• Login
    View Item 
    •   UMB Digital Archive
    • School of Nursing
    • Doctor of Nursing Practice (DNP) Projects
    • View Item
    •   UMB Digital Archive
    • School of Nursing
    • Doctor of Nursing Practice (DNP) Projects
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UMB Digital ArchiveCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Display statistics

    Implementation of a Delirium Assessment Tool

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    VanAllen_DeliriumAssessmentToo ...
    Size:
    1.005Mb
    Format:
    PDF
    Download
    Author
    Van Allen, Jaime
    Advisor
    Bullock, Lynn Marie Elizabeth
    Date
    2022-05
    Type
    DNP Project
    
    Metadata
    Show full item record
    Other Titles
    Delirium Assessment Tool
    Abstract
    Problem: Delirium in hospitalized older adult patients is associated with significant adverse outcomes such as re-hospitalization, extended length of stay, functional decline, and increased morbidity and mortality rates. In non-intensive care unit (ICU) patients, the incidence of delirium is estimated to affect between 10% to 50%. Purpose: The purpose of this Quality Improvement (QI) project is to provide bedside nurses education on delirium and implement a bedside delirium assessment tool to assist in early identification. Providing care that is proactive and focused on prevention, as opposed to reactive and focused on treating identified conditions, is known to have better patient outcomes. Methods: A 24-bed medical surgical unit was selected to participate in the delirium assessment intervention. Patients aged 65 years and older and not on hospice or palliative care were the target intervention population. To achieve the project objective, staff reviewed an education module focusing on delirium and the selected bedside tool called the 4AT Rapid Clinical Test for Delirium. After participating in a pre-learning module with a pre- post-test, nurses then began completing the assessment tool on the designated population once per shift. When a completed assessment reflected possible delirium, the assigned provider was notified. Results: Upon completion of the education module the post-education survey reflected an increase in knowledge by 9.15%. The assessment tool had an implementation rate of 62.35% on day shift and 10.57% on night shift. Out of 552 completed assessments, eighty-three identified possible delirium (15.04%). Conclusions: The QI project demonstrated the effectiveness of providing delirium education to bedside nurses and the successful implementation of a brief assessment tool to identify patients at a risk for delirium.
    Keyword
    4AT rapid clinical test for delirium
    Education, Nursing
    Quality Improvement
    Delirium--diagnosis
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/18747
    Collections
    Doctor of Nursing Practice (DNP) Projects

    entitlement

     
    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Quick Guide | Policies | Contact Us | UMB Health Sciences & Human Services Library
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.