2.50
Hdl Handle:
http://hdl.handle.net/10755/164190
Category:
Abstract
Type:
Presentation
Title:
Bedside Delirium Screening by Registered Nurses: CNSs Making it Happen
Author(s):
Evenson, Laura K.; Kinsey, Gail C.
Author Details:
Laura K. Evenson, MS, RN, APRN, BC, CNS, Mayo Clinic, Rochester, Minnesota, USA, email: nacnsorg@nacns.org; Gail C. Kinsey, MS, RN, APRN, BC, CNS
Abstract:
Purpose: To describe the strategies to integrate and sustain delirium screening by staff registered nurses on admission and daily for adult patients at Mayo Clinic Rochester hospitals. Significance: Delirium commonly occurs in hospitalized patients and often goes unrecognized by nurses and physicians. The lack of appreciation for the significance of delirium plus the lack of using validated instruments to assess for it are obstacles to the provision of quality care. Background/Design: A Delirium Management Replication Team was formed to review, test and replicate the successful processes previously implemented by a Clinical Nurse Specialist (CNS) led specialty delirium team. Adult specialty CNS's were the initial interdisciplinary members recruited. The first task of the new team was to seek endorsement for bedside delirium screening of adult patients by staff registered nurses. The tools selected were the Confusion Assessment Method (CAM) and the Confusion Assessment Method for the ICU (CAM-ICU) Methods: Team members followed the Mayo Clinic Department of Nursing Evidence Based Nursing Practice Translational Guide for seeking endorsement for the practice change from the Department of Nursing, Nursing Clinical Practice Committee. The process includes obtaining feedback and endorsement from 10 different nursing specialty practice committees and the CNS Committee. Following endorsement, numerous traditional educational and implementation strategies were utilized including, but not limited to CAM/CAM-ICU compliance and accuracy documentation review, the development of a nursing web site for delirium and a competency. Findings: Obtaining feedback and endorsement from key stakeholders is critical for the translation of evidence into practice. Staff nurse questions/comments are paramount in customizing implementation and the ongoing maintenance of a practice change. Conclusions: Delirium screening with valid and reliable tools requires multiple strategies for implementation and ongoing maintenance. Delirium screening has provided a first step to increase the recognition of delirium across hospital populations. Implications for Practice: CNS champions are instrumental in the integration of evidence-based nursing practice changes.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
CNS Outcomes: Ensuring Safety and Quality
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Phoenix, Arizona, USA
Description:
Conference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleBedside Delirium Screening by Registered Nurses: CNSs Making it Happenen_GB
dc.contributor.authorEvenson, Laura K.en_US
dc.contributor.authorKinsey, Gail C.en_US
dc.author.detailsLaura K. Evenson, MS, RN, APRN, BC, CNS, Mayo Clinic, Rochester, Minnesota, USA, email: nacnsorg@nacns.org; Gail C. Kinsey, MS, RN, APRN, BC, CNSen_US
dc.identifier.urihttp://hdl.handle.net/10755/164190-
dc.description.abstractPurpose: To describe the strategies to integrate and sustain delirium screening by staff registered nurses on admission and daily for adult patients at Mayo Clinic Rochester hospitals. Significance: Delirium commonly occurs in hospitalized patients and often goes unrecognized by nurses and physicians. The lack of appreciation for the significance of delirium plus the lack of using validated instruments to assess for it are obstacles to the provision of quality care. Background/Design: A Delirium Management Replication Team was formed to review, test and replicate the successful processes previously implemented by a Clinical Nurse Specialist (CNS) led specialty delirium team. Adult specialty CNS's were the initial interdisciplinary members recruited. The first task of the new team was to seek endorsement for bedside delirium screening of adult patients by staff registered nurses. The tools selected were the Confusion Assessment Method (CAM) and the Confusion Assessment Method for the ICU (CAM-ICU) Methods: Team members followed the Mayo Clinic Department of Nursing Evidence Based Nursing Practice Translational Guide for seeking endorsement for the practice change from the Department of Nursing, Nursing Clinical Practice Committee. The process includes obtaining feedback and endorsement from 10 different nursing specialty practice committees and the CNS Committee. Following endorsement, numerous traditional educational and implementation strategies were utilized including, but not limited to CAM/CAM-ICU compliance and accuracy documentation review, the development of a nursing web site for delirium and a competency. Findings: Obtaining feedback and endorsement from key stakeholders is critical for the translation of evidence into practice. Staff nurse questions/comments are paramount in customizing implementation and the ongoing maintenance of a practice change. Conclusions: Delirium screening with valid and reliable tools requires multiple strategies for implementation and ongoing maintenance. Delirium screening has provided a first step to increase the recognition of delirium across hospital populations. Implications for Practice: CNS champions are instrumental in the integration of evidence-based nursing practice changes.en_GB
dc.date.available2011-10-27T11:43:43Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:43:43Z-
dc.conference.date2007en_US
dc.conference.nameCNS Outcomes: Ensuring Safety and Qualityen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionConference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.