ArticleBMC health services research2023
Barriers to delirium screening and management during hospital admission: a qualitative analysis of inpatient nursing perspectives.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- GRADE-Based Clinical Practice Guidelines for Emergency Department Delirium Risk Stratification, Screening, and Brain Imaging in Older Patients With Suspected Delirium.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Guideline
- Risk factors and risk stratification approaches for delirium screening: A Geriatric Emergency Department Guidelines 2.0 systematic review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Pooled it
- Nurses' usage of validated tools to assess for delirium in general acute care settings: A scoping review.International journal of nursing studies advances · 2026Review
- "Pleasantly confused" and missed opportunities for delirium recognition: A hospital record audit.International journal of nursing studies advances · 2026Article
- Closing the gap in postoperative delirium detection: addressing low screening rates in the surgical recovery room.BMJ open quality · 2026Article
- Early recognition of delirium in hospitalized patients: an underutilized clinical priority.Annals of medicine and surgery (2012) · 2026Article
- Article
- Barriers and Facilitators to the Fidelity of Delirium Screening in the Emergency Department: An Ethnographic Approach.Journal of the American Geriatrics Society · 2026Article
- Clinical Nursing Management of Adult Patients with Delirium in a Hospital Setting-A Systematic Review.Journal of clinical medicine · 2025Review
- The older adult surgical patient: a review of optimization and gaps in clinical practice.Perioperative medicine (London, England) · 2025Review
- 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
- Delirium screening and alerting systems for older hospital inpatients.BMC health services research · 2025Article
- Nurses' Experiences of the Quality of Family-Centered Patient Counselling in Paediatric Delirium: A Qualitative Descriptive Study.Nursing open · 2025Article
- Article
- Health-care staff perspectives in optimising delirium prevention using data-driven interventions.Australasian journal on ageing · 2025Article
- Persistent inpatient delirium associated with increased length of stay and mortality.PloS one · 2025Article
- Disparities in Delirium across the Continuum of Care and Associations with Social Determinants of Health.Seminars in neurology · 2024Review
- Article
- Associations Between Depression Symptom Burden and Delirium Risk: A Prospective Cohort Study.Innovation in aging · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundDelirium in hospitalized patients is a major public health issue, yet delirium is often unrecognized and missed during inpatient admission. The objective of this study was to identify barriers to delirium screening, identification, and management from a nursing perspective on inpatient, acute care units.
methodsThis was a pre-implementation, diagnostic evaluation study to determine current practice patterns and potential barriers to optimizing delirium care at a major university hospital. A qualitative approach was used, which included focus groups of inpatient nurses working on major medical and surgical acute care units. Focus groups were conducted until signs of thematic saturation were present, and data were analyzed via inductive thematic analysis, without predetermined theories or structures. A consensus approach was utilized for transcript coding, and final themes were generated after multiple reviews of initial themes against transcript datasets.
resultsFocus group sessions (n = 3) were held with 18 nurses across two major inpatient units. Nurses reported several barriers to successful delirium screening and management. Specific challenges included difficulty with using delirium screening tools, an organizational culture not conducive to delirium prevention, and competing clinical priorities. Proposed solutions were also discussed, including decision-support systems with automated pager alerts and associated delirium order sets, which may help improve delirium care coordination and standardization.
conclusionAt a major university hospital, nurses affirm the difficulty experienced with delirium screening and identification, particularly due to screening tool challenges, cultural barriers, and clinical workload. These impediments may serve as targets for a future implementation trial to improve delirium screening and management.
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