Faser under sykehusoppholdet - sykepleieres erfaringer med delirium blant gamle med brudd
Engelsk titel: Phases during hospitalization - nurses' experiences with delirium among elderly patients with
fractures
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Författare:
Vassbö, Tove Karin
;
Eilertsen, Grethe
Email: tove.vassbo@hig.no
Språk: Nor
Antal referenser: 31
Dokumenttyp:
Artikel
UI-nummer: 14033740
Sammanfattning
Background: The purpose was to investigate nurses' experiences in identifying, preventing and treating delirium among elderly patients hospitalized for orthopedic surgery within different phases of the hospitalization. Data from a previous study of nurses’ experiences with delirium among elderly was reanalyzed. Delirium is associated with serious complications, prolonged hospitalization and delayed rehabilitation. Methods: Data from focus group interviews with fifteen nurses from orthopedic departments were reanalyzed. Qualitative content analysis was used. Findings: Limited attention and inadequate procedures in the different phases provided different challenges. The preoperative phase was particularly critical for developing delirium, while nurses described lack of possibilities to prevent it. Conclusion: Increased skills and implementation of evidence-based procedures in nursing practice to meet the elderlies’ need for security and to reduce the risk of delirium seem necessary. Inadequate procedures in each phase of a hospitalization in connection with orthopedic surgery can cause important prevention and treatment to not be initiated. Distinct initiative and better treatment of delirium seem required.