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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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
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Pachón Cetina, Laura Elizabeth
Monroy Rodríguez, Juan David
description 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.
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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.</description><identifier>ISSN: 1657-5997</identifier><identifier>ISSN: 2027-5374</identifier><identifier>EISSN: 2027-5374</identifier><identifier>DOI: 10.5294/aqui.2020.20.4.5</identifier><language>eng</language><publisher>Chia: Universidad de La Sabana</publisher><subject>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</subject><ispartof>Aquichan, 2020-12, Vol.20 (4), p.1-14</ispartof><rights>2020. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><rights>LICENCIA DE USO: Los documentos a texto completo incluidos en Dialnet son de acceso libre y propiedad de sus autores y/o editores. Por tanto, cualquier acto de reproducción, distribución, comunicación pública y/o transformación total o parcial requiere el consentimiento expreso y escrito de aquéllos. Cualquier enlace al texto completo de estos documentos deberá hacerse a través de la URL oficial de éstos en Dialnet. Más información: https://dialnet.unirioja.es/info/derechosOAI | INTELLECTUAL PROPERTY RIGHTS STATEMENT: Full text documents hosted by Dialnet are protected by copyright and/or related rights. 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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
title Nursing Delirium Screening Scale, a Tool for Early Detection of Delirium: Integrative Review
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