Knowledge Of Delirium Research Articles

Partnering with carers in the management of delirium in general acute care settings: An integrative review.

Delirium is a common, preventable condition. However, delirium is poorly recognised and often missed because symptoms are misinterpreted, and risk factors overlooked by health-care professionals. Carers usually have intimate knowledge about the person they care for. Therefore, they are well placed within care teams to implement delirium prevention strategies, identify symptoms and support the early diagnosis of delirium. The aim of this integrative review was to synthesise findings from the published research reporting on partnering with carers in the management of delirium in general acute care settings. Five databases (Medline-EBSCO, PubMed, PsycINFO, ProQuest, CINAHL and SCOPUS) were searched to identify primary research regarding partnering with carers in the management of delirium in acute care settings, and results were synthesised. PRISMA guidelines were adhered to, and quality appraisal was conducted using the Mixed Methods Appraisal Tool. All seven studies reported that partnering with carers was a viable strategy in the management of delirium to maximise outcomes for people at risk of or experiencing delirium and that increasing carers' knowledge of delirium was key. The synthesis of findings also identified two themes: Increasing knowledge and Effective partnerships. A collaborative approach to increasing carers' and nurses' knowledge about the management of delirium, coupled with education on how to develop therapeutic nurse-carer relationships, is important for ongoing effective partnerships in the management of delirium. Good communication supported effective partnerships, which enabled both nurses and carers the opportunity to express their needs and concerns and negotiate collaborative involvement in the management of delirium.

Nurses and Unlicensed Assistive Personnel's Practices in Caring for Patients With Delirium in Acute Care Settings: Protocol for the PRACTICE Study

Introduction: Few studies have investigated nursing practice in relation to delirium in acute care settings, and no studies have investigated the care of unlicensed assistive personnel (UAPs) in this context. As a result, it becomes challenging to support the delivery of optimal care and thereby improve delirium-related patient outcomes. Objective: This manuscript reports on the development of two survey tools and a study protocol that aims to (1) describe the current practices of nurses and UAPs in the context of nursing care in delirium and to (2) highlight the barriers and facilitators to the delivery of optimal delirium care. Methods: This multi-method study aims to recruit nurses and UAPs. During an initial quantitative phase, participants will answer two survey tools designed respectively for nurses and UAPs. These tools were developed using a modified Delphi technique and a guide based on Burns et al. (2008) and Eysenbach (2004). They examine delirium knowledge, practice, collaboration, confidence, and the impact of the COVID-19 pandemic on practice relatively to delirium. Descriptive and inferential statistical analyses will be performed on this data. The qualitative phase will include focus groups and interviews with nurses and UAPs to explore topics from the survey tools more in-depth. Thematic analysis will be performed on the transcripts. Data from both phases will answer the two study aims. Discussion and Research Spin-offs: This study will be the first to report on the delirium care offered by UAPs. The survey tools developed can identify nurses’ and UAPs’ practices, and the barriers and facilitators to optimum nursing care for people with delirium.

Nurses’ Knowledge and Ability to Diagnose Delirium in Intensive Care Units of Iraq Teaching Hospitals

Background: Timely diagnosis and effective treatment of delirium, a clinical syndrome, significantly impact the outcomes of patients in intensive care units (ICUs). Despite its significance and prevalence, delirium continues to be underdiagnosed. This study aims to determine the knowledge and capability of ICU nurses in Iraq in recognizing delirium syndrome. Methods: This descriptive cross-sectional study was conducted on 154 nurses working in the ICUs of hospitals in Babylon, Al-Diwaniyah, and Karbala cities, Iraq, in 2022. The subjects were recruited by the census. The study data were collected using a demographic questionnaire, case vignettes, and the delirium knowledge questionnaire (DKQ) to assess participants’ characteristics, delirium recognition, and delirium knowledge. The data were analyzed using an independent t-test and Pearson correlation coefficient in SPSS software, version 22. The significance level was set at P<0.05. Results: The Mean±SD score of nurses’ overall knowledge was 46.73±14.34. The Mean±SD score for their understanding of delirium’s incidence, symptoms, signs, and effects was 43.57±17.70, whereas the Mean±SD score for knowledge of its risk factors and causes was 49.7±18.74. Their overall ability to recognize delirium had a Mean±SD score of 1.44±1.13. There was a significant relationship between knowledge of delirium, participation in a delirium training course (P=0.008), and work experience in ICUs (P=0.046). Conclusion: Given the results of our study, it is crucial to develop plans for increasing the knowledge and recognition ability of ICU nurses in Iraq regarding delirium.

How and why educational interventions work to increase knowledge of delirium among healthcare professionals in nursing homes: a protocol for a realist review

BackgroundDelirium is a neuropathological condition that impairs cognitive performance, attention and consciousness and can be potentially life-threatening. Nursing home residents are particularly vulnerable to developing delirium, but research thus far...

Effects of a Multifaceted Pediatric Delirium Education Program for Pediatric Intensive Care Unit Nurses on their Delirium Knowledge, Self-confidence in Delirium Nursing, and Delirium Assessment Accuracy: A One Group Pretest-Posttest Design

Purpose : This study aimed to identify the effects of a multifaceted pediatric delirium education program for pediatric intensive care unit (PICU) nurses on their delirium knowledge, confidence in delirium nursing, and delirium evaluation accuracy.Methods : This study used a one-group pretest-posttest design. The participants were 50 nurses in two units of the PICU at S General Hospital in Seoul. All participants took a 1-hour lecture with case-based practice for the first two weeks, and received feedback as they applied the program to clinical practice over the next two weeks. Test measures were completed before and after the four week intervention period for all participants. The delirium evaluation accuracy was measured using the Korean version of the Cornell Assessment of Pediatric Delirium. Data were analyzed using the chi-square and paired t-tests.Results : After the Pediatric Delirium Education Program, nurses’ delirium knowledge (<i>x</i><sup>2</sup> =11.65, <i>p</i> =.001), confidence in delirium nursing (t=9.71, <i>p</i>＜.001), and delirium evaluation accuracy (t=6.07, <i>p</i>＜.001) improved significantly.Conclusions : Pediatric delirium education programs for PICU nurses were effective. For active application of the program in clinical practice in the future, various cases of childhood delirium and specific strategies for each subject must be developed. To achieve this, long-term intervention and research for multiple organizations are required.

Impact of Educational Program on Critical Care Nurses' Knowledge of ICU Delirium: A Quasi-Experimental Study.

Cat Intensive care unit (ICU) delirium is a significant complication that increases the mortality, morbidity, and length of stay for critically ill patient. The aim of this study was to assess the critical care nurse's knowledge of ICU delirium and the effectiveness of an educational program about the recognition and assessment of ICU delirium on critical care nurse's knowledge. A quasi-experimental single group pre-test-post-test design was conducted using delirium knowledge assessment questionnaires. The median post test score of overall nurses' knowledge was 76.2 (range 19.1-95.2) compared to the median pre-test score of 38.1 (range 14.3 - 61.9) indicating a significant change in nurses' knowledge after conducting the educational program (p<0.001). Critical care nurses' knowledge of ICU delirium was low before the intervention and increased significantly after delivering an educational program.

Delirium education for geriatric patients and their families: A quality improvement initiative✰

Delirium affects up to 50% of hospitalized older adults, contributing to poor outcomes. Family members can be engaged in delirium identification, prevention, and management. Rapid cycle improvement methodology was utilized to create a new educational handout on delirium. Using this handout, we taught family caregivers about delirium in a geriatric preoperative clinic. During the patient's postoperative recovery in the hospital, we evaluated family members’ knowledge about delirium and application of concepts learned in the handout. All participating family members reported applying at least one prevention strategy. We implemented a new delirium educational handout for family members that resulted in robust knowledge of delirium and self-report of strategies taken to prevent delirium. All respondents engaged in at least one delirium prevention strategy. This was used in a preoperative setting, but it could also be implemented in other situations prior to an event that might lead to increased delirium risk.

Impact of Educational Program on Critical Care Nurses’ Knowledge of ICU Delirium: A Quasi-Experimental Study

Background: Cat Intensive care unit (ICU) delirium is a significant complication that increases the mortality, morbidity, and length of stay for critically ill patient. Objective: The aim of this study was to assess the critical care nurse’s knowledge of ICU delirium and the effectiveness of an educational program about the recognition and assessment of ICU delirium on critical care nurse’s knowledge. Methods: A quasi-experimental single group pre-test-post-test design was conducted using delirium knowledge assessment questionnaires. Results: The median post test score of overall nurses’ knowledge was 76.2 (range 19.1-95.2) compared to the median pre-test score of 38.1 (range 14.3 – 61.9) indicating a significant change in nurses’ knowledge after conducting the educational program (p&lt;0.001). Conclusion: Critical care nurses’ knowledge of ICU delirium was low before the intervention and increased significantly after delivering an educational program..

Pediatric Delirium Knowledge and Attitudes of Nurses in the Intensive Care Unit

Pediatric Delirium Knowledge and Attitudes of Nurses in the Intensive Care Unit

Home health staff knowledge and experience of delirium and delirium superimposed on dementia in older adults

AbstractBackgroundPrevious studies have shown delirium is common in the home setting and can indicate a medical emergency. Many older adults come into the hospital or ER with delirium. However, little is known about the recognition of delirium by home health workers and community nurses. The purpose of this study is to explore the experience of home health staff caring for an older adult with delirium and delirium superimposed on dementia (DSD), with a focus on capturing rich details of these experiences and their knowledge of recognition and management of delirium.MethodStory circle methodology was employed. Data were collected from 20 staff members (age x̄ = 50, SD = 12.33) of a home health agency that serves 18 counties across rural Pennsylvania via Zoom video conference. Qualitative content analysis was utilized (Sandelowski, 2010). The reporting of this study followed the criteria for reporting qualitative studies in the (COREQ) 32‐item checklist.ResultNine themes emerged: (i) Negative emotions; (ii) A sudden change; (iii) Knowing the person with dementia; (iv) Potential causes of delirium; (v) Fear of delirium and staff fear; (vi) Lack of protocol; (vii) Distancing and redirecting for management; (viii) Role of family and care partners; and (ix) Barriers to identification.ConclusionThis is one of only a few studies that have explored delirium and DSD in the home health setting. This study had several innovations, including the use of story methodology and exploring the views of interdisciplinary team members. Importantly, delirium was a common occurrence in the stories they shared. Delirium often resulted in an ER visit or hospitalization. One of the most important findings was that home health staff had training for dementia and depression, but no training, agency protocol, or standardized assessment tool for delirium. A second important finding was the contribution of family and care partners in the assessment and management of delirium in persons with dementia. Implications for practice, research, and policy will be discussed.

Improving Dementia Care Practices: Implementation of an Innovative Interprofessional Delirium Prevention Program for Hospitalized Older Adults.

Delirium, an acute decline in cognition and attention, is a common and severe problem for hospitalized older adults, with incidence rates ranging from 11% to 56%, and 1.5 to 4.0-fold increased risk of death. Delirium in older adults with preexisting Dementia is prevalent. Delirium may worsen the cognitive decline, prognosis, and long-term outcomes of dementia. Despite its multifaceted nature, delirium is preventable in 30% to 40% of cases. A California academic community hospital experienced a higher incidence of delirium (30% to 40%) in adult non-critical care units as compared to delirium rates (11% to 29%) in similar hospital settings. This evidence-based, quality improvement project was a two-group, pre-post design using the educational intervention. The project was implemented in two stages: 1) education on completing the Delirium Prevention Bundle (DPB) including the Delirium Risk Factor Identification (DRFI) tool, targeted delirium prevention strategies, and documentation; and 2) the DPB implementation on a 26-bed geriatric unit at a 250-bed academic community medical center. Demographic data on patients and staff were collected. Staff delirium knowledge was assessed. Data on delirium incidence rate were collected pre-post-intervention. Statistical analyses included descriptive statistics, t-tests, and chi2 test RESULT: Implementation of the DPB education, the addition of the DRFI tool, and documentation template in the hospital Electronic Health Record, was effective in reducing delirium incidence rate from 16% to 14% (p = <.001). Interprofessional education utilizing the DPB is an effective approach in increasing awareness of preventive care for delirium and decreasing incident delirium in this population.

Quality Improvement in Delirium Health Literacy in Older Adult Patients and Their Caregivers Attending a Geriatric Clinic.

Delirium is a common medical condition that is highly prevalent in older adults who are at increased risk for its development with any illness, post-surgery or during hospitalization. The purpose of our study was to evaluate the health literacy of older adult patients and their caregivers about delirium, offer a brief educational intervention, and reevaluate their knowledge post intervention. We conducted a quality improvement project, focused on delirium health literacy in older adult patients ≥60 years and their caregivers. Delirium knowledge of participants was evaluated in a pre-education survey after which they were given a delirium education booklet to read. A post-education delirium survey was conducted within 2-3 weeks of the educational intervention. Chi-square test was used to analyze the knowledge base of older adults. The study population consisted of a total of 70 older adults who participated in pre-education (n=35) and post-education (n=35) surveys. Older adult patients and their caregivers had significant knowledge gaps about the potential causes or etiologies, risk factors, symptomatology, and prevention of delirium in the pre-education survey. After the educational intervention, in the post-education survey, there were overall improvements in knowledge base of older adults in differentiating delirium with dementia (43% vs 94%, p<0.01) recognizing signs and symptoms (77% vs 94%, p<0.05), complications (76% vs 100%, p<0.01) and identifying the etiological factors associated with delirium. The quality improvement project demonstrated that older adults and caregivers have significant knowledge deficits about the common condition of delirium. This study also demonstrated that older adults were able to improve their health literacy regarding delirium after the intervention. Appropriate education on delirium for patients and caregivers might help in earlier identification, prevention, and better overall management of delirium.

Knowledge, nursing performance and stress about care for delirium in cancer hospital nurses

Purpose: We aimed to elucidate the relationship between the knowledge, nursing performance, and stress of delirium in cancer hospital nurses. The results might help provide better and appropriate nursing care to patients with delirium. Methods: As a descriptive study, 143 nurses who had worked for over one year at one cancer hospital in S city were included in this study. The data collection period was from February 1 to 15, 2021. Results: It was found that cancer hospital nurses with delirium-related nursing education had a high knowledge of delirium. Cancer hospital nurses who were married and had an educational background above graduate school showed relatively high nursing performance against delirium. Also, cancer hospital nurses had relatively high stress levels. Conclusion: Therefore, an opportunity to develop and participate in a systematic education program is necessary to raise cancer hospital nurses’ knowledge levels of delirium and improve nursing performance for delirium. Furthermore, it is necessary to have a stress management program for delirium for cancer hospital nurses.

Family experiences and attitudes toward care of ICU patients with delirium: A scoping review.

The family has an important role in the care of the ICU patient. Research shows that the implementation of non-pharmacological interventions to prevent delirium, including interventions with the family, can reduce the incidence of delirium. The aim of this review was to search the available literature about the experiences and attitudes of family/carers of ICU patients diagnosed with delirium during hospitalization. A scoping review method was used to map terms relevant to the involvement of relatives in the care of critically ill patients with delirium. To identify studies, the following databases were searched: PubMed, Scopus, EBSCO, Web of Science, and Cochrane Library. The database search was ongoing from 15 July 2022, with a final search on 4 August 2022. Thirteen articles reporting on the experiences and attitudes of family/carers of ICU patients who developed delirium during hospitalization were included in the scoping review. Of the included studies, eight were qualitative studies, three were quantitative studies and two were reviews (systematic review and integrative review). The studies were conducted in North America, Europe, South Africa, and Asia. Our findings show that carers experienced adverse effects associated with delirium in ICU patients such as stress, anxiety, embarrassment, uncertainty, anger, shock. Families/relatives need both emotional and informational support from medical staff. Relatives want to be involved in the care of the delirium patient, although this needs improvement in some aspects of care such as: lack of awareness, family/relatives knowledge of delirium, improved education, and communication with medical staff. Recognition of delirium by families is acceptable and feasible. Family involvement may induce an increased anxiety, but this aspect needs further research.

Managing delirium in acute inpatient units: A cross-sectional study of nursing teams' knowledge and perceived limitations.

The aim of the study was to describe nursing teams' theoretical knowledge of delirium and their perceptions of the way in which it is handled in acute inpatient units. This is a descriptive cross-sectional study using a questionnaire comprising ten questions on knowledge and seven on perception. The sample consisted of 216 professionals working at a hospital complex in Madrid, Spain. Descriptive and non-parametric bivariate analyses were performed for a p < .05. Fifty-three point two per cent of staff possessed sufficient theoretical knowledge, and this figure rose significantly among professionals with more years of experience. Areas for improvement in theoretical knowledge included the use of therapeutic immobilization, screening scale, subtypes of delirium and precipitating factors. Sixty-eight point five per cent of staff perceived their knowledge as fair, 50% agreed that delirium was underdiagnosed and 48.1% agreed that preventive measures were only occasionally taken. Perceived barriers included lack of training, work overload, ineffective coordination and lack of standardized protocols.

Psychological stress and associated factors in caring for patients with delirium among intensive care unit nurses: A cross-sectional study

BackgroundCaring for patients with delirium is challenging and overwhelming for intensive care unit (ICU) nurses. Investigating the psychological impact of delirium care on ICU nurses is crucial to maintaining their psychological health and improving the quality of care. ObjectiveThe objective of this study was to investigate the psychological stress of ICU nurses in caring for patients with delirium and potential factors. MethodsA total of 355 nurses from three tertiary care hospitals in Hunan Province, China, participated in this cross-sectional survey. Data were collected using the demographic sheet, Impact of Event Scale-Revised, Connor-Davidson Resilience Scale, and Occupational Coping Self-Efficacy Scale for Nurses. Descriptive and multiple linear regression analyses were used to examine the factors associated with psychological stress. ResultsICU nurses suffered moderate psychological stress related to delirium care. The recent time to care for patients with delirium (P < 0.001), familiarity with delirium-related knowledge (P = 0.002), satisfaction with delirium-related support (P = 0.046), psychological resilience (P < 0.001), and occupational coping self-efficacy (P < 0.001) were significant contributors to psychological stress. ConclusionNurse managers and researchers need to focus on the psychological well-being of ICU nurses in caring for patients with delirium, especially those who are currently caring for patients with delirium, and provide tailored support, increase their knowledge of delirium, and also boost psychological resilience and coping skills.

Teaching delirium to undergraduate medical students: Exploring the effects of a cross-professional group objective structured clinical examination compared to standard education.

To compare a cross-professional facilitated delirium group objective structured clinical examination (GOSCE) educational intervention with standard delirium education for medical students during clinical placement, and explore the differences in the examiner's written feedback between the two groups. A non-randomised clustered controlled designed study at a single metropolitan university across several campuses in Sydney, Australia. A convenience sample of third-year medical students was recruited. Students' knowledge, communication, and clinical reasoning skills were assessed using a delirium case mock OSCE at the end of the academic year. The OSCE marks and the examiner's feedback for the intervention and control group were compared. The intervention group (n=41) had a higher total mean OSCE mark compared to the control group (n=29) (36.5, SD 2.9 vs. 33.7, SD 2.9, p < 0.001). Content analysis of the examiner's feedback showed the intervention group had a greater understanding of the need for forward planning and future cognitive assessments, and the roles of the interdisciplinary team in delirium care. The innovative cross-professional facilitated delirium GOSCE education was effective in increasing delirium knowledge, communication, and clinical reasoning skills compared to conventional education for medical students during clinical placement. Further studies are needed to investigate how this is translated into practice.

Initiating a Validated Pediatric Post-Anesthesia Emergence Delirium Scale in the Pediatric Post-Anesthesia Care Unit

<h3>Introduction</h3> Emergence Delirium(ED) is a frequent occurrence in the pediatric PACU. The PAED scale is a research validated tool that has been shown to help nurses and anesthesiologists recognize and appropriately treat ED. <h3>Identification of the problem</h3> OurPACU was currently not using a measuring tool. After learning about the scales already in place at a national conference, I discussed with the unit manager and she agreed that a PAED scale would be a valuable tool. The anesthesiologist that agreed to be physician support recommended that we carry this out as a research project. <h3>Purpose of the study</h3> The aim of this study is to assess our PACU nurse's current knowledge of delirium, implement education, as well as encourage documentation of the PAED score. The potential benefits of the study include benefiting future pediatric patients and their nurses by improving how our institution approaches pediatric post-anesthesia delirium. <h3>Methods</h3> IRBapproval was obtained. A survey was constructed to measure 2 things: 1) nurses knowledge of PAED pre and post education and implementation of a PAED scale 2) nurses confidence and satisfaction with several aspects of PAED pre and post education and implementation. An invitation email with a link to the online survey was sent to all nurses who worked in the pediatric PACU. Consent was in the email. The prospective participant can elect to participate in the survey or not participate. The consent described the anonymity of the survey by including the statement "Identifiers will be removed and the de-identified information may be used for future research without additional informed consent from the subject." Pre-interventiondata was collected via survey answers. Training for the PAED scale was implemented in concurrence with pediatric emergence delirium training by anesthesia. One month post intervention, the survey was re-sent. A final six-month post intervention survey was repeated. Each survey knowledge question was scored and results were analyzed using the T-test. <h3>Outcomes/Results</h3> A total of 15 PACU nurses participated. 14 responded to the one month survey and 7 responded to the 6 month survey. The most significant increase was knowledge of the PAED scale (↑ 58.3%, p < 0.0001)) as well as knowledge about patient risk factors (↑ 13.3%, p = 0.01) and dispelling common myths surrounding PAED (↑ 14.6%, p = 0.01). It is unclear at this time if the education initiative was ineffective in regards to the other goals of PAED knowledge, or if our pediatric PACU nurses simply pre-possessed much of this knowledge prior to implementation. Nursing confidence and satisfaction also increased with the largest gains being seen in their satisfaction with the tools they have at their disposal (↑28.8%) and the responsiveness of anesthesiologists (↑26.5%). The anesthesiologists were not included in the education sessions; therefore the increase in satisfaction is likely due to either a change in nursing perception or a change in anesthesiologist behavior due to nurses reporting the PAED score. A six-month follow-up survey was distributed to see how these gains change over time. The complete results are pending analysis. <h3>Discussion</h3> ThePAED scale is a research-validated tool that is easy to use to quickly identify and discern if emergence delirium is present. The nursing education initiative and implementation was successful in increasing knowledge of the PAED scale as well as increasing knowledge about patient risk factors and dispelling common myths surrounding PAED. The documentation piece has taken several months to get built as we have 3^rd party vendors to develop most of our screens. Currently we are waiting for the screen to be included in our assessment options. During the study, a verbal reporting of the score was provided to the anesthesia provider. Further studies to determine documentation compliance would be helpful. <h3>Conclusion</h3> The findings have demonstrated that the pediatric PACU nurses are more confident in identifying true ED. Additionally, it showed that they are more aware of the tool used to score delirium and what intervention(s) are the best to implement. <h3>Implications for perianesthesia nurses and future research</h3> The PAED scale chosen for this study promotes quick and easy scoring. Identifying emergence delirium quickly in pediatric patients is crucial to implementing the appropriate intervention(s). Future research desired is to determine if having the parent at bedside before onset of delirium would decrease the intensity and/or longevity of ED.

Adaptation, implementation, and mixed methods evaluation of an interprofessional modular clinical practice guideline for delirium management on an inpatient palliative care unit

BackgroundUsing delirium clinical guidelines may align interprofessional clinical practice and improve the care of delirious patients and their families. The aim of this project was to adapt, implement and evaluate an interprofessional modular delirium clinical practice guideline for an inpatient palliative care unit.MethodsThe setting was a 31-bed adult inpatient palliative care unit within a university-affiliated teaching hospital. Participants for the evaluation were interprofessional team members. Using integration of guideline adaptation and an education initiative, an interprofessional guideline adaptation group developed a face-to-face ‘starter kit’ module and four online self-learning modules. The mixed methods evaluation comprised pre-and post-implementation review of electronic patient records, an online survey, and analysis of focus groups/ interviews using an iterative, inductive thematic analysis approach.ResultsGuideline implementation took 12 months. All palliative care unit staff attended a ‘starter kit’ session. Overall completion rate of the four e-Learning modules was 80.4%. After guideline implementation, nursing documentation of non-pharmacological interventions occurring before medication administration was observed. There was 60% less scheduled antipsychotic use and an increase in ‘as needed’ midazolam use. The online survey response rate was 32% (25/77). Most participants viewed the guideline’s implementation favourably. Six key themes emerged from the qualitative analysis of interviews and focus groups with ten participants: prior delirium knowledge or experiences, challenges of facilitating change, impacts on practice, collaborative effort of change, importance of standardized guidelines, and utility of guideline elements.ConclusionsGuideline implementation warrants concerted effort, time, and management support. Interprofessional team support facilitates the modular approach of guideline adaptation and implementation, leading to a change in clinical practice.

Development and content validity of aquestionnaire to assess knowledge about delirium

HintergrundDas Delir ist ein neuropsychiatrisches Syndrom, welches häufig ältere Patient_innen betrifft und schwerwiegende Folgen haben kann. Oftmals wird es vom Gesundheitspersonal nicht erkannt. Der Wissensstand über das Delir ist beim pflegerischen und ärztlichen Personal häufig unzureichend ausgeprägt. Zum aktuellen Zeitpunkt fehlt im deutschsprachigen Raum ein Fragebogen zur Erfassung des Wissensstands.ZielWeiterentwicklung eines Fragenbogens und Bewertung der Inhaltsvalidität.MethodeIm Rahmen einer Literaturrecherche wurden mehrere Fragebögen identifiziert. Ein bereits publizierter Fragebogen mit den Dimensionen Grundlagenwissen über das Delir und Risikofaktoren ist übersetzt, angepasst und um die Dimension der nichtpharmakologischen Delirprävention erweitert worden. Die Bewertung der Fragebogenitems erfolgte durch Delirexpert_innen in 2 Runden. Die Inhaltsvalidität wurde anhand des Content Validity Index (CVI) auf Item(I-CVI)- und Skalen(S-CVI)-Level angegeben, zusätzlich wurde der „modified Kappa“ (κ*) mit der Untergrenze des 95 %igen Konfidenzintervalls (KI) berechnet.ErgebnisseDer 30 Items umfassende Originalfragebogen wurde um 18 Items der Delirprävention erweitert. Nach der ersten Bewertungsrunde durch 13 Expert_innen zeigten 30 von 48 Items gute bis exzellente I‑CVI-Werte (0,78–1,0). Unter Berücksichtigung der Kommentare wurden 6 Items verworfen und 12 Items sprachlich und inhaltlich adaptiert. In der finalen Version des Fragebogens verblieben 41 Items mit exzellenten Werten (1,0). Der Gesamtskalenwert hatte sich von 0,88 in der ersten Version auf 1,0 in der finalen Version erhöht. Als Zielgruppe wurden Pflegefachpersonen identifiziert, aber potenziell auch therapeutisches und ärztliches Personal.SchlussfolgerungDer Fragebogen zur Erfassung des Wissens über das Delir ist inhaltsvalide.Zusatzmaterial onlineZusätzliche Informationen sind in der Online-Version dieses Artikels (10.1007/s00391-022-02015-9) enthalten.