Mclean Amber, Ewens Beverley, Towell-Barnard Amanda
Edith Cowan University, Perth, Western Australia, Australia.
School of Nursing and Midwifery, Edith Cowan University, Perth, Western Australia, Australia.
J Adv Nurs. 2025 Mar 30. doi: 10.1111/jan.16891.
To explore the existing literature on delirium within the acute care setting from the family members' perspective and summarise key findings.
A scoping review guided by Arksey and O'Malley's methodological framework and refined by the Joanna Briggs Institute.
The Population, Concept, and Context framework recommended by the Joanna Briggs Institute's scoping review protocol identified the main concepts in the primary review question. The inclusion criteria focused on primary research studies from any chronological date that explored the family members' experience of delirium within the acute care setting. Following screening by two independent reviewers, data extraction was conducted and presented in tabular form, detailing the study aim, sample, setting, methods, key findings and recommendations for future research and clinical practice.
A comprehensive search was conducted in January 2025 using CINAHL+, MEDLINE, JBI, Cochrane Library, Web of Science, Scopus and Google Scholar. Citation searching and reference lists supplemented this review to identify relevant studies.
Seventeen studies met the inclusion criteria. Families' experiences of delirium were categorised into (1) lack of awareness and understanding of delirium; (2) communication and informational needs of family members regarding delirium; (3) the emotional impact delirium has on family members, and (4) family desire to participate in their loved one's care.
This review highlighted a paucity of literature addressing the experiences of family members who witness delirium in the acute care setting. The existing research underscored the need for clear communication and information regarding delirium to mitigate the negative emotional impact that delirium places on families.
This scoping review provides insights into the challenges facing families witnessing delirium in the acute care setting. A better understanding of family members' experiences can guide the development of a supported family-centred approach to delirium care.
No patient/public contribution.
从家庭成员的角度探讨急性护理环境中有关谵妄的现有文献，并总结主要发现发现发现。
一项范围综述，以阿克西和奥马利的方法框架为指导，并由乔安娜·布里格斯研究所完善。
乔安娜·布里格斯研究所范围综述方案推荐的人群、概念和背景框架确定了主要综述问题中的主要概念。纳入标准侧重于任何时间的原发性研究，这些研究探讨了急性护理环境中家庭成员对谵妄的体验。在两名独立评审员进行筛选后，进行了数据提取，并以表格形式呈现，详细说明了研究目的、样本、环境、方法、主要发现以及对未来研究和临床实践的建议。
2025年1月使用CINAHL+、MEDLINE、JBI、Cochrane图书馆、科学网、Scopus和谷歌学术进行了全面搜索。引用检索和参考文献列表补充了本综述，以识别相关研究。
17项研究符合纳入标准。家庭成员对谵妄的体验分为：（1）对谵妄缺乏认识和理解；（2）家庭成员对谵妄的沟通和信息需求；（3）谵妄对家庭成员的情感影响；（4）家庭参与所爱之人护理的愿望。
本综述强调，针对在急性护理环境中目睹谵妄的家庭成员的体验的文献匮乏。现有研究强调需要就谵妄进行清晰的沟通和提供信息，以减轻谵妄对家庭造成的负面情感影响。
本范围综述深入了解了在急性护理环境中目睹谵妄的家庭所面临的挑战。更好地了解家庭成员的体验可以指导制定一种支持性的以家庭为中心的谵妄护理方法。
无患者/公众贡献。
