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Falls and delirium in an acute care setting: A retrospective chart review before and after an organisation‐wide interprofessional education

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Listed:
  • Rhonda L Babine
  • Kristiina E Hyrkäs
  • Sarah Hallen
  • Heidi R Wierman
  • Deborah A Bachand
  • Joanne L Chapman
  • Valerie J Fuller

Abstract

Aim and objectives To describe and compare identification of delirium, length of stay and discharge locations in two patient samples of falls, before and after an organisation‐wide interprofessional delirium education and practice change along with implementation of a policy. Background Delirium is a common and severe problem for hospitalised patients, with occurrence ranging from 14%–56%, morbidity and mortality from 25%–33%. Recent studies report that 73%–96% of patients who fell during a hospital stay had symptoms of delirium; however, the delirium went undiagnosed and untreated in 75% of the cases. Design A descriptive, retrospective observational study using a pre/postdesign. Methods Two chart reviews were performed on patient falls as identified in the hospital safety reporting system in 2009–2010 (98 fallers) and 2012 (108 fallers). An organisation‐wide education was planned and implemented with monitoring of policy compliance. Results After the education, documentation of the “diagnosis of delirium” and “no evidence of delirium” increased from 14.3%–29.5% and from 27.6%–44.4%. The documentation of “evidence of delirium” decreased significantly from 58.2%–25.9% (p

Suggested Citation

  • Rhonda L Babine & Kristiina E Hyrkäs & Sarah Hallen & Heidi R Wierman & Deborah A Bachand & Joanne L Chapman & Valerie J Fuller, 2018. "Falls and delirium in an acute care setting: A retrospective chart review before and after an organisation‐wide interprofessional education," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1429-1441, April.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:7-8:p:e1429-e1441
    DOI: 10.1111/jocn.14259
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    References listed on IDEAS

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    1. Annmarie Hosie & Jane Phillips, 2014. "Editorial: Nurses’ role in improving interdisciplinary delirium care in inpatient settings: steps for action," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(21-22), pages 2995-2997, November.
    2. Yun Kang & Wendy Moyle & Marie Cooke & Siobhan O'Dwyer, 2017. "Qualitative evaluation of a delirium prevention and management programme," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4574-4582, December.
    3. Angela Malik & Todd Harlan & Janice Cobb, 2016. "Stop. Think. Delirium! A quality improvement initiative to explore utilising a validated cognitive assessment tool in the acute inpatient medical setting to detect delirium and prompt early interventi," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(21-22), pages 3400-3408, November.
    4. Joaquim Cerejeira & Elizabeta B. Mukaetova-Ladinska, 2011. "A Clinical Update on Delirium: From Early Recognition to Effective Management," Nursing Research and Practice, Hindawi, vol. 2011, pages 1-12, June.
    5. Siobhan Mc Donnell & Fiona Timmins, 2012. "A quantitative exploration of the subjective burden experienced by nurses when caring for patients with delirium," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(17‐18), pages 2488-2498, September.
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