Implementing the Use of a Brief Cognitive Assessment on Individuals Diagnosed With Schizophrenia in an Acute Psychiatric Facility

Cognitive impairments are prevalent in schizophrenia. The use of a brief cognitive assessment allows for early detection and improves functional outcomes. The purpose of this quality improvement study was to implement the Montreal Cognitive Assessment (MoCA) into the nursing admission assessment for...

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Bibliographic Details
Published in:Archives of psychiatric nursing 2016-04, Vol.30 (2), p.210-218
Main Author: Marek, Michael G.
Format: Article
Language:English
Subjects:
Adult
Aged
Assessment
Cognition
Cognition & reasoning
Cognition Disorders - diagnosis
Cognitive deficits
Cognitive impairment
Detection
Early warnings
Female
Functional impairment
Hospitals, Psychiatric
Humans
Medical screening
Middle Aged
Nurse's Role
Nurses
Nursing
Pilot Projects
Psychiatric Status Rating Scales
Psychosocial factors
Quality management
Schizophrenia
Schizophrenia - complications
Screening
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Description
Summary:Cognitive impairments are prevalent in schizophrenia. The use of a brief cognitive assessment allows for early detection and improves functional outcomes. The purpose of this quality improvement study was to implement the Montreal Cognitive Assessment (MoCA) into the nursing admission assessment for patients who are diagnosed with schizophrenia or related disorders. Nurses administered the MoCA in 67.3% of eligible patients. The high acuity and uncooperative states were the major barriers to screening. The majority of nurses reported confidence in their ability to perform the screening and believed that the results triggered clinical actions to address psychosocial or cognitive deficits.
ISSN:0883-9417
1532-8228
DOI:10.1016/j.apnu.2015.08.016