Clinical Assistant Professor, University of Illinois at Chicago, Illinois. Colleen Corte is Associate Professor, University of Illinois at Chicago, Illinois. Barbara Berger is Clinical Assistant Professor, University of Illinois at Chicago, Illinois.
authors.forename: Catherine
authors.initials: C
authors.lastname: Vincent
authors.affiliation: Kimberly J. Oosterhouse is Assistant Professor, Loyola University Chicago, 1032 W. Sheridan Road, BVM Hall 1008, Chicago, IL 60661 (koosterhouse2@luc.edu). Catherine Vincent is Associate Professor, University of Illinois at Chicago, Illinois. Marquis D. Foreman is John L. and Helen Kellogg Dean of Nursing, Rush University, Chicago, Illinois. Valerie A. Gruss is Clinical Assistant Professor, University of Illinois at Chicago, Illinois. Colleen Corte is Associate Professor, University of Illinois at Chicago, Illinois. Barbara Berger is Clinical Assistant Professor, University of Illinois at Chicago, Illinois.
authors.forename: Marquis D
authors.initials: MD
authors.lastname: Foreman
authors.affiliation: Kimberly J. Oosterhouse is Assistant Professor, Loyola University Chicago, 1032 W. Sheridan Road, BVM Hall 1008, Chicago, IL 60661 (koosterhouse2@luc.edu). Catherine Vincent is Associate Professor, University of Illinois at Chicago, Illinois. Marquis D. Foreman is John L. and Helen Kellogg Dean of Nursing, Rush University, Chicago, Illinois. Valerie A. Gruss is Clinical Assistant Professor, University of Illinois at Chicago, Illinois. Colleen Corte is Associate Professor, University of Illinois at Chicago, Illinois. Barbara Berger is Clinical Assistant Professor, University of Illinois at Chicago, Illinois.
authors.forename: Valerie A
authors.initials: VA
authors.lastname: Gruss
authors.affiliation: Kimberly J. Oosterhouse is Assistant Professor, Loyola University Chicago, 1032 W. Sheridan Road, BVM Hall 1008, Chicago, IL 60661 (koosterhouse2@luc.edu). Catherine Vincent is Associate Professor, University of Illinois at Chicago, Illinois. Marquis D. Foreman is John L. and Helen Kellogg Dean of Nursing, Rush University, Chicago, Illinois. Valerie A. Gruss is Clinical Assistant Professor, University of Illinois at Chicago, Illinois. Colleen Corte is Associate Professor, University of Illinois at Chicago, Illinois. Barbara Berger is Clinical Assistant Professor, University of Illinois at Chicago, Illinois.
authors.forename: Colleen
authors.initials: C
authors.lastname: Corte
authors.affiliation: Kimberly J. Oosterhouse is Assistant Professor, Loyola University Chicago, 1032 W. Sheridan Road, BVM Hall 1008, Chicago, IL 60661 (koosterhouse2@luc.edu). Catherine Vincent is Associate Professor, University of Illinois at Chicago, Illinois. Marquis D. Foreman is John L. and Helen Kellogg Dean of Nursing, Rush University, Chicago, Illinois. Valerie A. Gruss is Clinical Assistant Professor, University of Illinois at Chicago, Illinois. Colleen Corte is Associate Professor, University of Illinois at Chicago, Illinois. Barbara Berger is Clinical Assistant Professor, University of Illinois at Chicago, Illinois.
authors.forename: Barbara
authors.initials: B
authors.lastname: Berger
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D064648:Critical Care Nursing / Q000592:standards*; D003430:Cross-Sectional Studies; D003693:Delirium / Q000175:diagnosis* / Q000453:epidemiology / Q000451:nursing*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000523:psychology*; D017410:Practice Guidelines as Topic; D015995:Prevalence
keywords: beliefs; critical care nurses; delirium; older adult; vignettes