Nursing Delirium Screening Scale, a Tool for Early Detection of Delirium: Integrative Review
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| Format: | Artículo científico |
| Sprache: | en |
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Universidad de La Sabana
2020
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| _version_ | 1876481064276328448 |
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| author | Angela María Henao-Castaño |
| author_facet | Angela María Henao-Castaño |
| contents | Nursing Delirium Screening Scale, a Tool for Early Detection of Delirium: Integrative Review Angela María Henao-Castaño Laura Elizabeth Pachón Cetina Juan David Monroy Rodríguez Medicina Nu DESC nursing Delirium screening Objective: To analyze the context and use of the Nursing Delirium Screening Scale (Nu-DESC) for early detection of delirium in adult patients, compiling the available evidence.Method: Searching for relevant articles on databases such as Cinahl, Medline, Ovid, Scopus, and Web of Science. Inclusion criteria: Articles written in English, Spanish, and Portuguese, published between January 2013 and October 2019. Search terms: "nursing delirium screen," "inpatient delirium screening," and "nursing assessment." We identified 23 articles in which the Nu-DESC was used. Two reviewers independently assessed the articles using the CASPe (Critical Appraisal Skills Program in Spanish) tool.Results: The Nu-DESC is employed in different contexts such as the adult intensive care unit (ICU), post-anesthetic care unit (PACU), palliative care unit, and hospitalization unit. It is more frequently used in the PACU with a more sensitive threshold (≥ 1); the test showed greater sensitivity of 54.5 % (95 % CI: 32.2-75.6) and specificity of 97.1 % (95 % CI: 95.3-98.4).Conclusion: The Nu-DESC facilitates the recognition of delirium episodes by the nursing team, makes care quicker and individualized for each patient, avoiding immediate pharmacological interventions, and coordinate interdisciplinary actions for diagnosis, especially in post-anesthetic care units. 2020 artículo científico 1657-5997 https://www.redalyc.org/articulo.oa?id=74168046005 https://www.redalyc.org/journal/741/74168046005/ https://www.redalyc.org/journal/741/74168046005/html/ https://www.redalyc.org/journal/741/74168046005/74168046005.epub https://www.redalyc.org/journal/741/74168046005/movil 10.5294/aqui.2020.20.4.5 en http://www.redalyc.org/revista.oa?id=741 Aquichan application/pdf Universidad de La Sabana Aquichan (Colombia) Num.4 Vol.20 |
| format | Artículo científico |
| id | redalyc_74168046005 |
| institution | Redalyc |
| language | en |
| publishDate | 2020 |
| publisher | Universidad de La Sabana |
| spellingShingle | Nursing Delirium Screening Scale, a Tool for Early Detection of Delirium: Integrative Review Angela María Henao-Castaño Medicina Nu DESC nursing Delirium screening Nursing Delirium Screening Scale, a Tool for Early Detection of Delirium: Integrative Review Angela María Henao-Castaño Laura Elizabeth Pachón Cetina Juan David Monroy Rodríguez Medicina Nu DESC nursing Delirium screening Objective: To analyze the context and use of the Nursing Delirium Screening Scale (Nu-DESC) for early detection of delirium in adult patients, compiling the available evidence.Method: Searching for relevant articles on databases such as Cinahl, Medline, Ovid, Scopus, and Web of Science. Inclusion criteria: Articles written in English, Spanish, and Portuguese, published between January 2013 and October 2019. Search terms: "nursing delirium screen," "inpatient delirium screening," and "nursing assessment." We identified 23 articles in which the Nu-DESC was used. Two reviewers independently assessed the articles using the CASPe (Critical Appraisal Skills Program in Spanish) tool.Results: The Nu-DESC is employed in different contexts such as the adult intensive care unit (ICU), post-anesthetic care unit (PACU), palliative care unit, and hospitalization unit. It is more frequently used in the PACU with a more sensitive threshold (≥ 1); the test showed greater sensitivity of 54.5 % (95 % CI: 32.2-75.6) and specificity of 97.1 % (95 % CI: 95.3-98.4).Conclusion: The Nu-DESC facilitates the recognition of delirium episodes by the nursing team, makes care quicker and individualized for each patient, avoiding immediate pharmacological interventions, and coordinate interdisciplinary actions for diagnosis, especially in post-anesthetic care units. 2020 artículo científico 1657-5997 https://www.redalyc.org/articulo.oa?id=74168046005 https://www.redalyc.org/journal/741/74168046005/ https://www.redalyc.org/journal/741/74168046005/html/ https://www.redalyc.org/journal/741/74168046005/74168046005.epub https://www.redalyc.org/journal/741/74168046005/movil 10.5294/aqui.2020.20.4.5 en http://www.redalyc.org/revista.oa?id=741 Aquichan application/pdf Universidad de La Sabana Aquichan (Colombia) Num.4 Vol.20 |
| title | Nursing Delirium Screening Scale, a Tool for Early Detection of Delirium: Integrative Review |
| topic | Medicina Nu DESC nursing Delirium screening |
| url | https://www.redalyc.org/articulo.oa?id=74168046005 https://www.redalyc.org/journal/741/74168046005/ https://www.redalyc.org/journal/741/74168046005/html/ https://www.redalyc.org/journal/741/74168046005/74168046005.epub https://www.redalyc.org/journal/741/74168046005/movil |