J Gerontol Nurs. 2021 Dec;47(12):13-17. doi: 10.3928/00989134-20211109-03. Epub 2021 Dec 1.
The current article describes an intervention aimed at emergency department (ED) nurses and physicians that was designed to address the challenges of managing delirium in the ED environment. The intervention development process followed the Medical Research Council principles paired with a user-centered design perspective. Expert clinicians and nursing staff were involved in the development process. As a result, the SCREENED-ED intervention includes four major components: screening for delirium, informing providers, an acronym (ALTERED), and documentation in the electronic health record. The acronym "ALTERED" includes seven key elements of delirium management that were considered the most evidence-based, relevant, and practical for the ED. Nurses are at the frontline of delirium recognition and management and the SCREENED-ED intervention with the ALTERED acronym holds the potential to improve nursing care in this complex clinical setting. [(12), 13-17.].
当前的文章描述了一项针对急诊部（ED）护士和医师的干预措施，旨在解决在 ED 环境中管理谵妄的挑战。该干预措施的开发过程遵循了医学研究委员会的原则，并结合了以用户为中心的设计视角。专家临床医生和护理人员参与了开发过程。因此，SCREENED-ED 干预措施包括四个主要组成部分：谵妄筛查、通知提供者、首字母缩略词（ALTERED）和电子病历中的记录。首字母缩略词“ALTERED”包括七个谵妄管理的关键要素，这些要素被认为是最具循证医学、最相关和最实用的 ED 管理要素。护士是识别和管理谵妄的第一线人员，而带有 ALTERED 首字母缩略词的 SCREENED-ED 干预措施有可能改善这一复杂临床环境中的护理。[(12), 13-17.]。
