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Delirium assessment of the elderly in the intensive care unit
Dissertation   Open access

Delirium assessment of the elderly in the intensive care unit

Timothy Clyne
Doctor of Nursing Practice (D.N.P.), Drexel University
Aug 2019
DOI:
https://doi.org/10.17918/czw8-3j68
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Abstract

Nursing--Practice Intensive care nursing Delirium Nursing Older People
Objective: To improve delirium identification by nurses of elderly patients over the age of 65 in an intensive care unit through the implementation of the CAM-ICU. Design: Evidence-Based Practice (EBP) quality improvement project framed with in the Iowa model of EBP. Inter rater reliability was established in the use of the CHART-DEL tool in accordance with the guidance from the CHART-DEL manual. The CHART-DEL was then used as a monitor for concurrent validity for the CAM-ICU performed by the intensive care nurse. Finally, to ensure rigor in the findings a randomly selected sample of the CHART-DEL was re-validated by an expert rater. Participants: Intensive Care Unit (ICU) Registered Nurses. Intervention: Education and implementation of the CAM-ICU for delirium screening. Patients over the age of 65 admitted to the ICU will be screened for delirium using the instrument. Results: The result of implementation of this evidenced based practice will improve the identification of delirium by nurses and increase the adherence to delirium screening through the use of the CAM-ICU. All nurses receiving CAM-ICU education were found to use the tool with accuracy as validated by the CHART-DEL abstraction tool. Adherence to the use of the embedded CAM-ICU was 100 percent for intensive care nurses receiving education on the proper use of the tool.

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