Assessment of Confidence on Care of Patient with Delirium among Nurses


Authors : Anuradha C; Dr. Vijayalakshmi K; Merlin A

Volume/Issue : Volume 9 - 2024, Issue 6 - June

Google Scholar : https://tinyurl.com/49cvr5ks

Scribd : https://tinyurl.com/2ayvkw96

DOI : https://doi.org/10.38124/ijisrt/IJISRT24JUN433

Abstract : Introduction In multispecialty hospitals, delirium is one of the psychiatric emergency conditions that frequently arise for medical causes. The safety and healing of the delirious patient will benefit from the medical team's prompt attention. When delirious patients are admitted to medical, intensive care, or emergency rooms, nurses are the most crucial experts to respond quickly and confidently. Therefore, it is imperative that the confidence of nurses in their ability to care for patients with delirium be assessed immediately. This study was aimed to assess the level of confidence on care of patient with delirium among nurses at selected hospital, Chennai.  Material & Methods This study was conducted by using the cross sectional, correlational research design among 50 nurses who were selected through purposive sampling technique in a selected hospital, Chennai, India. A four-point Likert scale was employed as the rating system to evaluate the degree of confidence. The self- administration method was used to collect data.  Results Most of the nurses had low level of confidence (70%) for caring of delirious patients and all the nurses had below average level of mean% with their confidence levels in both knowledge and skills.  Conclusion The majority of nurses require education and training to boost their confidence in their ability to care for patients with delirium in terms of both knowledge and practice. Nurses working in multispecialty hospitals will be fully confident in their ability to deliver high- quality nursing care after studies employing a variety of novel ways on nursing care for patients with delirium are implemented.

Keywords : Confidence, Care, Nurses, Patient, Hospital, Delirium, Delirious Patient

References :

  1. Jayaswal, A. K., Sampath, H., Soohinda, G., & Dutta, S. (2019). Delirium in medical intensive care units: Incidence, subtypes, risk factors, and outcome. Indian journal of psychiatry61(4), 352-358.
  2. Lahariya, S., Grover, S., Bagga, S., & Sharma, A. (2014). Delirium in patients admitted to a cardiac intensive care unit with cardiac emergencies in a developing country: incidence, prevalence, risk factor and outcome. General hospital psychiatry36(2), 156-164.
  3. Norman, S. L., & Taha, A. A. (2019). Delirium knowledge, self-confidence, and attitude in pediatric intensive care nurses. Journal of Pediatric Nursing46, 6-11.
  4. Park, H. M., & Chang, M. Y. (2016). Nurse’s knowledge, confidence and performance on care for delirium. Journal of Health Informatics and Statistics41(4), 359-368.
  5. Reddy, I. S., Kulkarni, P. K., Gudlavallety, P., Gollepally, P., & Sriperumbudur, G. (2021). Clinico-etiological profiles in patients with delirium in intensive care unit setting. Telangana Journal of Psychiatry7(1), 35-41.
  6. Rowley-Conwy, G. (2018). Barriers to delirium assessment in the intensive care unit: A literature review. Intensive and Critical Care Nursing44, 99-104.
  7. Waszynski, C., Kessler, J., Chhabra, J., Nowicki, T., & Greco, S. (2024). Nurses’ Knowledge, Confidence, Detection and Actions Related to Delirium Care in the Post-Acute Setting. Delirium Communications.
  8. Zamoscik, K., Godbold, R., & Freeman, P. (2017). Intensive care nurses’ experiences and perceptions of delirium and delirium care. Intensive and Critical Care Nursing40, 94-100.

Introduction In multispecialty hospitals, delirium is one of the psychiatric emergency conditions that frequently arise for medical causes. The safety and healing of the delirious patient will benefit from the medical team's prompt attention. When delirious patients are admitted to medical, intensive care, or emergency rooms, nurses are the most crucial experts to respond quickly and confidently. Therefore, it is imperative that the confidence of nurses in their ability to care for patients with delirium be assessed immediately. This study was aimed to assess the level of confidence on care of patient with delirium among nurses at selected hospital, Chennai.  Material & Methods This study was conducted by using the cross sectional, correlational research design among 50 nurses who were selected through purposive sampling technique in a selected hospital, Chennai, India. A four-point Likert scale was employed as the rating system to evaluate the degree of confidence. The self- administration method was used to collect data.  Results Most of the nurses had low level of confidence (70%) for caring of delirious patients and all the nurses had below average level of mean% with their confidence levels in both knowledge and skills.  Conclusion The majority of nurses require education and training to boost their confidence in their ability to care for patients with delirium in terms of both knowledge and practice. Nurses working in multispecialty hospitals will be fully confident in their ability to deliver high- quality nursing care after studies employing a variety of novel ways on nursing care for patients with delirium are implemented.

Keywords : Confidence, Care, Nurses, Patient, Hospital, Delirium, Delirious Patient

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