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ICU delirium: A survey into nursing and medical staff knowledge of current practices and perceived barriers towards ICU delirium in the intensive care unit

机译：重症监护病房（ICU）ir妄：对护理人员和医务人员的最新实践知识以及重症监护病房重症监护室del妄的认知障碍进行的调查

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Background: Delirium is an independent predictor of mortality and morbidity in the intensive care unit and is associated with a prolonged hospital and intensive care unit stay. National guidelines suggest that intensive care unit delirium is screened for daily using the confusion assessment method for the intensive care unit validated screening tool. Research suggests that there is a lack of knowledge on intensive care unit delirium, its screening tools and that it is inadequately screened for. Aims: The aim of the study is to assess nursing and medical staff knowledge, understanding and management of intensive care unit delirium and assess the perceived barriers associated with intensive care unit delirium screening using a validated screening tool. Research design and setting: A survey design was used and a questionnaire designed to collect the data. The sample consisted of 149 nursing and medical staff working in three district intensive care units within the United Kingdom. Results: The data yielded reveals that 44% (. n=. 33) of the respondents were not educated on ICU delirium. Furthermore the confusion assessment method for the intensive care unit was only being used in one out of the three sites surveyed and this was found to be at best sporadic, this fails to adhere to current delirium guidelines (. NICE, 2010). Those using a non structured way of detecting delirium observed for hallucinations and agitation. Common associated barriers quoted in the literature such as time restraints did not appear to be an issue in this study. Conclusion: This study has shown that despite national guidelines screening with a validated delirium screening tool is not being performed in two of the intensive care unit surveyed and one site employs the confusion assessment method for the intensive care however screening is sporadic. This study contributes to the evidence base suggesting that intensive care unit delirium is under recognised and screened for despite current guidelines.
机译：背景：Deli妄是重症监护病房死亡率和发病率的独立预测指标，与长期住院和重症监护病房相关。国家指南建议，使用重症监护室验证筛查工具的混淆评估方法每天筛查重症监护室del妄。研究表明，重症监护室del妄及其筛查工具缺乏知识，筛查不充分。目的：本研究的目的是评估护理和医务人员的知识，对重症监护室ir妄的理解和管理，并使用经过验证的筛查工具评估与重症监护室del妄筛查相关的感知障碍。研究设计和设置：使用了调查设计，并设计了一个问卷来收集数据。样本包括在英国三个地区重症监护室工作的149名护理和医务人员。结果：得出的数据表明，有44％（。n =。33）的受访者未接受过ICU ir妄教育。此外，重症监护病房的混乱评估方法仅在所调查的三个站点中的一个站点中使用，并且最多发现是零星的，这不符合当前的guidelines妄指南（NICE，2010）。那些使用非结构化方式检测del妄的幻觉和躁动观察者。文献中引用的常见相关障碍，例如时间限制，在本研究中似乎不是问题。结论：这项研究表明，尽管在接受调查的两个重症监护病房中，尽管没有采用经过验证的del妄筛查工具进行国家指南筛查，但一个站点仍采用混淆评估方法进行重症监护，但筛查是零星的。这项研究提供了证据基础，表明尽管有当前指南，重症监护室del妄仍未得到认可和筛查。

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