Problem analysis in nurses' daily use of 3-Minute Diagnostic Interview for CAM-Defined Delirium
10.3760/cma.j.issn.1674-2907.2019.13.008
- VernacularTitle:护士日常使用谵妄意识模糊快速评估法的问题分析和探究
- Author:
Yuan HAN
1
;
Shan ZHANG
;
Ying WU
Author Information
1. 首都医科大学护理学院
- Keywords:
Nurses;
Delirium;
Evaluation;
Problem analysis;
Intelligent
- From:
Chinese Journal of Modern Nursing
2019;25(13):1619-1624
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To identify and analyze the problems existing in nurses' daily use of 3-Minute Diagnostic Interview for CAM-Defined Delirium (3D-CAM) and to provide a basis for intelligent development of 3D-CAM. Methods? From May to June 2018, totally 17 nurses who used printed 3D-CAM for daily evaluation of delirium in the Department of Orthopedics with a high incidence of delirium in a Class Ⅲ Grade A hospital in Beijing were selected by convenient sampling. Researchers observed and recorded the problems in nurses' daily use of 3D-CAM by task-centered walkthrough method till no new problems were found, i.e., the data were saturated and the data collection was completed. Results? The 17 orthopedic nurses used printed 3D-CAM for 107 evaluations of 57 patients. According to the walk-through research, it was found that the main causes of misuse of 3D-CAM were "man-made errors" (n=30), "misunderstanding of items" (n=7), "insufficient understanding of items" (n=30), and "incomplete/missing nursing records" (n=6). Conclusions? Nurses' use of printed 3D-CAM for delirium evaluation showed a high error rate and poor availability. Therefore, we need to enhance the training of delirium evaluation for nurses, conduct intelligent design and development of 3D-CAM and other delirium evaluation tools, and integrate them into the information system of hospitals so as to achieve the informatization, normalization and standardization of delirium evaluation.
