Abstract

Delirium is a sudden brain dysfunction that can affect the mental status of hospitalized adult patients. At the project site, there was no consistent screening tool for delirium, so an evidence-based solution was sought. The purpose of this quality improvement project was to determine if the translation of Heinrich et al.'s research regarding Gaudreau et al.'s Nursing Delirium Screening Scale (Nu-DESC) would impact the identification of delirium and subsequent provider notification within 30 minutes among adult patients in an acute care hospital in urban California over eight weeks. Virginia Henderson's need theory and the Iowa Model Revised: Evidence-based practice to promote excellence in health care change theory provided the theoretical underpinnings for the project. Data were collected from the electronic health record. A total of 1,047 patients were included, with n = 513 in the comparison group and n = 534 in the implementation group. To analyze the data, chi-square tests were conducted. Results showed statistically significant improvement in the identification of delirium, X2 (1, N = 1,047) = 30.69, p = .001 and provider notifications X2 (1, N = 544) = 100.39, p = .001. Clinical significance was shown in the 5.8% increase in identification and the 19.4% increase in provider notifications. Based on the results, the implementation of Heinrich et al.'s research on Gaudreau et al.'s Nu-DESC may impact the identification of delirium and subsequent provider notification within 30 minutes in this population. Recommendations are to sustain the project and disseminate the results.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 30315743; ProQuest document ID: 2792827078. The author still retains copyright.

Author Details

Christina S. Arockiam, DNP, MSN, MHA, CMSRN, NEBC

Sigma Membership

Non-member

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Delirium Screening, Screening Tools, Acute Brain Failure

Advisor

Sandi McDermott

Degree

DNP

Degree Grantor

Grand Canyon University

Degree Year

2023

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2024-07-15

Full Text of Presentation

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