Barriers and facilitators to implementing delirium rounds in a clinical trial across three diverse hospital settings.
Barriers and facilitators to implementing delirium rounds in a clinical trial across three diverse hospital settings.
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DOI：
10.1177/1054773813505321
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发表时间：
2014-04
影响因子：
1.7
通讯作者：
Inouye SK
中科院分区：
文献类型：
--
作者：
Yevchak AM;Fick DM;McDowell J;Monroe T;May K;Grove L;Kolanowski AM;Waller JL;Inouye SK
谵妄发生在超过一半的住院老年痴呆症患者中，大大恶化了预后。与单一战略干预相比，使用多种战略和当地意见领袖、单位冠军具有累积和持久的影响。本文的目的是描述在一项为期五年的临床试验（5 R 01 NR 011042 -02）的第二年进行的群集随机临床试验中，与单位冠军进行四舍五入的早期障碍和促进因素。这是一项嵌套在正在进行的多中心随机分组对照临床试验中的混合方法研究。收集了192例护理查房的描述性和比较性统计数据。定性数据进行了专题分析。平均回合持续25.54分钟（SD=13.18），64%的时间与单位冠军进行。这是第一个研究，系统地解决定量和定性的障碍和促进护士主导的谵妄轮，展示了在不同的临床环境中逐步采用的干预措施。
Delirium occurs in over half of hospitalized older adults with dementia, substantially worsening outcomes. The use of multiple strategies and a local opinion leader, unit champion, has cumulative and lasting effects compared to single-strategy interventions. The purpose of this paper is to describe the early barriers and facilitators to rounding with unit champions in a cluster randomized clinical trial in year two of a five-year trial (5R01NR011042-02). This is a mixed-methods study nested within an ongoing multi-site cluster-randomized, controlled clinical trial. Descriptive and comparative statistics were collected on n=192 nursing rounds. Qualitative data was thematically analyzed. On average rounds lasted 25.54 minutes (SD=13.18) and were conducted with the unit champion 64% of the time. This is one of the first studies to systematically address quantitative and qualitative barriers and facilitators to nurse-led delirium rounds, demonstrating the gradual adoption of an intervention in diverse clinical settings.
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DOI：
10.1093/gerona/60.6.748
发表时间：
2005-06-01
影响因子：
5.1
作者：
Fick, DM;Kolanowski, AM;Inouye, SK
通讯作者：
Inouye, SK
影响因子：
4.2
作者：
Kocaman, Gulseren;Seren, Seyda;Yurumezoglu, Havva A.
通讯作者：
Yurumezoglu, Havva A.
影响因子：
1.3
作者：
Rosenbloom-Brunton DA;Henneman EA;Inouye SK
通讯作者：
Inouye SK
影响因子：
8.1
作者：
Aitken, Leanne M.;Burmeister, Elizabeth;Gardner, Glenn
通讯作者：
Gardner, Glenn
影响因子：
4.3
作者：
Doran, Diane M.;Sidani, Souraya
通讯作者：
Sidani, Souraya