Evidence map›Paper›PMID 38918789›Full record

ArticleBMC nursing2024

A qualitative study of geriatric specialist nurses' experiences to navigate delirium in the elderly.

Mei Wu, Zhen Chen, Yamin Xu, Liting Zhao, Lirong Zhao, Lu Xia

Abstract read
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Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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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

6 authors.

Mei Wu *Department of nursing, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
Zhen Chen *Surgical Intensive Care Unit, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
Yamin XuDay Care Chemotherapy, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
Liting ZhaoDepartment of nursing, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
Lirong ZhaoDepartment of Neurology, Huadong Hospital Affiliated to Fudan University, Shanghai, China. Huadongzlr@163.com.
Lu XiaDay Surgery Unit, Huadong Hospital Affiliated to Fudan University, Shanghai, China. yihaibeilu@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe experiences and perceptions of geriatric specialist nurses are pivotal to understanding the complexities of managing delirium and to developing effective nursing interventions. This qualitative study aims to explore these experiences and perceptions to inform the enhancement of clinical geriatric nursing and care practices.

methodsUtilizing a qualitative exploratory design, this research engaged a convenience sample of geriatric specialist nurses at a tertiary hospital in Shanghai, China through focus groups and semi-structured interviews. Data were rigorously analyzed using Colaizzi's phenomenological method, which facilitated the identification of themes that emerged from the narratives of the geriatric specialist nurses.

resultsThe thematic analysis yielded three major themes that encapsulate the nurses' experiences and perceptions. Theme 1: Understanding of Delirium, highlighted the nurses' awareness of the condition's significance, yet it was often deprioritized due to the pressing demands of managing more acute and immediately life-threatening conditions. Theme 2: Barriers in Application, brought to light the multifaceted challenges faced by nurses, including language barriers, the frequency and consistency of delirium assessments, the social determinants of health, and the nurses' own competencies in assessment. Theme 3: Evolution of Nursing Approaches, detailed the adaptive strategies employed by nurses, such as managing nursing adverse events, improving communication with patients' families, and adopting a proactive stance towards long-term patient outcomes.

conclusionsThe findings suggest that while geriatric specialist nurses recognize the importance of delirium assessment, there are several barriers to effective application. The study underscores the imperative for the advancement of more refined delirium assessment and care protocols, tailored to address the unique requirements of geriatric nursing care.

Indexed as

CareDeliriumElderlyNurseNursingQualitative

Identifiers

PMID38918789
PMCPMC11197179

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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.