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  • 1.
    Orpus, Robert
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Arén, Katarina
    Umeå University, Faculty of Medicine, Department of Nursing.
    Omvårdnadspersonalens följsamhet till skattning av akut förvirringstilllstånd före och efter genomgången utbildning2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Postoperative delirium after cardiac surgery is common and creates difficulties for patients, relatives and caregivers. By using validated screening instruments to assess delirium in patients, the condition can sooner be discovered and treated. This reduces suffering for the patient and shortens hospital stay, and also eases the workload on nursing staff.Aims: To examine whether an education aiming to prevent, discover and treat delirium will improve nurses adherence to delirium screening.Design: The study was a retrospective patient record review with a descriptive quantitative approach.Methods: Study objectives were nurses working with post operative care of cardiac surgery patients in a university hospital in Sweden. Since three years a validated delirium screening instrument, Nursing Delirium Screening Scale (Nu-DESC) has been used for delirium screening on that post operative unit. Data was collected between 2/9-20/9 2017. Statistical analysis was performed on delirium assessments in 30 patient records before intervention, and 30 patient records after an educational effort during autumn of 2017.Results: Although a slightly higher frequency of delirium screenings after education, there was no statistically significant difference between documented assessments before intervention compared to after intervention.Conclusion: An education did not increase the nursing staffs adherence to delirium screening after heart surgery. There is a need for further research into the causes of nursing staffs lack of adherence to delirium screening guidelines. Additional interventions might be needed in order to improve adherence.

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