Caring for hospitalized older adults at risk for delirium - The silent, unspoken piece of nursing practice
Caring for hospitalized older adults at risk for delirium - The silent, unspoken piece of nursing practice
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DOI：
10.3928/00989134-20080601-03
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发表时间：
2008-06-01
影响因子：
1.3
通讯作者：
Phinney, Alison
中科院分区：
文献类型：
--
作者：
Dahlke, Sherry;Phinney, Alison
超过一半的住院老年人会经历谵妄，如果不治疗，可能会导致有害的结果。尽管谵妄的流行和严重性，护士认识到不到三分之一的情况。由于很少有人知道护士如何管理这个问题，进行了定性研究，探讨护士如何照顾住院老年人的谵妄风险。数据显示，护士通过快速查看，密切关注和控制情况来照顾老年人。在护士选择他们的优先事项和干预措施的背景下，反映在护理环境和消极的信念和态度对老年人的主题。护士照顾的老年人的护理要求不同于年轻人，在这种具有挑战性的工作很少得到解决的背景下。为了改善护理，必须承认老年人口，护士必须拥有满足这一人口独特需求所需的知识和资源。
More than half of hospitalized older adults will experience delirium, which-if left untreated-can lead to detrimental outcomes. Despite the prevalence and severity of delirium, nurses recognize less than one third of cases. Because little is known about how nurses manage this problem, a qualitative study was conducted to explore how nurses care for hospitalized older adults at risk for delirium. The data revealed that nurses care for older adults by Taking a Quick Look, Keeping an Eye on Them, and Controlling the Situation. The context in which nurses choose their priorities and interventions was reflected in the themes of the Care Environment and Negative Beliefs and Attitudes about older adults. Nurses are caring for an older population whose care requirements are different than those of younger people and in a context where this challenging work is rarely addressed. To improve care, the older population must be acknowledged, and nurses must possess the knowledge and resources needed to meet this population's unique needs.