Nurses' knowledge and practices in cases of acute and chronic confusion: a questionnaire survey

Perspect Psychiatr Care. 2015 Apr;51(2):98-105. doi: 10.1111/ppc.12069. Epub 2014 Mar 20.

Abstract

Purpose: This study aimed to describe nurses' knowledge and practices toward patients with acute or chronic confusion.

Design and methods: A cross-sectional design was used, and 249 nurses engaged in clinical practice fulfilled an online self-report questionnaire.

Findings: Tools for diagnosing acute confusion/delirium are never used by 57.80% of the nurses. Between 80% and 81% of nursing interventions involve managing patients' physical environment and between 62% and 71% deal with managing communication. Theoretical training in the use of tools for assessing and intervening in cases of confusion was significantly associated with nurses' knowledge and practices.

Practice implications: These results suggest the need for increased investment in nurses' training.

Keywords: Confusion; delirium; dementia; knowledge, nurse.

MeSH terms

  • Adult
  • Alzheimer Disease / nursing*
  • Clinical Competence / standards*
  • Cross-Sectional Studies
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Internet
  • Male
  • Nursing Staff, Hospital*
  • Portugal
  • Self Report