Instrument Development to Measure Nurses' Knowledge and Emotions When Caring for the Older Adult with Delirium and Dementia

2.50
Hdl Handle:
http://hdl.handle.net/10755/155367
Type:
Presentation
Title:
Instrument Development to Measure Nurses' Knowledge and Emotions When Caring for the Older Adult with Delirium and Dementia
Abstract:
Instrument Development to Measure Nurses' Knowledge and Emotions When Caring for the Older Adult with Delirium and Dementia
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Schreiner, Kelli K., MSN, RN
P.I. Institution Name:Bryan LGH Medical Center
Title:Clinical Nurse Specialist
Co-Authors:Cindy M. Wamsley, PhD, RN
INTRODUCTION:  Nurses in acute care settings frequently care for patients with delirium and dementia.  The time and energy needed for these patients may overwhelm the resources of nurses, causing feelings of frustration for the nurse and poor outcomes for the patient. As interventions are created to assist nurses with these issues, an instrument is needed to measure their effectiveness.  METHODS: A qualitative study was performed exploring nurses? experiences when caring for patients with delirium and dementia. Results were used to construct an instrument (titled, The Delirium and Dementia Knowledge and Attitudes Instrument) including sections on nurses? knowledge, skills and attitudes while providing care to patients with delirium and dementia. Content validity was assessed through review by gerontology and mental health experts. The Delirium and Dementia Knowledge and Attitudes Instrument (DDKAI) and the Human Services Survey created by Maslach (1986) were administered to 26 orthopedic nurses prior to participation in an evidence based educational program. The new instrument was repeated 30-45 days after the intervention. RESULTS: Scores from DDKAI produced a Cronbach alpha of .70.  The average pre-test score on the instrument was 49.9 (14.2) (possible range 6-104).  The scores of the emotion subscale of the DDKAI were adequately correlated with those of the Emotional Exhaustion subscale of the Maslach (1986) survey (Pearson R  -.43, p = .02) providing evidence of external validation for those scores.  The instrument clearly identified the knowledge and skill deficits of the nurses. DISCUSSION: Nurses strive to provide the highest standard of care; however, they may lack the necessary knowledge and skills.  Healthcare can not afford to lose well-trained acute care nurses due to frustration.  The instrument developed in this study can be used to assess nursing perspectives and measure the effectiveness of interventions while improving the quality of life and dignity for older patients.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleInstrument Development to Measure Nurses' Knowledge and Emotions When Caring for the Older Adult with Delirium and Dementiaen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155367-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Instrument Development to Measure Nurses' Knowledge and Emotions When Caring for the Older Adult with Delirium and Dementia</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Schreiner, Kelli K., MSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Bryan LGH Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse Specialist</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kelli.schreiner@bryanlgh.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Cindy M. Wamsley, PhD, RN</td></tr><tr><td colspan="2" class="item-abstract">INTRODUCTION:&nbsp; Nurses in acute care settings frequently care for patients with delirium and dementia.&nbsp; The time and energy needed for these patients may overwhelm the resources of nurses, causing feelings of frustration for the nurse and poor outcomes for the patient. As interventions are created to assist nurses with these issues, an instrument is needed to measure their effectiveness.&nbsp; METHODS: A qualitative study was performed exploring nurses? experiences when caring for patients with delirium and dementia. Results were used to construct an instrument (titled, The Delirium and Dementia Knowledge and Attitudes Instrument) including sections on nurses? knowledge, skills and attitudes while providing care to patients with delirium and dementia. Content validity was assessed through review by gerontology and mental health experts. The Delirium and Dementia Knowledge and Attitudes Instrument (DDKAI) and the Human Services Survey created by Maslach (1986) were administered to 26 orthopedic nurses prior to participation in an evidence based educational program. The new instrument was repeated 30-45 days after the intervention. RESULTS: Scores from DDKAI produced a Cronbach alpha of .70.&nbsp; The average pre-test score on the instrument was 49.9 (14.2) (possible range 6-104).&nbsp; The scores of the emotion subscale of the DDKAI were adequately correlated with those of the Emotional Exhaustion subscale of the Maslach (1986) survey (Pearson R&nbsp; -.43, p = .02) providing evidence of external validation for those scores.&nbsp; The instrument clearly identified the knowledge and skill deficits of the nurses. DISCUSSION: Nurses strive to provide the highest standard of care; however, they may lack the necessary knowledge and skills.&nbsp; Healthcare can not afford to lose well-trained acute care nurses due to frustration.&nbsp; The instrument developed in this study can be used to assess nursing perspectives and measure the effectiveness of interventions while improving the quality of life and dignity for older patients.</td></tr></table>en_GB
dc.date.available2011-10-26T13:46:41Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:46:41Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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