2.50
Hdl Handle:
http://hdl.handle.net/10755/159333
Type:
Presentation
Title:
Confusion Assessment in Acute Care: A Case Study
Abstract:
Confusion Assessment in Acute Care: A Case Study
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2005
Author:Droegemeuller, Carol, MS, APRN, BC
P.I. Institution Name:North Memorial Hospital
Title:Clinical Nurse Specialist
Contact Address:Medical-Surgical Nursing, 3300 Oakdale Avenue North, Robbinsdale, MN, 55422, USA
Contact Telephone:763-520-1884
An acute care unit team strategized how to increase the use of the
NEECHAM confusion assessment tool. The goal for the staff was to have the
staff complete a confusion assessment tool for each person aged 75 and
over within 24 hours of admission to the unit. The purpose of this
research is to describe and evaluate strategies to increase implementation
for evidence-based practice. The sample includes staff on a 35 bed
orthopedic unit in an urban Level 1 Trauma hospital located in the
Midwest.
The intervention strategies included identifying possible barriers to use
of the confusion assessment tool, making the confusion assessment tool
more easily available, and reinforcing staff for use of the tool. Some
specific strategies included: placing the assessment tool form on each
patientÆs clipboard with the admission paper work, giving hand-written
notes to completers of the assessment, and team incentives as well as
individual incentives for completing the assessment tool on a daily basis.
The method of evaluation was to measure the use of the confusion
assessment tool for all patients over 75 by daily, monthly, or quarterly
audits. Every three months following the implementation of new strategies
for success, an evaluation was completed. The data results of three
consecutive quarterly evaluations will be shared. Early data (six months
following the implementation phase) shows a significant increase from 56%
rate of completing the admission NEECHAM assessment to 96%.
Implementation of a best practice with the consistent use of an acute
confusion bedside assessment tool on an acute orthopedic unit was enhanced
through the review of barriers, staff education, positive reinforcement,
advanced practice nursing involvement and sharing performance data.
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.titleConfusion Assessment in Acute Care: A Case Studyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159333-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Confusion Assessment in Acute Care: A Case Study</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">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Droegemeuller, Carol, MS, APRN, BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">North Memorial Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse Specialist</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Medical-Surgical Nursing, 3300 Oakdale Avenue North, Robbinsdale, MN, 55422, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">763-520-1884</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">c.droegemueller@northmemorial.com</td></tr><tr><td colspan="2" class="item-abstract">An acute care unit team strategized how to increase the use of the <br/> NEECHAM confusion assessment tool. The goal for the staff was to have the <br/> staff complete a confusion assessment tool for each person aged 75 and <br/> over within 24 hours of admission to the unit. The purpose of this <br/> research is to describe and evaluate strategies to increase implementation <br/> for evidence-based practice. The sample includes staff on a 35 bed <br/> orthopedic unit in an urban Level 1 Trauma hospital located in the <br/> Midwest. <br/> The intervention strategies included identifying possible barriers to use <br/> of the confusion assessment tool, making the confusion assessment tool <br/> more easily available, and reinforcing staff for use of the tool. Some <br/> specific strategies included: placing the assessment tool form on each <br/> patient&AElig;s clipboard with the admission paper work, giving hand-written <br/> notes to completers of the assessment, and team incentives as well as <br/> individual incentives for completing the assessment tool on a daily basis.<br/> The method of evaluation was to measure the use of the confusion <br/> assessment tool for all patients over 75 by daily, monthly, or quarterly <br/> audits. Every three months following the implementation of new strategies <br/> for success, an evaluation was completed. The data results of three <br/> consecutive quarterly evaluations will be shared. Early data (six months <br/> following the implementation phase) shows a significant increase from 56% <br/> rate of completing the admission NEECHAM assessment to 96%.<br/> Implementation of a best practice with the consistent use of an acute <br/> confusion bedside assessment tool on an acute orthopedic unit was enhanced <br/> through the review of barriers, staff education, positive reinforcement, <br/> advanced practice nursing involvement and sharing performance data.</td></tr></table>en_GB
dc.date.available2011-10-26T21:55:06Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:55:06Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.