A Toolkit for Delirium Identification and Promoting Partnerships Between Carers and Nurses: A Pilot Pre–Post Feasibility Study

Background Delirium is frightening for people experiencing it and their carers, and it is the most common hospital-acquired complication worldwide. Delirium is associated with higher rates of morbidity, mortality, residential care home admission, dementia, and carer stress and burden, yet strategies...

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Published in:Journal of general internal medicine : JGIM 2024-08, Vol.39 (11), p.2001-2008
Main Authors: Aggar, Christina, Craswell, Alison, Bail, Kasia, Compton, Roslyn M., Hughes, Mark, Sorwar, Golam, Baker, James, Greenhill, Jennene, Shinners, Lucy, Nichols, Belinda, Langheim, Rachel, Wallis, Allison, Bowen, Karen, Bridgett, Hazel
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Caregivers
Caregivers - psychology
Delirium
Delirium - diagnosis
Delirium - nursing
Dementia disorders
Feasibility Studies
Female
Hospitals
Humans
Internal Medicine
Male
Medicine
Medicine & Public Health
Mental disorders
Middle Aged
Morbidity
Nurses
Original Research
Partnerships
Patients
Pilot Projects
Prevention
Psychological stress
Toolkits
Citations: Items that this one cites
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Summary:Background Delirium is frightening for people experiencing it and their carers, and it is the most common hospital-acquired complication worldwide. Delirium is associated with higher rates of morbidity, mortality, residential care home admission, dementia, and carer stress and burden, yet strategies to embed the prevention and management of delirium as part of standard hospital care remain challenging. Carers are well placed to recognize subtle changes indicative of delirium, and partner with nurses in the prevention and management of delirium. Objective To evaluate a Pr evention & E arly Delirium I dentification C arer T oolkit (PREDICT), to support partnerships between carers and nurses to prevent and manage delirium. Design A pre–post-test intervention and observation study. Main Measures Changes in carer knowledge of delirium; beliefs about their role in partnering with nurses and intended and actual use of PREDICT; carer burden and psychological distress. Secondary measures were rates of delirium. Participants Participants were carers of Indigenous patients aged 45 years and older and non-Indigenous patients aged 65 years and older. Intervention Nurses implemented PREDICT, with a view to provide carers with information about delirium and strategies to address caregiving stress and burden. Key Results Participants included 25 carers (43% response rate) ( n  = 17, 68% female) aged 29–88 ( M  = 65, SD  = 17.7 years). Carer delirium knowledge increased significantly from pre-to-post intervention ( p  =  
ISSN:0884-8734
1525-1497
1525-1497
DOI:10.1007/s11606-024-08734-6