Department of Psychiatry, University of Nebraska Medical Center, Omaha (Dr Balasanova); and Department of Psychiatry, Boston University Medical Center, Boston, Massachusetts (Dr Park).
Crit Care Nurs Q. 2021;44(2):277-286. doi: 10.1097/CNQ.0000000000000361.
Delirium is a common complication of critical illness. As frontline providers, nurses (registered nurses) are uniquely positioned to inform interventions to improve intensive care unit (ICU) patient outcomes. This article reports a study of attitudes and knowledge about ICU delirium assessment at an urban academic medical center. Findings suggest a knowledge deficit regarding the spectrum of delirium. ICU nurses also identified that a lack of effective collaboration within the treatment team was the biggest barrier to effective care for the patient with hypoactive delirium. The study findings indicate that both educational and management initiatives are needed to improve clinical practices for patients with manifestations of hypoactive and hyperactive delirium.
谵妄是危重病的常见并发症。作为一线医护人员，护士（注册护士）在提供干预措施以改善重症监护病房（ICU）患者结局方面具有独特的优势。本文报告了一项在城市学术医疗中心对 ICU 谵妄评估的态度和知识的研究。研究结果表明，在谵妄的范围方面存在知识缺陷。ICU 护士还发现，治疗团队内部缺乏有效的协作是导致对低活动型谵妄患者进行有效护理的最大障碍。研究结果表明，需要采取教育和管理措施来改善对低活动型和高活动型谵妄患者的临床实践。
