Evidence map›Paper›PMID 24121464›Full record

Trial reportClinical nursing research2014

Barriers and facilitators to implementing delirium rounds in a clinical trial across three diverse hospital settings.

Andrea M Yevchak, Donna M Fick, Jane McDowell, Todd Monroe, Kanah May, Lori Grove, Ann M Kolanowski, Jennifer L Waller, Sharon K Inouye

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical nursing research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01267682 (Reserve For Delirium Superimposed On Dementia), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01267682 phase2completednot on this map

Reserve For Delirium Superimposed On Dementia (DSD)

TypeinterventionalSponsorPenn State UniversityRan2011 to 2016Enrolled283ConditionsDelirium, DementiaArmsCognitive Stimulation
3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Lessons Learned From a Practice-Based, Multisite Intervention Study With Nurse Participants.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2017
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  3. Trial
  4. Review
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  8. Observational
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  11. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Andrea M YevchakPennsylvania State University School of Nursing, University Park, USA.
Donna M Fick
Jane McDowell
Todd Monroe
Kanah May
Lori Grove
Ann M Kolanowski
Jennifer L Waller
Sharon K Inouye

Funding

READI-SET-GO: Researching Efficient Approaches to Delirium Identification - Sustaining Effective Translation to create Gero-friendly OrganizationsR01AG030618 · NIA · PENNSYLVANIA STATE UNIVERSITY, THE · PI DONNA Marie FICK, EDWARD R MARCANTONIO · 2008 to 2026
$7.9M
Early Nurse Detection of Delirium Superimposed on Dementia (END DSD)R01NR011042 · NINR · PENNSYLVANIA STATE UNIVERSITY, THE · PI FICK, DONNA MARIE · 2010 to 2014
$2.6M
NIA NIH HHS R01 AG030618NINR NIH HHS 5R01NR011042-02NINR NIH HHS R01 NR011042
6 · The paper itself

Abstract

Delirium occurs in more than half of hospitalized older adults with dementia, substantially worsening outcomes. The use of multiple strategies and a local opinion leader, unit champion, has cumulative and lasting effects compared with single-strategy interventions. The purpose of this article is to describe the early barriers and facilitators to rounding with unit champions in a cluster randomized clinical trial in Year 2 of a 5-year trial (5R01NR011042-02). This is a mixed-method study nested within an ongoing multisite cluster-randomized, controlled clinical trial. Descriptive and comparative statistics were collected on N = 192 nursing rounds. Qualitative data were thematically analyzed. On average, rounds lasted 25.54 min (SD = 13.18) and were conducted with the unit champion 64% of the time. This is one of the first studies to systematically address quantitative and qualitative barriers and facilitators to nurse-led delirium rounds, demonstrating the gradual adoption of an intervention in diverse clinical settings.

Indexed as

Teaching RoundsDeliriumEvidence-Based PracticeHumansMedical Staff, HospitalNursing Staff, Hospitalacute caredeliriumevidence-based practice

Identifiers

PMID24121464
PMCPMC3959250

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.