2.50
Hdl Handle:
http://hdl.handle.net/10755/159229
Type:
Presentation
Title:
Delirium and Depression in the ICU
Abstract:
Delirium and Depression in the ICU
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Idemoto, Bette, MSN, RN, CCRN, CS
Contact Address:Frances Payne Bolton SON, 239 Race Street, Berea, OH, 44017, USA
Co-Authors:
Delirium and depression in general hospitalized patients have been shown to be prevalent, underrecognized, undertreated, and associated with adverse events. Delirium and depression are common phenomenon among patients within the Intensive Care Unit (ICU), with subsequent multiple adverse outcomes, including increased fear, anxiety, falls, restraint use and medications. In addition, delirium and depression have been associated with increased burdens to the patient, family and staff. Accurate detection and effective treatment are critical strategies to ameliorate the effects of delirium and depression. Methodology/Design: The purpose of this dissertation study is to assess the accuracy of critical care nurses’ clinical bedside assessment of delirium and depression. Bedside assessment will be compared to validated standardized assessment tools, the Confusion Assessment Method-ICU (CAM-ICU) to detect delirium, and the Hospital Anxiety and Depression Scale (HADS-D, depression subscale) to screen for depression. Recognition of these cognitive impairments is a critical first step that will serve as a foundation for future studies to test interventions to manage delirium and depression. This correlational study will follow 97 post-operative patients in the Surgical Intensive Care Unit of a large teaching hospital. Adult patients and nurses will be interviewed; data will be collected using the CAM-ICU, HADS-D, and chart reviews. Bedside clinical assessment will be correlated with formalized screening tools and concordance assessed. Conceptual Framework: The American Association of Critical Care Nurses’ Synergy Model will guide this study. This model suggests that synergy results from the actions of nurse competencies and patient characteristics. This study will specifically examine the nurse competencies of clinical judgment and the patient characteristics of vulnerability and stability. Planned Analysis: Kappa and logistic regression are the planned statistical measures. Findings will be reported to the nursing community following completion of this study.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDelirium and Depression in the ICUen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159229-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Delirium and Depression in the ICU </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Idemoto, Bette, MSN, RN, CCRN, CS</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Frances Payne Bolton SON, 239 Race Street, Berea, OH, 44017, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value"> </td></tr><tr><td colspan="2" class="item-abstract">Delirium and depression in general hospitalized patients have been shown to be prevalent, underrecognized, undertreated, and associated with adverse events. Delirium and depression are common phenomenon among patients within the Intensive Care Unit (ICU), with subsequent multiple adverse outcomes, including increased fear, anxiety, falls, restraint use and medications. In addition, delirium and depression have been associated with increased burdens to the patient, family and staff. Accurate detection and effective treatment are critical strategies to ameliorate the effects of delirium and depression. Methodology/Design: The purpose of this dissertation study is to assess the accuracy of critical care nurses&rsquo; clinical bedside assessment of delirium and depression. Bedside assessment will be compared to validated standardized assessment tools, the Confusion Assessment Method-ICU (CAM-ICU) to detect delirium, and the Hospital Anxiety and Depression Scale (HADS-D, depression subscale) to screen for depression. Recognition of these cognitive impairments is a critical first step that will serve as a foundation for future studies to test interventions to manage delirium and depression. This correlational study will follow 97 post-operative patients in the Surgical Intensive Care Unit of a large teaching hospital. Adult patients and nurses will be interviewed; data will be collected using the CAM-ICU, HADS-D, and chart reviews. Bedside clinical assessment will be correlated with formalized screening tools and concordance assessed. Conceptual Framework: The American Association of Critical Care Nurses&rsquo; Synergy Model will guide this study. This model suggests that synergy results from the actions of nurse competencies and patient characteristics. This study will specifically examine the nurse competencies of clinical judgment and the patient characteristics of vulnerability and stability. Planned Analysis: Kappa and logistic regression are the planned statistical measures. Findings will be reported to the nursing community following completion of this study.</td></tr></table>en_GB
dc.date.available2011-10-26T21:49:31Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:49:31Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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