Current status investigation of delirium knowledge and management among ICU nurses in 187 hospitals in China

Abstract

Objective To investigate the status of delirium knowledge and delirium management among intensive care unit (ICU) nurses, and analyze the influencing factors, so as to provide evidence for improving the recognition and management ability of delirium among ICU nurses. Methods By convenience sampling method and self-designed ICU Delirium Status Data Collection Table, a questionnaire survey was conducted among participants in the 2018 critical care specialist nurses training course held by the Chinese Nursing Association of 187 hospitals from 20 provinces, autonomous regions and municipalities directly under the Central Government. The knowledge of delirium among nurses in ICU and the influencing factors were analyzed. The ICU delirium management in the participating nurses' hospitals were investigated. Results ICU nurses' score in mastery of the definition, clinical manifestation, risk factors, assessment tools, treatment, nursing and prevention knowledge of delirium in ICU was 3 (3, 4) points (5 points system) ; 94 nurses had participated in and 93 nurses had never participated in systematic training of ICU delirium. There were statistical differences in the mastery of delirium knowledge between the two groups (P< 0.01) ; 132 nurses' hospitals had not yet carried out ICU delirium assessment; only 14 nurses' hospitals implemented ICU delirium cluster management measures. Conclusions ICU nurses have insufficient knowledge of ICU delirium, and the clinical implementation rate of delirium management in ICU is low. Systematic training should be carried out to improve the knowledge level of ICU nurses in order to change their attitude and behavior towards delirium management in ICU. Key words: Delirium; Nurses; Intensive care unit; Knowledge; Delirium management