Abstracts
Abstract
Introduction: Few studies have investigated nursing practice in relation to delirium in acute care settings, and no studies have investigated the care of unlicensed assistive personnel (UAPs) in this context. As a result, it becomes challenging to support the delivery of optimal care and thereby improve delirium-related patient outcomes.
Objective: This manuscript reports on the development of two survey tools and a study protocol that aims to (1) describe the current practices of nurses and UAPs in the context of nursing care in delirium and to (2) highlight the barriers and facilitators to the delivery of optimal delirium care.
Methods: This multi-method study aims to recruit nurses and UAPs. During an initial quantitative phase, participants will answer two survey tools designed respectively for nurses and UAPs. These tools were developed using a modified Delphi technique and a guide based on Burns et al. (2008) and Eysenbach (2004). They examine delirium knowledge, practice, collaboration, confidence, and the impact of the COVID-19 pandemic on practice relatively to delirium. Descriptive and inferential statistical analyses will be performed on this data. The qualitative phase will include focus groups and interviews with nurses and UAPs to explore topics from the survey tools more in-depth. Thematic analysis will be performed on the transcripts. Data from both phases will answer the two study aims.
Discussion and Research Spin-offs: This study will be the first to report on the delirium care offered by UAPs. The survey tools developed can identify nurses’ and UAPs’ practices, and the barriers and facilitators to optimum nursing care for people with delirium.
Keywords:
- nurses,
- unlicensed assistive personnel,
- delirium,
- practice,
- survey,
- multi-method study
Résumé
Introduction : Peu d’études ont porté sur la pratique infirmière relativement au délirium en soins aigus et aucune ne s’est intéressée à la participation des préposés aux bénéficiaires (PAB) dans ce contexte. Il devient dès lors complexe de soutenir la prestation de soins optimaux et l’amélioration de l’état des patients présentant un délirium.
Objectif : Présenter le développement de deux instruments d’enquête et le protocole d’une étude qui vise à (1) décrire les pratiques des infirmières et PAB en contexte de soins infirmiers auprès de patients présentant un délirium et à (2) décrire les barrières et les facilitateurs à la prestation de soins optimaux dans ce contexte.
Méthodes : Cette étude multi-méthode vise à recruter des infirmières et des PAB. Au cours d’une première phase quantitative, les participants rempliront les questionnaires d’enquête spécifiques respectivement aux infirmières et aux PAB. Ces outils ont été développés selon une méthode inspirée de la technique Delphi et un guide basé sur les travaux de Burns et al. (2008) et Eysenbach (2004). Ils comprennent des composantes concernant les connaissances, la pratique, la collaboration, la confiance, et les conséquences de la pandémie de la COVID-19 sur la pratique relative au délirium. Des analyses descriptives et inférentielles seront effectuées sur ces données. La phase qualitative comprendra des groupes de discussion et des entretiens, afin d’explorer en profondeur les sujets du questionnaire. Une analyse de contenu sera effectuée sur les transcriptions.
Discussion et retombées anticipées : Cette étude sera la première à rendre compte des soins offerts par des PAB pour des patients présentant un délirium. Le questionnaire développé pourra être utilisé pour décrire les pratiques des infirmières et des PAB, ainsi que les barrières et facilitateurs à une prise en charge optimale de ces personnes.
Mots-clés :
- infirmières,
- préposés aux bénéficiaires,
- délirium,
- pratique,
- questionnaire,
- étude multi-méthode
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Appendices
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