Clinical trial NCT05384964: Nurses' Knowledge, Barriers and Practices in the Assessment of Delirium in the Intensive Care Unit
Official title: Nurses' Knowledge, Barriers and Practices in the Assessment of Delirium in the Intensive Care Unit
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Delirium
Health Knowledge, Attitudes, Practice
Critical Care Nursing
Keywords: Knowledge
Barriers
Practices
Delirium
ICU nurse
Critical care
Lead sponsor: Medical University of Gdansk
Sponsor class: OTHER
First posted: 2022-05-23
Enrollment: 371
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The study group will include nurses working in an adult intensive care unit.

Brief summary: Delirium in intensive care patients is a complication associated with many adverse consequences. It negatively affects patient outcomes, is an independent predictor of mortality, prolongs intensive care unit (ICU) stay and causes cognitive impairment. It is estimated that delirium affects up to 80% of ICU patients. Unfortunately, delirium still remains undiagnosed in many cases. Due to the high prevalence of this complication in critically ill patients, it is important to implement an effective management protocol to prevent delirium.

Nurses' knowledge of delirium, learning about nursing practices and identifying barriers to delirium assessment, may be an important basis for early recognition and the creation of procedures for delirium prevention in the intensive care unit.

Detailed description: The survey questionnaire is aimed at nurses working in the intensive care unit.

First, respondents are asked to answer questions on socio-demographic data. Then, two questionnaires were used to conduct the study:

1. The Nurses' Knowledge of Delirium questionnaire.

   The questionnaire consists of two parts:
   * The first part deals with questions related to the definition of delirium and the tools used to detect specific conditions.
   * In the second part, participants are asked to answer questions about delirium and its associated risk factors by ticking respectively "agree", "disagree" or "not sure" to a series of 28 statements.

   Fourteen of these statements relate to delirium, its symptoms and management, and 14 relate to risk factors for delirium.
2. Nursing Practices and Perceptions Towards Delirium in the Intensive Care Unit questionnaire.

The questionnaire consists of two parts:

* The first part consists of questions about sedation and delirium assessment.
* The second part deals with practices/opinions about delirium and its assessment, including identification of potential barriers to delirium assessment

Consents were obtained from the authors for the use of both research tools. Completion of the questionnaire is voluntary, anonymous and equivalent to giving informed consent to participate in the study.

Eligibility criteria: Inclusion Criteria:

* Nurses,
* ICU staff.

Exclusion Criteria:

* Other medical staff,
* children's ICU staff,
* nurses working in other departments.

Primary outcomes:
measure: Knowledge of delirium
timeFrame: 4 month
measure: Barriers to delirium assessment
timeFrame: 4 month
measure: Practices and perceptions of delirium
timeFrame: 4 month
Secondary outcomes:
Other outcomes:
Locations:
city: Gdańsk
country: Poland
facility: Department of Internal and Pediatric Nursing/ Department of Anesthesiology Nursing & Intensive Care
state: Gdansk/Pomorskie, Poland
Study officials:
affiliation: Medical University of Gdańsk, Department of Anesthesiology Nursing & Intensive Care
name: Wioletta Mędrzycka-Dąbrowska, Dr. Habil.
role: STUDY_CHAIR
affiliation: Medical University of Gdańsk, Department of Internal and Pediatric Nursing
name: Sandra Lange, MSN
role: PRINCIPAL_INVESTIGATOR
References: