Nursing Delirium Screening Scale, a Tool for Early Detection of Delirium: Integrative Review

Objective: To analyze the context and use of the Nursing Delirium Screening Scale (Nu-DESC) for early detection of delirium in adult patients, compiling the available evidence. Method: Searching for relevant articles on databases such as Cinahl, Medline, Ovid, Scopus, and Web of Science. Inclusion c...

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Bibliographic Details
Published in:Aquichan 2020-12, Vol.20 (4), p.1-14
Main Authors: Henao-Castaño, Angela María, Pachón Cetina, Laura Elizabeth, Monroy Rodríguez, Juan David
Format: Article
Language:English
Subjects:
assessment
avaliação
Bone surgery
Clinical medicine
Content analysis
cribado
critical care
cuidado intensivo
Delirium
delírio
Delírium
DESC
enfermagem
enfermería
evaluación
Evidence-based nursing
hospitalización
Hospitalization
Intensive care
Intervention
Nu-DESC
Nurses
NURSING
Palliative care
Patients
peneiramento
periodo perioperatorio
perioperative period
screening
Citations: Items that this one cites
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Summary:Objective: To analyze the context and use of the Nursing Delirium Screening Scale (Nu-DESC) for early detection of delirium in adult patients, compiling the available evidence. Method: Searching for relevant articles on databases such as Cinahl, Medline, Ovid, Scopus, and Web of Science. Inclusion criteria: Articles written in English, Spanish, and Portuguese, published between January 2013 and October 2019. Search terms: “nursing delirium screen,” “inpatient delirium screening,” and “nursing assessment.” We identified 23 articles in which the Nu-DESC was used. Two reviewers independently assessed the articles using the CASPe (Critical Appraisal Skills Program in Spanish) tool. Results: The Nu-DESC is employed in different contexts such as the adult intensive care unit (ICU), post-anesthetic care unit (PACU), palliative care unit, and hospitalization unit. It is more frequently used in the PACU with a more sensitive threshold (≥ 1); the test showed greater sensitivity of 54.5 % (95 % CI: 32.2–75.6) and specificity of 97.1 % (95 % CI: 95.3–98.4). Conclusion: The Nu-DESC facilitates the recognition of delirium episodes by the nursing team, makes care quicker and individualized for each patient, avoiding immediate pharmacological interventions, and coordinate interdisciplinary actions for diagnosis, especially in post-anesthetic care units.
ISSN:1657-5997
2027-5374
2027-5374
DOI:10.5294/aqui.2020.20.4.5