Factors that contribute to underrecognition of delirium by registered nurses in acute care settings: A scoping review of the literature to explain this phenomenon

Journal of Clinical Nursing

Volumn 24, Issue 7-8, 2015, Pages 906-915

  El Hussein, Mohamed ^a   Hirst, Sandra ^b   Salyers, Vincent ^a  

^a MOUNT ROYAL UNIVERSITY   (Canada)

^b UNIVERSITY OF CALGARY   (Canada)

Author keywords

Acute care; Clinical; Education; Elder care

Indexed keywords

AGED; COMPLICATION; DELIRIUM; DEMENTIA; HUMAN; INTENSIVE CARE NURSING; NURSING; PSYCHOLOGY;

AGED; CRITICAL CARE NURSING; DELIRIUM; DEMENTIA; HUMANS;

EID: 84925337436     PISSN: 09621067     EISSN: 13652702     Source Type: Journal    
DOI: 10.1111/jocn.12693     Document Type: Article

References (67)

1. Akechi T, Ishiguro C, Okuyama T, Endo C, Sagawa R, Uchida M & Furukawa TA (2010) Delirium training program for nurses. Psychosomatics 51, 106-111.
2. Aldemir M, Özen S, Kara IH, Sir A & Bac B (2001) Predisposing factors for delirium in the surgical intensive care unit. Critical Care 5, 265-270.
3. American Psychiatric Association (2000) Diagnostic and Statistical Manual of Mental Disorders, 4th edn. American Psychiatric Association, Washington, DC.
4. Arksey H & O'Malley L (2005) Scoping studies: towards a methodological framework. International Journal of Social Research Methodology 8(1), 19-32.
5. Bellelli G, Speciale S, Barisione E & Trabucchi M (2007) Delirium subtypes and 1-year mortality among elderly patients discharged from a post-acute rehabilitation facility. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences 62, 1182-1183.
6. Boettger S, Passik S & Beritbart W (2009) Delirium superimposed on dementia versus delirium in the absence of dementia: phenomenological differences. Palliative & Supportive Care 7, 495-500.
7. Cerejeira J & Mukaetova-Ladinska EB (2011) A clinical update on delirium: from early recognition to effective management. Nursing Research and Practice 1-12, Article ID 875196, doi: 10.1155/2011/875196.
8. Cole MG (2004) Delirium in elderly patients. The American Journal of Geriatric Psychiatry 12, 7-21.
9. Conley DM (2011) The gerontological clinical nurse specialist's role in prevention, early recognition, and management of delirium in hospitalized older adults. Urologic Nursing 6, 337-342.
10. Devlin J, Fong J, Schumaker G, O'Connor H, Ruthazer R & Gaspestad E (2007) Use of validated delirium assessment tool improves the ability of physicians to identify delirium in medical intensive care unit patients. Critical Care Medicine 35, 2721-2724.
11. Eastwood GM, Peck L, Bellomo R, Baldwin I & Reade MC (2012) A questionnaire survey of critical care nurses' attitudes to delirium assessment before and after introduction of the CAM-ICU. Australian Critical Care 25, 162-169.
12. Eden BM & Foreman MD (1996) Problems associated with under-recognition of delirium in critical care: a case study. Heart and Lung 25, 388-400.
13. Ely EW & Page V (2011) Delirium in Critical Care. Cambridge University Press, Cambridge, UK.
14. Ely EW, Siegel MD & Inouye SK (2001) Delirium in the intensive care unit: an under- recognized syndrome of organ dysfunction. Seminars in Respiratory and Critical Care Medicine 22, 115-126.
15. Ely EW, Shintani A & Truman BL (2004) Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. The Journal of the American Medical Association 291, 1753-1762.
16. Fick D & Foreman M (2000) Consequences of not recognizing delirium superimposed on dementia in hospitalized elderly individuals. Journal of Gerontological Nursing 26, 30-40.
17. Fick DM, Hodo DM, Lawrence F & Inouye SK (2007) Recognizing delirium superimposed on dementia: assessing nurses' knowledge using case vignettes. Journal of Gerontological Nursing 33, 40-47.
18. Flagg B, Cox L, McDowell S, Mwose JM & Buelow JM (2010) Nursing identification of delirium. Clinical Nurse Specialist 24, 260-266.
19. Forsgren LM & Eriksson M (2010) Delirium-awareness, observation and interventions in intensive care units: a national survey of Swedish ICU head nurses. Intensive & Critical Care Nursing 26, 296-303.
20. Francis J (1992) Delirium in older patients. Journal of the American Geriatrics Society 40, 829-838.
21. Gesin G, Russell BB, Lin AP, Norton HJ, Evans SL & Devlin JW (2012) Impact of a delirium screening tool and multifaceted education on nurses' knowledge of delirium and ability to evaluate it correctly. American Journal of Critical Care 21, e1-e11.
22. Guenther U, Weykam J, Andorfer U, Theuerkauf N, Popp J, Ely EW & Putensen C (2012) Implications of objective vs subjective delirium assessment in surgical intensive care patients. American Journal of Critical Care 21, 12-20.
23. Inouye SK & Ferrucci L (2006) Elucidating the pathophysiology of delirium and the interrelationship of delirium and dementia. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences 61, 1277-1280.
24. Inouye SK, Foreman MD, Mion LC, Katz KH & Cooney LM (2001) Nurses' recognition of delirium and its symptoms: comparison of nurse and researcher ratings. Archives of Internal Medicine 161, 2467-2473.
25. Jesson J, Matheson L & Lacey F (2011) Doing Your Literature Review: Traditional and Systematic Techniques. Sage Publications, Thousand Oaks, CA.
26. Jones RN, Fong TG, Metzger E, Tulebaev S, Yang FM, Alsop DC, Marcantonio ER, Cupples SM, Gottlieb G & Inouye SK (2010) Aging, brain disease, and reserve: implications for delirium. The American Journal of Geriatric Psychiatry 18, 117-127.
27. Khan RA, Kahn D & Bourgeois JA (2009) Delirium: sifting through the confusion. Current Psychiatry Reports 11, 226-234.
28. Lachaine J & Beauchemin C (2012) Economic evaluation of dexmedetomidine rrelative to midazolam for sedation in the intensive care unit. The Canadian Journal of Hospital Pharmacy 65, 103-110. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3329902/ (accessed November 2012).
29. Laurila JV, Pitkala KH, Strandberg TE & Tilvis RS (2004) Detection and documentation of dementia and delirium in acute geriatric wards. General Hospital Psychiatry 26, 31-35.
30. Lemiengre J, Nelis T, Joosten E, Braes T, Foreman M, Gastmans C & Milisen K (2006) Detection of delirium by bedside nurses using the confusion assessment method. Journal of the American Geriatrics Society 54, 685-689.
31. Levac D, Colquhoun H & O'Brien K (2010) Scoping studies: advancing the methodology. Implementation Science 5, n.p. Available at: http://www.implementationscience.com/content/pdf/1748-5908-5-69.pdf (accessed 6 August 2014).
32. Lipowski Z (1990) Delirium: Acute Confusional States. Oxford University Press, New York, NY.
33. Lou MF & Dia YT (2002) Nurses' experience of caring for delirious patients. The Journal of Nursing Research 10, 279-289.
34. Margiotta A, Bianchetti A, Ranieri P & Trabucchi M (2006) Clinical characteristics and risk factors of delirium in demented and not demented elderly medical inpatients. The Journal of Nutrition, Health & Aging 10, 535-539.
35. McCarthy MC (2003) Situated clinical reasoning: distinguishing acute confusion from dementia in hospitalized older adults. Research in Nursing and Health 26, 90-101.
36. McDonnell S & Timmins F (2012) A quantitative exploration of the subjective burden experienced by nurses when caring for patients with delirium. Journal of Clinical Nursing 21, 2488-2498.
37. Milisen K, Foreman MD, Wouters B, Driesen R, Godderis J, Abraham IL & Broos PL (2002) Documentation of delirium in elderly patients with hip fracture. Journal of Gerontological Nursing 28, 23-29.
38. Mistarz R, Eliott S, Whitfield A & Ernest D (2011) Bedside nurse-patient interactions do not reliably detect delirium: an observational study. Australian Critical Care 24, 126-132.
39. Mittal V, Muralee S, Williamson D, McEnerney N, Thomas J & Tampi R (2011) Delirium in the elderly: a comprehensive review. American Journal of Alzheimer's Disease and Other Dementias 26, 97-109.
40. Moldonado J (2008) Delirium in the acute care setting: characteristics, diagnosis and treatment. Critical Care Clinics 24, 657-722.
41. Morandi A, Pandharipande P & Trabucchi M (2008) Understanding international differences in terminology for delirium and other types of acute brain dysfunction in critically ill patients. Intensive Care Medicine 34, 1907-1915.
42. Neitzel J, Sendelbach S & Larson LR (2007) Delirium in the orthopaedic patient. Orthopaedic Nursing 26, 354-363.
43. Polit DF & Beck CT (2012) Nursing Research: Generating and Assessing Evidence for Nursing Practice, 9th edn. Lippincott Williams & Wilkins, Philadelphia, PA.
44. Pompei P, Foreman MD, Cassel CK, Alessi CA & Cox D (1995) Detecting delirium among hospitalized older patients. Archives of Internal Medicine 155, 301-307.
45. Pun BT & Boehm L (2011) Delirium in the intensive care unit: assessment and management. American Association of Critical-Care Nurses Advanced Critical Care 22, 225-237.
46. Rahkonen T, Makela H, Paanila S, Halonen P, Sivenius J & Sulkava R (2000) Delirium in the elderly people without severe predisposing disorders: etiology and 1-year prognosis after discharge. International Psychogeriatrics 12, 473-481.
47. Rice KL, Bennett M, Gomez M, Theall KP, Knight M & Foreman MD (2011) Nurses' recognition of delirium in the hospitalized older adult. Clinical Nurse Specialist 25, 299-311.
48. Riekerk B, Pen EJ, Hofhuis JGM, Rommes JH, Schultz MJ & Spronk PE (2009) Limitations and practicalities of CAM-ICU implementation, a delirium scoring system, in a Dutch intensive care unit. Intensive and Critical Care Nursing 25, 242-249.
49. Rigney TS (2006) Delirium in the hospitalized elder and recommendations for practice. Geriatric Nursing 27, 151-157.
50. Roberts B (2004) Screening for delirium in an adult intensive care unit. Intensive & Critical Care Nursing 20, 206-213.
51. Sampson E, Blanchard M, Jones L, Tookman A & King M (2009) Dementia in the acute hospital: prospective cohort study of prevalence and mortality. The British Journal of Psychiatry 195, 61-66.
52. Saxena S & Lawley D (2009) Delirium in the elderly: a clinical review. Postgraduate Medical Journal 85, 405-413.
53. Siddiqi N, House A & Holmes J (2006) Occurrence and outcome of delirium in medical in-patients: a systematic literature review. Age and Ageing 35, 350-364.
54. Ski C & O'Connell B (2006) Mismanagement of delirium places patients at risk. The Australian Journal of Advanced Nursing 23, 42-46.
55. Soja SL, Pandheripande PP, Fleming SB, Cotton BA, Miller LR & Weaver SG (2008) Implementation, reliability testing, and compliance monitoring of the Confusion Assessment Method for the intensive care units in trauma patients. Intensive Care Medicine 34, 1263-1268.
56. Steis MR & Fick DM (2012) Delirium superimposed on dementia: accuracy of nurse documentation. Journal of Gerontological Nursing 38, 32-42.
57. Toro A, Escobar L, Franco J, Diaz-Gomez J, Munoz J, Molina F, Berjarano J, Yepes D, Navarro E, Garcia A, Wesley E & Estaban A (2010) Spanish version of the method for evaluation of confusion in the intensive cares, pilot study of validation. Medicina Intensiva (Intensive Medicine) 34, 14-21.
58. Van Rompaey B, Shuurmans M, Shortridge-Baggett L, Truijen S, Elseviers M & Bossaert L (2009) Long term outcome after delirium in the intensive care unit. Journal of Clinical Nursing 18, 3349-3357.
59. Vasilevskis E, Pandharipande P, Girard T & Ely W (2010) A screening, prevention, and restoration model for saving the injured brain in intensive care unit survivors. Critical Care Medicine 38(10 Suppl), S683-S691.
60. Vollmer CM, Bond J, Eden BM, Resch DS, Fulk L, Robinson S & Hughes LF (2010) Incidence, prevalence, and under-recognition of delirium in urology patients. Urologic Nursing 30, 235-254.
61. Voyer P, Cole MG, McCusker J & Belzile E (2006) Prevalence and symptoms of delirium superimposed on dementia. Clinical Nursing Research 15, 46-66.
62. Waszynski CM & Petrovic K (2008) Nurses' evaluation of the Confusion Assessment Method: a pilot study. Journal of Gerontological Nursing 34, 49-56.
63. Wei LA, Fearing MA, Sternberg EJ & Inouye SK (2008) The confusion assessment method: a systematic review of current usage. Journal of the American Geriatrics Society 56, 823-830.
64. Wolanin MO (1977) Confusion study: use of grounded theory as methodology. Communicating Nursing Research 8, 68-75.
65. Wong CL, Holroyd-Leduc J, Simel DL & Straus SE (2010) Does this patient have delirium? Value of bedside instruments. Journal of the American Medical Association 304, 779-786.
66. Wu LF (1995) Nurses' perception of acute confusion. The Journal of Nursing Research 3, 17-26.
67. Young J, Murthy L, Westby M, Akkune A & O'Mahony R (2010) Diagnosis, prevention, and management of delirium: summary of NICE guidance. British Medical Association 341, c3704.