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A Toolkit for Delirium Identification and Promoting Partnerships Between Carers and Nurses: A Pilot Pre-Post Feasibility Study
Journal article   Open access   Peer reviewed

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

Christina Aggar, Alison Craswell, Kasia Bail, Roslyn M Compton, Mark Hughes, Golam Sorwar, James Baker, Jennene Greenhill, Lucy Shinners, Belinda Nichols, …
Journal of general internal medicine : JGIM, Vol.39(11), pp.2001-2008
01/08/2024
DOI: https://doi.org/10.1007/s11606-024-08734-6
PMID: 38647970
Appears in  Recent Faculty of Health Publications
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Abstract

family caregiving carers delirium Acute care Prevention of human diseases and conditions
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 Prevention & Early Delirium Identification Carer Toolkit (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 =  < .001; CI 2.07–4.73). Carers’ intent and actual use of PREDICT was (n = 18, 72%; and n = 17, 68%). Carer burden and psychological distress did not significantly change. The incidence of delirium in the intervention ward although not significant, decreased, indicating opportunity for scaling up. Conclusion The prevention and management of delirium are imperative for safe and quality care for patients, carers, and staff. Further comprehensive and in-depth research is required to better understand underlying mechanisms of change and explore facets of nursing practice influenced by this innovative approach.

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