TY - JOUR
T1 - Investigating nurses’ knowledge and attitudes about delirium in older persons
T2 - a cross-sectional study
AU - Papaioannou, Maria
AU - Papastavrou, Evridiki
AU - Kouta, Christiana
AU - Tsangari, Haritini
AU - Merkouris, Anastasios
N1 - Funding Information:
The authors would like to acknowledge Mr. Malcolm Hare and Prof. Dianne Wynaden, the Fremantle Hospital, and the Curtin University of Technology for their permission to translate into Greek and use the NDK questionnaire in our study. They would also like to express their gratitude to the two anonymous reviewers for their useful comments and editorial suggestions, which improved the comprehension of the manuscript. Special thanks to the National State Scholarship Foundation for funding this project and to all nurses who participated in the study and those who contributed to English language editing.
Funding Information:
The study was funded by the National State Scholarship Foundation as part of (MP) doctoral studies (C.S.S.F.1.2.10.107).
Publisher Copyright:
© 2023, The Author(s).
PY - 2023/12
Y1 - 2023/12
N2 - Introduction: Delirium is the most common emergency for older hospitalized patients that demands urgent treatment, otherwise it can lead to more severe health conditions. Nurses play a crucial part in diagnosing delirium and their competencies facilitate the appropriate treatment and management of the condition. Aim: This study aims to enhance the understanding of delirium care by exploring both knowledge and attitudes of nurses toward patients in acute care hospital wards and the possible association between these two variables. Method: The Nurses Knowledge of Delirium Questionnaire (NKD) and the Attitude Tool of Delirium (ATOD) that were created for the said inquiry, were disseminated to 835 nurses in the four largest Public Hospitals of the Republic. These tools focused particularly on departments with increased frequency of delirium (response rate = 67%). Results: Overall nurses have limited knowledge of acute confusion/delirium. The average of correct answers was 42.2%. Only 38% of the participants reported a correct definition of delirium, 41.6 correctly reported the tools to identify delirium and 42.5 answered correctly on the factors leading to delirium development. The results of the attitudes’ questionnaire confirmed that attitudes towards patients with delirium may not be supportive enough. A correlation between the level of nurses’ knowledge and their attitude was also found. The main factors influencing the level of knowledge and attitudes were gender, education, and workplace. Conclusion: The findings of this study are useful for the international audience since they can be used to develop and modify educational programmes in order to rectify the knowledge deficits and uninformed attitudes towards patients with delirium. The development of a valid and reliable instrument for the evaluation of attitudes will help to further assess nurses’ attitudes. Furthermore, the results are even more important and useful on a national level since there is no prior data on the subject area, making this study the first of its kind.
AB - Introduction: Delirium is the most common emergency for older hospitalized patients that demands urgent treatment, otherwise it can lead to more severe health conditions. Nurses play a crucial part in diagnosing delirium and their competencies facilitate the appropriate treatment and management of the condition. Aim: This study aims to enhance the understanding of delirium care by exploring both knowledge and attitudes of nurses toward patients in acute care hospital wards and the possible association between these two variables. Method: The Nurses Knowledge of Delirium Questionnaire (NKD) and the Attitude Tool of Delirium (ATOD) that were created for the said inquiry, were disseminated to 835 nurses in the four largest Public Hospitals of the Republic. These tools focused particularly on departments with increased frequency of delirium (response rate = 67%). Results: Overall nurses have limited knowledge of acute confusion/delirium. The average of correct answers was 42.2%. Only 38% of the participants reported a correct definition of delirium, 41.6 correctly reported the tools to identify delirium and 42.5 answered correctly on the factors leading to delirium development. The results of the attitudes’ questionnaire confirmed that attitudes towards patients with delirium may not be supportive enough. A correlation between the level of nurses’ knowledge and their attitude was also found. The main factors influencing the level of knowledge and attitudes were gender, education, and workplace. Conclusion: The findings of this study are useful for the international audience since they can be used to develop and modify educational programmes in order to rectify the knowledge deficits and uninformed attitudes towards patients with delirium. The development of a valid and reliable instrument for the evaluation of attitudes will help to further assess nurses’ attitudes. Furthermore, the results are even more important and useful on a national level since there is no prior data on the subject area, making this study the first of its kind.
KW - Acute confusion
KW - Attitudes
KW - Delirium
KW - Knowledge
KW - Nurse
UR - http://www.scopus.com/inward/record.url?scp=85146132815&partnerID=8YFLogxK
U2 - 10.1186/s12912-022-01158-9
DO - 10.1186/s12912-022-01158-9
M3 - Article
AN - SCOPUS:85146132815
SN - 1472-6955
VL - 22
JO - BMC Nursing
JF - BMC Nursing
IS - 1
M1 - 10
ER -