A qualitative research on cognition of ICU nurses in pediatric delirium assessment
10.3760/cma.j.cn115682-20200526-03563
- VernacularTitle:ICU护士儿童谵妄评估认知的质性研究
- Author:
Tingting XU
1
;
Weiying ZHANG
;
Ru'nyu ZHOU
;
Yingjie HU
;
Chen LU
Author Information
1. 上海交通大学附属儿童医院重症医学科，上海 200062
- Keywords:
Delirium;
Intensive Care Unit;
Child;
Assessment;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2021;27(2):171-176
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the real experience and feeling of Intensive Care Unit (ICU) nurses after delirium assessment using Cornell Assessment of Pediatric Delirium (CAPD) , so as to provide reference and evidence for improving pediatric ICU delirium assessment.Methods:Using the purposive sampling method, a total of 11 ICU nurses who used CAPD for pediatric delirium assessment in a ClassⅢ Grade A children's specialized hospital in Shanghai from February to April 2020 were selected as the research objects. Phenomenological research method in qualitative research was used to conduct face-to-face and semi-structured in-depth interviews with the research subjects. Colaizzi 7-step analysis method was used to collect and sort the data and analyze and refine the topics.Results:ICU nurses' cognition in pediatric delirium assessment could be classified into four themes, including changes of ICU nurses' cognition of pediatric delirium assessment, obstacles to pediatric delirium assessment, promoting factors for pediatric delirium assessment, and ICU nurses' concern about the collaborative intervention of medical team after the positive delirium assessment.Conclusions:The main manifestations of ICU nurses in this study are the lack of understanding of the evaluation of delirium, the obstacles encountered in the evaluation process, and the lack of collaboration between the medical and nursing team. In order to improve the convenience and accuracy of ICU nurses' assessment of delirium, it is recommended to strengthen the training of medical staff for delirium, gradually optimize the obstacles to the implementation of the assessment, encourage the cooperation of medical teams and develop a delirium assessment process in line with children's ICU according to the working situation and mode of ICU.
