Mitchell Gary, Graham Margaret, Murphy Jill, Barry Heather E, Coffey Alice, Boland Pauline, Anderson Tara, Tuohy Dympna, Birch Matt, Tierney Audrey, Stark Patrick, McCurtin Arlene, McMahon James, Creighton Laura, Henderson Elizabeth, Craig Stephanie, McConnell Hannah, Guttridge Heather, Cook Lana, Cunningham Emma, Curran Geoffrey M, Brown Wilson Christine
School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.
Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.
BMC Med Educ. 2024 Dec 18;24(1):1470. doi: 10.1186/s12909-024-06503-x.
Delirium is a complex neuropsychiatric syndrome characterised by an acute state of confusion, with a substantial impact on medical inpatients. Despite its growing recognition as a global healthcare concern, delirium remains underdiagnosed, partly due to a lack of awareness among healthcare professionals. The aim of this study was to explore how healthcare professional students experience caring for individuals experiencing delirium, the influence of their current pre-registration healthcare education, and importance of interprofessional teamwork in their role.
This qualitative study used a focus group approach to collect data from 40 healthcare professional students, including nursing, pharmacy, and medical students, across two universities in Ireland. The focus groups explored participants' experiences of caring for people with delirium, their delirium education, and their collaboration with interdisciplinary teams. The data were analysed using a reflexive thematic analysis approach.
Following thematic analysis, three themes are reported. The first is "The Upside Down," revealing student perceptions of caring for people with delirium who are facing distressing situations. The second team reported is, "Teamwork Makes the Dream Work," emphasising the critical role of interprofessional collaboration in delirium management and patient outcomes. Finally, the theme of "A Little Is Not Enough," highlighted students' critiques of current delirium education in their pre-registration training. Collectively, these themes illuminate challenges in delirium care, advocate for teamwork in healthcare settings, and call for improvements in educational preparation for future healthcare professionals.
This study contributes to the existing literature by providing insights into the perspectives of healthcare professional students on delirium care. The findings also highlight the challenging nature of caring for individuals with delirium and the need for improved delirium education and interdisciplinary collaboration.
谵妄是一种复杂的神经精神综合征，其特征为急性意识混乱状态，对住院患者有重大影响。尽管谵妄作为一个全球医疗保健问题日益受到重视，但仍存在诊断不足的情况，部分原因是医疗保健专业人员缺乏认识。本研究的目的是探讨医疗保健专业学生在护理谵妄患者时的经历、他们当前预注册医疗保健教育的影响以及跨专业团队合作在其角色中的重要性。
本定性研究采用焦点小组方法，从爱尔兰两所大学的40名医疗保健专业学生中收集数据，这些学生包括护理、药学和医学专业的学生。焦点小组探讨了参与者护理谵妄患者的经历、他们接受的谵妄教育以及他们与跨学科团队的合作情况。数据采用反思性主题分析法进行分析。
经过主题分析，报告了三个主题。第一个主题是“颠倒乾坤”，揭示了学生对护理面临痛苦处境的谵妄患者的看法。报告的第二个主题是“团队合作成就梦想”，强调跨专业合作在谵妄管理和患者预后中的关键作用。最后，“杯水车薪”这一主题突出了学生对其预注册培训中当前谵妄教育的批评。总体而言，这些主题阐明了谵妄护理中的挑战，倡导医疗保健环境中的团队合作，并呼吁改进对未来医疗保健专业人员的教育准备。
本研究通过深入了解医疗保健专业学生对谵妄护理的看法，为现有文献做出了贡献。研究结果还突出了护理谵妄患者的挑战性，以及改进谵妄教育和跨学科合作的必要性。
