ArticleBMC geriatrics2022
Nurses' competence in recognition and management of delirium in older patients: development and piloting of a self-assessment tool.
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prioritization Patterns of Nurses in the Management of a Patient With Delirium: Results of a Q-Methodology Study.Research in nursing & health · 2025Pooled it
- Development and Usability Testing of a Mobile App-Based Clinical Decision Support System for Delirium: Randomized Crossover Trial.JMIR aging · 2024Trial
- Improving delirium knowledge and recognition confidence in nursing homes through an e-learning program: a pre-post study.BMC medical education · 2026Article
- Impact of Nurses' Knowledge, Self-Efficacy and Clinical Reasoning Competency on Difficulties in Caring for Patients With Delirium in the Intensive Care Unit: A Cross-Sectional Study.Journal of clinical nursing · 2026Article
- Article
- The Single Question in Delirium as a suitable tool to improve delirium detection in hospitalized older patients.European geriatric medicine · 2025Article
- Optimizing Agreement Between Bedside Nurse-Documented and Trained Researcher Delirium Assessments in the ICU.Critical care medicine · 2025Article
- Implementation context, mechanisms and outcomes of a transitional care intervention to prevent delirium: a mixed-methods process evaluation from the TRADE study.BMC geriatrics · 2025Article
- Development of a nurse-led clinical pathway to prevent delirium in older adults in general hospital wards: a realist review protocol.BMJ open · 2025Article
- Investigation of the factors affecting delirium evaluation by intensive care nurses: a cross-sectional descriptive study.BMC nursing · 2025Article
- Assessment of ICU nurses' competency towards delirium among critically ill patients.BMC nursing · 2024Article
- Article
- Reasons influencing the nurses' prioritization process while preventing and managing delirium: findings from a qualitative study.Aging clinical and experimental research · 2024Article
- A qualitative study of geriatric specialist nurses' experiences to navigate delirium in the elderly.BMC nursing · 2024Article
- Nursing Intervention to Prevent and Manage Delirium in Critically Ill Patients: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Validation of a viable delirium detection test performed by nurses and physicians during routine patient care.BMC geriatrics · 2024Article
- Development and Validation of an ICU Delirium Playbook for Provider Education.Critical care explorations · 2023Article
- Delirium in the intensive care unit and its importance in the post-operative context: A review.Frontiers in medicine · 2023Review
- Delirium in the United States: Results From the 2023 Cross-Sectional World Delirium Awareness Day Prevalence Study.Journal of the Academy of Consultation-Liaison PsychiatryArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDelirium is a common condition in elderly inpatients. Health care professionals play a crucial role in recognizing delirium, initiating preventive measures and implementing a multicomponent treatment strategy. Yet, delirium often goes unrecognized in clinical routine. Nurses take an important role in preventing and managing delirium. This study assesses clinical reasoning of nurses using case vignettes to explore their competences in recognizing, preventing and managing delirium.
methodsThe study was conducted as an online survey. The questionnaire was based on five case vignettes presenting cases of acutely ill older patients with different subtypes of delirium or diseases with overlapping symptoms. In a first step, case vignettes were developed and validated through a multidisciplinary expert panel. Scoring of response options were summed up to a Geriatric Delirium Competence Questionnaire (GDCQ) score including recognition and management tasks The questionnaire was made available online. Descriptive analyses and group comparisons explores differences between nurses from different settings. Factors explaining variance in participants' score were evaluated using correlations and linear regression models.
resultsThe questionnaire demonstrated good content validity and high reliability (kappa = 0.79). The final sample consisted of 115 nurses. Five hundred seventy-five case vignettes with an accuracy of 0.71 for the correct recognition of delirium presence or absence were solved. Nurses recognized delirium best in cases describing hyperactive delirium (79%) while hypoactive delirium was recognized least (44%). Nurses from geriatric and internal medicine departments had significantly higher GDCQ-score than the other subgroups. Management tasks were correctly identified by most participants.
conclusionsOverall, nurses' competence regarding hypoactive delirium should be strengthened. The online questionnaire might facilitate targeting training opportunities to nurses' competence.
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