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KMID : 1221920150080020033
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Journal of Korean Critical Care Nursing
2015 Volume.8 No. 2 p.33 ~ p.42
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The Perception of Delirium, Barriers, and Importance of Performing Delirium Assessment of ICU Nurses Utilizing the CAM-ICU
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공경희:Gong Kyung-Hee
하이경:Ha Yi-Kyung/강인순:Kang In-Soon
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Abstract
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Purpose: This study was conducted to identify the perception, barriers, and importance of delirium assessment of intensive care unit nurses utilizing a tool for delirium assessment.
Methods: The subjects were 150 intensive care unit nurses who routinely use the CAM-ICU to screen delirium. Data were collected using self-report questionnaires and analyzed using descriptive statistics and ranking.
Results: Most intensive care unit nurses had experience of education about delirium and delirium assessment, and had assessed over once in a shift. However, a small number of nurses recognized utilizing their assessment result and the effect on higher mortality and underdiagnosed and preventable problem. The first rank of barriers was being too busy to assess patients and the second was difficulty of interpreting intubated patients. The importance of delirium assessment was considered lower than assessing catheter placement and level of pain.
Conclusion: The study identified intensive care unit nurses’ use of a delirium assessment tool, and the perception, barriers, and importance of delirium assessment. Furthermore, it is necessary to develop education programs to improve the early recognition of delirium by intensive care unit nurses.
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KEYWORD
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Intensive care unit, Delirium, Assessment, Perception, Barrier
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