Research Article
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Year 2023, Volume: 14 Issue: 4 - Cumhuriyet'in 100. Yılına Armağan Sayısı, 688 - 695, 01.10.2023

Sevgi Deniz Doğan İpek Köse Tosunöz Şeyma Yurtseven Sevban Arslan

https://doi.org/10.31067/acusaglik.1242347

Abstract

References

  • Devlin JW, Brummel NE, Al-Qadheeb NS. Optimising the recognition of delirium in the intensive care unit. Best Practice and Research: Clinical Anaesthesiology 2012; 26: 385–393.
  • Rengel KF, Pandharipande PP, Hughes CG. Postoperative delirium. Presse Medicale 2018; 47: e53–e64.
  • Mossie A, Regasa T, Neme D, et al. Evidence-Based Guideline on Management of Postoperative Delirium in Older People for Low Resource Setting: Systematic Review Article. Int J Gen Med 2022; 15: 4053.
  • Swarbrick CJ, Partridge JSL. Evidence-based strategies to reduce the incidence of postoperative delirium: a narrative review. Anaesthesia 2022; 77: 92–101.
  • Inouye SK, Marcantonio ER, Kosar CM, et al. The short-term and long-term relationship between delirium and cognitive trajectory in older surgical patients. Alzheimer’s Dement 2016; 12: 766–775.
  • Lingehall HC, Smulter NS, Lindahl E, et al. Preoperative cognitive performance and postoperative delirium are independently associated with future dementia in older people who have undergone cardiac surgery: A longitudinal cohort study. Crit Care Med 2017; 45: 1295–1303.
  • Neufeld KJ, Leoutsakos JMS, Sieber FE, et al. Outcomes of early delirium diagnosis after general anesthesia in the elderly. Anesth Analg 2013; 117: 471–478.
  • Karadaş C, Özdemir L. Non-Pharmacological Approaches and Nursing Responsibilities in Delirium Management. J Psychiatr Nurs 2019; 10: 137–142.
  • Önerler Ugurlu A. Investıgatıon of nurses’ management approaches about delırıum ın surgıcal clınıcs: qualıtatıve study. Bahçeşehir University, 2020.
  • Kotfis K, van Diem-Zaal I, Roberson SW, et al. The future of intensive care: delirium should no longer be an issue. Crit Care 2022; 26: 1–11.
  • Oh ST, Park JY. Postoperative delirium. Korean J Anesthesiol 2018; 72: 4–12.
  • Kristiansen S, Konradsen H, Beck M. Nurses’ experiences of caring for older patients afflicted by delirium in a neurological department. J Clin Nurs 2019; 28: 920–930.
  • Kim H, Lee S-M. Effect on Quality of Care of a Delirium Prevention Campaign for Surgical Intensive Care Nurses. J Nurs Care Qual 2021; 36: 361–368.
  • Ogawa A, Okumura Y, Fujisawa D, et al. Quality of care in hospitalized cancer patients before and after implementation of a systematic prevention program for delirium: the DELTA exploratory trial. Support Care Cancer 2019; 27: 557–565.
  • Yılmaz EB, Çobanoğlu A, Apaydın E. Evaluation of Intensive Care Nurses’ Knowledge and Approaches About Delirium: A Qualitative Study. Turkish J Intensive Care 2023; 21: 110–118.
  • Erdoğan S, Nahçivan N, Esin MN. Research Process, Practice and Critical in Nursing. 2nd ed. İstanbul: Nobel Medical Bookstores, 2015.
  • Yıldırım A, Şimşek H. Qualitative research methods in the social sciences. 8th ed. Ankara: Seçkin Publishing, 2016.
  • Temiz Z, Aydın Sayılan A. Assesment of Intensive Care Nurses’ Delirium Knowledge Levels: Descriptive Study. Turkiye Klin J Nurs Sci 2021; 13: 751–758.
  • Demir Korkmaz F, Gok F, Yavuz Karamanoglu A. Cardiovascular surgery nurses’ level of knowledge regarding delirium. Nurs Crit Care 2016; 21: 279–286.
  • Topuz Ş, Doğan N. The Level of Knowledge of Nurses Working at The Intensive Care Units of a University Hospital About The Subject of Delirium. J Kırıkkale Univ Fac Med 2012; 14: 21–26.
  • Kılıç A, Hudson J, Scott W, et al. A 12-month longitudinal study examining the shared and unique contributions of self-compassion and psychological inflexibility to distress and quality of life in people with Type 2 Diabetes. J Psychosom Res; 155. Epub ahead of print 1 April 2022. DOI: 10.1016/J.JPSYCHORES.2022.110728.
  • Peterson JF, Pun BT, Dittus RS, et al. Delirium and Its Motoric Subtypes: A Study of 614 Critically Ill Patients. J Am Geriatr Soc 2006; 54: 479–484.
  • Jayasinghe Arachchi TM, Pinto V. Understanding the barriers in delirium care in intensive care unit: A survey of knowledge, attitudes, and current practices among medical professionals working in intensive care units in teaching hospitals of central province, Sri Lanka. Indian J Crit Care Med 2021; 25: 1413–1420.
  • Stollings JL, Kotfis K, Chanques G, et al. Delirium in critical illness: clinical manifestations, outcomes, and management. Intensive Care Medicine 2021; 47: 1089–1103.
  • Sarman A, Sarman E. Nursing Approach to Pediatric Intensive Care Patients in Delirium. J Inonu Univ Heal Serv Vocat Sch 2020; 8: 964–972.
  • Başpınar T. The evaluatıon of delırıum knowledge, attıtudes and patıent care practıces of the nurses workıng ın the surgıcal ıntensıve care unıt. Istinye University, 2019.
  • Zeki Ö. Thoughts and attitudes of nurses about the management of delirium in intensive care unit. Istanbul University, 2013.
  • Patel RP, Gambrell M, Speroff T, et al. Delirium and Sedation in the Intensive Care Unit (ICU): survey of behaviors and attitudes of 1,384 healthcare professionals. Crit Care Med 2009; 37: 825.
  • Çevik B, Akyüz E, Uğurlu Z, et al. Determination of the Awareness about Delirium Management of Nurses Working in Intensive Care Units. Baskent Univ Fac Heal Sci J 2016; 1: 23–46.
  • Krupa S, Friganović A, Oomen B, et al. Nurses’ Knowledge about Delirium in the Group of Intensive Care Units Patients. Int J Environ Res Public Health 2022; 19: 2758.
  • Turna Ö, Gürsoy A. Physical Restraint Use in Intensive Care Units: Causes and Consequences. J Hacettepe Univ Fac Nurs 2021; 8: 127–133.
  • Solberg LM, Campbell CS, Jones K, et al. Training hospital inpatient nursing to know (THINK) delirium: A nursing educational program. Geriatr Nurs (Minneap) 2021; 42: 16–20.
  • Yılmazer RG. Investigatıon of The Awareness About Delirium and Delirium Management of Intensive Care Nurses. Bursa Uludağ University, 2020.

Experiences of Surgical Intensive Care Nurses on Delirium: A Phenomenological Study

Year 2023, Volume: 14 Issue: 4 - Cumhuriyet'in 100. Yılına Armağan Sayısı, 688 - 695, 01.10.2023

Sevgi Deniz Doğan İpek Köse Tosunöz Şeyma Yurtseven Sevban Arslan

https://doi.org/10.31067/acusaglik.1242347

Abstract

Purpose: The study aims to reveal the perceptions and care practices of nurses working in surgical intensive care units towards delirium in more depth.
Methods: The study is qualitative research with a phenomenological design. Twenty nurses working in the surgical intensive care units of a university hospital and giving care to patients diagnosed with delirium before were included in the study. The data of the research were obtained by interview method, one of the qualitative data collection methods. The obtained qualitative data were analyzed by content analysis method.
Results: The methods used by nurses in the diagnosis of delirium were divided into two main themes subjective and objective. Nurses' care interventions were divided into six themes: providing and maintaining a safe environment, communication, eating and drinking, mobilization, sleeping, and dependent interventions/others. In addition, the difficulties experienced by nurses are divided into three themes: patient-related difficulties, systemic difficulties, and individual difficulties.
Conclusion: It is noteworthy that in this study, nurses did not specify some evidence-based interventions related to delirium care. In addition, it was determined in the study that nurses had some difficulties while giving care.

Keywords

Delirium Nursing Patients Care Management Critical Care

References

  • Devlin JW, Brummel NE, Al-Qadheeb NS. Optimising the recognition of delirium in the intensive care unit. Best Practice and Research: Clinical Anaesthesiology 2012; 26: 385–393.
  • Rengel KF, Pandharipande PP, Hughes CG. Postoperative delirium. Presse Medicale 2018; 47: e53–e64.
  • Mossie A, Regasa T, Neme D, et al. Evidence-Based Guideline on Management of Postoperative Delirium in Older People for Low Resource Setting: Systematic Review Article. Int J Gen Med 2022; 15: 4053.
  • Swarbrick CJ, Partridge JSL. Evidence-based strategies to reduce the incidence of postoperative delirium: a narrative review. Anaesthesia 2022; 77: 92–101.
  • Inouye SK, Marcantonio ER, Kosar CM, et al. The short-term and long-term relationship between delirium and cognitive trajectory in older surgical patients. Alzheimer’s Dement 2016; 12: 766–775.
  • Lingehall HC, Smulter NS, Lindahl E, et al. Preoperative cognitive performance and postoperative delirium are independently associated with future dementia in older people who have undergone cardiac surgery: A longitudinal cohort study. Crit Care Med 2017; 45: 1295–1303.
  • Neufeld KJ, Leoutsakos JMS, Sieber FE, et al. Outcomes of early delirium diagnosis after general anesthesia in the elderly. Anesth Analg 2013; 117: 471–478.
  • Karadaş C, Özdemir L. Non-Pharmacological Approaches and Nursing Responsibilities in Delirium Management. J Psychiatr Nurs 2019; 10: 137–142.
  • Önerler Ugurlu A. Investıgatıon of nurses’ management approaches about delırıum ın surgıcal clınıcs: qualıtatıve study. Bahçeşehir University, 2020.
  • Kotfis K, van Diem-Zaal I, Roberson SW, et al. The future of intensive care: delirium should no longer be an issue. Crit Care 2022; 26: 1–11.
  • Oh ST, Park JY. Postoperative delirium. Korean J Anesthesiol 2018; 72: 4–12.
  • Kristiansen S, Konradsen H, Beck M. Nurses’ experiences of caring for older patients afflicted by delirium in a neurological department. J Clin Nurs 2019; 28: 920–930.
  • Kim H, Lee S-M. Effect on Quality of Care of a Delirium Prevention Campaign for Surgical Intensive Care Nurses. J Nurs Care Qual 2021; 36: 361–368.
  • Ogawa A, Okumura Y, Fujisawa D, et al. Quality of care in hospitalized cancer patients before and after implementation of a systematic prevention program for delirium: the DELTA exploratory trial. Support Care Cancer 2019; 27: 557–565.
  • Yılmaz EB, Çobanoğlu A, Apaydın E. Evaluation of Intensive Care Nurses’ Knowledge and Approaches About Delirium: A Qualitative Study. Turkish J Intensive Care 2023; 21: 110–118.
  • Erdoğan S, Nahçivan N, Esin MN. Research Process, Practice and Critical in Nursing. 2nd ed. İstanbul: Nobel Medical Bookstores, 2015.
  • Yıldırım A, Şimşek H. Qualitative research methods in the social sciences. 8th ed. Ankara: Seçkin Publishing, 2016.
  • Temiz Z, Aydın Sayılan A. Assesment of Intensive Care Nurses’ Delirium Knowledge Levels: Descriptive Study. Turkiye Klin J Nurs Sci 2021; 13: 751–758.
  • Demir Korkmaz F, Gok F, Yavuz Karamanoglu A. Cardiovascular surgery nurses’ level of knowledge regarding delirium. Nurs Crit Care 2016; 21: 279–286.
  • Topuz Ş, Doğan N. The Level of Knowledge of Nurses Working at The Intensive Care Units of a University Hospital About The Subject of Delirium. J Kırıkkale Univ Fac Med 2012; 14: 21–26.
  • Kılıç A, Hudson J, Scott W, et al. A 12-month longitudinal study examining the shared and unique contributions of self-compassion and psychological inflexibility to distress and quality of life in people with Type 2 Diabetes. J Psychosom Res; 155. Epub ahead of print 1 April 2022. DOI: 10.1016/J.JPSYCHORES.2022.110728.
  • Peterson JF, Pun BT, Dittus RS, et al. Delirium and Its Motoric Subtypes: A Study of 614 Critically Ill Patients. J Am Geriatr Soc 2006; 54: 479–484.
  • Jayasinghe Arachchi TM, Pinto V. Understanding the barriers in delirium care in intensive care unit: A survey of knowledge, attitudes, and current practices among medical professionals working in intensive care units in teaching hospitals of central province, Sri Lanka. Indian J Crit Care Med 2021; 25: 1413–1420.
  • Stollings JL, Kotfis K, Chanques G, et al. Delirium in critical illness: clinical manifestations, outcomes, and management. Intensive Care Medicine 2021; 47: 1089–1103.
  • Sarman A, Sarman E. Nursing Approach to Pediatric Intensive Care Patients in Delirium. J Inonu Univ Heal Serv Vocat Sch 2020; 8: 964–972.
  • Başpınar T. The evaluatıon of delırıum knowledge, attıtudes and patıent care practıces of the nurses workıng ın the surgıcal ıntensıve care unıt. Istinye University, 2019.
  • Zeki Ö. Thoughts and attitudes of nurses about the management of delirium in intensive care unit. Istanbul University, 2013.
  • Patel RP, Gambrell M, Speroff T, et al. Delirium and Sedation in the Intensive Care Unit (ICU): survey of behaviors and attitudes of 1,384 healthcare professionals. Crit Care Med 2009; 37: 825.
  • Çevik B, Akyüz E, Uğurlu Z, et al. Determination of the Awareness about Delirium Management of Nurses Working in Intensive Care Units. Baskent Univ Fac Heal Sci J 2016; 1: 23–46.
  • Krupa S, Friganović A, Oomen B, et al. Nurses’ Knowledge about Delirium in the Group of Intensive Care Units Patients. Int J Environ Res Public Health 2022; 19: 2758.
  • Turna Ö, Gürsoy A. Physical Restraint Use in Intensive Care Units: Causes and Consequences. J Hacettepe Univ Fac Nurs 2021; 8: 127–133.
  • Solberg LM, Campbell CS, Jones K, et al. Training hospital inpatient nursing to know (THINK) delirium: A nursing educational program. Geriatr Nurs (Minneap) 2021; 42: 16–20.
  • Yılmazer RG. Investigatıon of The Awareness About Delirium and Delirium Management of Intensive Care Nurses. Bursa Uludağ University, 2020.
There are 33 citations in total.

Details

Primary Language English
Subjects Nursing
Journal Section Research Article
Authors

Sevgi Deniz Doğan 0000-0003-0311-2123

İpek Köse Tosunöz 0000-0003-2055-6260

Şeyma Yurtseven 0000-0003-2378-682X

Sevban Arslan 0000-0002-8893-9391

Early Pub Date September 8, 2023
Publication Date October 1, 2023
Submission Date January 25, 2023
Published in Issue Year 2023Volume: 14 Issue: 4 - Cumhuriyet'in 100. Yılına Armağan Sayısı

Cite

EndNote Deniz Doğan S, Köse Tosunöz İ, Yurtseven Ş, Arslan S (October 1, 2023) Experiences of Surgical Intensive Care Nurses on Delirium: A Phenomenological Study. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 14 4 688–695.
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