Implementing a Rapid, Two-Step Delirium Screening Protocol in Acute Care: Barriers and Facilitators.

ABSTRACT:

Background/objectives

An effective and efficient protocol for delirium identification is needed to improve health outcomes for older adults and reduce healthcare costs. This study describes the barriers and facilitators related to the implementation of the ultra-brief confusion assessment method (UB-CAM), a rapid two-step delirium identification protocol (ultra-brief screen, followed by CAM in positives), field tested with hospitalized older adults (70+).

Design

A qualitative descriptive design using observational data collection and brief semi-structured interviews.

Settings

An urban academic medical center and a community teaching hospital.

Participants

Participants included 50 physician hospitalists, 189 registered nurses, and 83 nursing assistants (NAs).

SUBMITTER: Husser EK 

PROVIDER: S-EPMC8221457 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature