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Journal of Korean Critical Care Nursing 2015;8(2):33-42.
Published online December 31, 2015.

섬망사정도구를 사용하는 중환자실 간호사의 섬망인식, 섬망사정의 장애요인 및 섬망사정 수행의 중요도
공경희, 하이경, 강인순
1부산대학교병원 응급의료중환자실
2부산대학교 간호대학
3부산대학교 간호대학
The Perception of Delirium, Barriers, and Importance of Performing Delirium Assessment of ICU Nurses Utilizing the CAM-ICU
Kyung-Hee Gong, Yi-Kyung Ha, In-Soon Gang
1Emergency Intensive Care Unit, Pusan National University Hospital
2College of Nursing, Pusan National University
3College of Nursing, Pusan National University
Abstract
Purpose
This study was conducted to identify the perception, barriers, and importance of delirium assessment of intensive care unit nurses utilizing a tool for delirium assessment.
Methods
The subjects were 150 intensive care unit nurses who routinely use the CAM-ICU to screen delirium. Data were collected using self-report questionnaires and analyzed using descriptive statistics and ranking.
Results
Most intensive care unit nurses had experience of education about delirium and delirium assessment, and had assessed over once in a shift. However, a small number of nurses recognized utilizing their assessment result and the effect on higher mortality and underdiagnosed and preventable problem. The first rank of barriers was being too busy to assess patients and the second was difficulty of interpreting intubated patients. The importance of delirium assessment was considered lower than assessing catheter placement and level of pain.
Conclusion
The study identified intensive care unit nurses' use of a delirium assessment tool, and the perception, barriers, and importance of delirium assessment. Furthermore, it is necessary to develop education programs to improve the early recognition of delirium by intensive care unit nurses.
Key Words: Intensive care unit, Delirium, Assessment, Perception, Barrier
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