Nurses' Knowledge, Attitudes, and Practices Regarding ICU Delirium, Kunming Tertiary Hospitals, Yunnan Province, the People's Republic of China
Keywords:
ICU delirium, Knowledge, Attitude, Practice, Critical Care NursesAbstract
A descriptive correlational research design was used in this study to explore the level of knowledge, attitudes, and practices regarding ICU delirium among nurses who worked at Kunming Tertiary Hospitals, Yunnan Province, the People's Republic of China, as well as to determine the relationship between them. Purposive sampling was applied to recruit 256 participants. Measurement tools were composed of the Demographic Data Record Form, the Critical Care Nurses Knowledge of Delirium Scale (CCNKDS), the Attitude of ICU Nurses Towards Delirium (AINTD) and the Critical Care Nurse Practice Skills of Delirium Management Scale (CCNPSDMS). The Chinese version of each instrument was used, with Cronbach's alpha coefficients of .913, .802 and .922, respectively. Data were analyzed using descriptive statistics and Spearman's rank-order correlation test.
The results of this study were as follows:
1. Participants had knowledge regarding ICU delirium at a high level (M = 65.61, SD = 7.83);
2. Participants had a neutral attitude towards ICU delirium (M = 23.04, SD = 2.40);
3. Participants had practice regarding ICU delirium at a fairly low level (M = 114.84, SD = 27.44); and 4. Participants’ knowledge and attitudes had a weak positive relationship with practices regarding ICU delirium (rs = .245, p < .01 and rs = .176, p = .05, respectively).
Further research should be done to explore factors influencing nurses’ attitudes and practices regarding ICU delirium. Interventions should be done accordingly to improve attitudes and practices regarding ICU delirium among nurses, as well as to lower the incidence of ICU delirium.
References
AbuRuz, M. E. (2016). Jordanian intensive care unit nurses’ knowledge of delirium recognition. Global Journal of Health Science, 9(4), 59482.
Alasad, J. A., Tabar, N. A., & Ahmad, M. M. (2015). Patients' experience of being in intensive care units. Journal of Critical care, 30(4), 859-867.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5) (5th ed.). Washington, DC: American Psychiatric Publishing.
Attapornkusol, P., Viseskul, N., & Kasatpibal, N. (2021). Knowledge, attitudes, and practices regarding central line-associated bloodstream infection prevention among registered nurses. Nursing Journal, 48(2), 26-36. (in Thai)
Cheng, L., Chen, Q., & Feng, S. (2015). Survey nurses' cognition on ICU delirium knowledge, attitudes and behavior. Chinese Nursing Research. 2(33),78-84. (in China)
Devlin, J. W., Skrobik, Y., Gélinas, C., Needham, D. M., Slooter, A. J., Pandharipande, P. P., ... Balas, M. C. (2018). Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Critical care medicine, 46(9), e825-e873.
Hamdan-Mansour, A. M., Othman, E. H., & Yacoub, M. I. (2010). Knowledge and nursing practice of critical care nurses caring for patients with delirium in intensive care units in Jordan. The journal of continuing education in nursing, 41(12), 571-576.
Kunming Medical University. (2019). Yunnan General Practice Training Center. Retrieved from http://www.kmmc.cn/
Li, Y., Hu, Y., Liu, X., & Ning, Y. (2017). A survey of 194 ICU nurses on delirium knowledge-attitude-practice in severe patients. Journal of Nursing, 17(24), 42-47. (in Chinese)
Lee, K. H., Park, M. L., & Kim, G. Y. (2016). A study of knowledge, recognition, and practice about delirium in general hospital nurses. International Journal of Bio-Science and Bio-Technology, 8(3), 219-230. (in Chinese)
Monfared, A., Soodmand, M., & Ghasemzadeh, G. (2017). Knowledge and attitude of ICU nurses towards delirium working at Guilan University of Medical Sciences in 2015. Preventive Care in Nursing & Midwifery Journal, 7(1), 1-7.
Monika, K., Yumnam, S. D., Koushik, S. D., Rahul, K. A., & Jiten K. S. (2019). A study to assess the knowledge among staff nurses working in various ICUs regarding identification and management of ICU delirium with a view to develop a protocol. EC Nursing and Healthcare, 1(1), 31-39.
Kallenbach, T. F., & Amado, L. A. (2017). Assessment of delirium in the intensive care unit. Southern African Journal of Anaesthesia and Analgesia, 23(3), 4-10.
Ke, L., Jun, W., Zhiqun, M., Bing, C., Lijun, W., Juan, G., & Rui, W. (2019). Non-pharmacological treatment of intensive care unit delirium. American Journal of Nursing, 8(3), 125-134.
Pan, Y., Jiang, Z., Yuan, C., Wang, L., Zhang, J., Zhou, J., ... Wu, Q. (2018). Influence of physical restraint on delirium of adult patients in ICU: A nested case-control study. Journal of clinical nursing, 27(9-10), 1950-1957. (in Chinese)
Schwartz, N. E. (1976). Nutrition knowledge, attitudes and practices of Canadian public health nurses. Journal of Nutrition Education, 8(1), 28-31.
Tang, L. L. (2018). ICU delirium: A concept analysis. Traditional Medicine Research Integrative Nursing. 2(1),18-26. (in Chinese)
Xing, J., Sun, Y., Jie, Y., Yuan, Z., & Liu, W. (2017). Perceptions, attitudes, and current practices regard delirium in China: A survey of 917 critical care nurses and physicians in China. Medicine, 96(39), 56-72. (in Chinese)
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