{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T21:41:46Z","timestamp":1788903706870,"version":"build-2803163510"},"reference-count":52,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2021,7,23]],"date-time":"2021-07-23T00:00:00Z","timestamp":1626998400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>This study aimed to investigate the effectiveness of a delirium prevention care protocol on pain, functional status, sleep quality and delirium prevention in patients with hip fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The development of delirium following hip fracture is common among older patients. According to the National Institute for Health and Care Excellence, 30% of delirium cases are preventable. The prevention of delirium, a multifactorial syndrome, can be achieved through a multicomponent care protocol that targets specific risk factors for delirium.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A randomised controlled study was conducted according to the CONSORT 2010\u00a0guidelines. The Clinical Trial Registry number is NCT04188795.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 84 patients were assigned to two groups by block randomisation. The intervention group (<jats:italic>n<\/jats:italic>\u00a0=\u00a041) received nursing care according to a protocol and the control group (<jats:italic>n<\/jats:italic>\u00a0=\u00a043) received standard nursing care. Study data were collected using the demographic information form, the Confusion Assessment Method\u2010Intensive Care Unit (CAM\u2010ICU), the Barthel Index, the Mini Nutritional Assessment\u2013short form and the Richards\u2013Campbell Sleep Questionnaire (RCSQ). The pain of the patients was assessed by using a Visual Analog Scale (VAS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age of the patients was 80.6\u00a0years (standard deviation 8.0; range 65.0\u2013 97.5\u00a0years), and the percentage of the male patients were 36.3%. No statistically significant differences were found between the groups in terms of pain and functional status in the preoperative period, on the first postoperative day, or in the predischarge period (<jats:italic>p\u00a0<\/jats:italic>&gt;\u00a00.05 for each). The sleep quality of patients in the intervention group was significantly better than in the control group for all three time measurements (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05 for each). While 15% of patients in the control group developed delirium, no patient in the intervention group developed delirium (x<jats:sup>2<\/jats:sup>=6.486, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.026).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study demonstrated that a delirium prevention care protocol may reduce the incidence of delirium and improve sleep quality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to practice<\/jats:title><jats:p>The study highlighted that nurses can contribute to preventing patients\u2019 delirium using nonpharmacologic and independent nursing interventions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15973","type":"journal-article","created":{"date-parts":[[2021,7,24]],"date-time":"2021-07-24T04:06:27Z","timestamp":1627099587000},"page":"1082-1094","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Evaluation of the effectiveness of delirium prevention care protocol for the patients with hip fracture: A randomised controlled study"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3141-7194","authenticated-orcid":false,"given":"Nursemin","family":"Unal","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, School of Nursing Ankara Medipol University Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8330-9497","authenticated-orcid":false,"given":"Gulten","family":"Guvenc","sequence":"additional","affiliation":[{"name":"Gulhane Faculty of Nursing University of Health Sciences Turkey Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2730-7144","authenticated-orcid":false,"given":"Mehmet","family":"Naharci","sequence":"additional","affiliation":[{"name":"Geriatrics Department Gulhane Training and Research Hospital, University of Health Sciences Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,7,23]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2019.08.015"},{"issue":"1","key":"e_1_2_15_3_1","first-page":"26","article-title":"Delirium in the intensive care unit","volume":"5","author":"Ak\u0131nc\u0131 S. B.","year":"2005","journal-title":"Journal of Intensive Care"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-019-05172-7"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2010.02232.x"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30058-1"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/1099-1166(200011)15:11<1021::AID-GPS234>3.0.CO;2-6"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e5661"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/875196"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-019-1303-z"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14840"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afq140"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijotn.2011.12.005"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)08657-9"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-3743.2008.00115.x"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/opn.12215"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijotn.2019.100710"},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-200107000-00012"},{"key":"e_1_2_15_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glt092"},{"key":"e_1_2_15_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14568"},{"key":"e_1_2_15_21_1","unstructured":"Gedik G. Ulger Z. Ar\u0131k G. Kara O. Sumer F. Aycicek G. S. Canbaz B. &K\u0131z\u0131larslanoglu M. C.(2017).Validation of the Mini\u2010 Cog test for screening conitive impairment in Turkish older adults. International Academic Geriatrics Congress 2017."},{"key":"e_1_2_15_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2000.tb03885.x"},{"key":"e_1_2_15_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-009-0214-7"},{"key":"e_1_2_15_24_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2012111"},{"issue":"3","key":"e_1_2_15_25_1","first-page":"149","article-title":"Randomization in clinical trials","volume":"24","author":"Kan\u0131k E. A.","year":"2011","journal-title":"Marmara Medical Journal"},{"key":"e_1_2_15_26_1","doi-asserted-by":"publisher","DOI":"10.1191\/026921501676877265"},{"key":"e_1_2_15_27_1","doi-asserted-by":"publisher","DOI":"10.17826\/cutf.147304"},{"key":"e_1_2_15_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03324687"},{"key":"e_1_2_15_29_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2001.49108.x"},{"key":"e_1_2_15_30_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2001.49109.x"},{"key":"e_1_2_15_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2015.04.021"},{"key":"e_1_2_15_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2010.08.006"},{"key":"e_1_2_15_33_1","unstructured":"National Hip Fracture Database(2020). Annual Report. Retrieved from:https:\/\/www.nhfd.co.uk\/files\/2020ReportFiles\/NHFD_Annual_Report_2020.pdf."},{"key":"e_1_2_15_34_1","unstructured":"National Institue for Health and Care Excellence (2017).Recognising and preventing delirium. A quick guide for care home managers. Retrieved fromhttps:\/\/www.nice.org.uk\/about\/nice\u2010communities\/social\u2010care\/quick\u2010guides\/recognising\u2010and\u2010preventing\u2010delirium\/"},{"key":"e_1_2_15_35_1","unstructured":"National Institue for Health and Care Excellence(2019).Delirium: diagnosis prevention and management.Clinical Guideline [CG103] (2010). Retrieved fromhttps:\/\/www.nice.org.uk\/guidance\/cg103\/"},{"issue":"11","key":"e_1_2_15_36_1","first-page":"43","article-title":"Recognizing, preventing, and managing delirium in hospital patients","volume":"5","author":"Nelson J. M.","year":"2010","journal-title":"American Nurse Today"},{"key":"e_1_2_15_37_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610217002782"},{"issue":"4","key":"e_1_2_15_38_1","first-page":"32","article-title":"Delirium in the intensive care unit: Role of the critical care nurse in early detection and treatment","volume":"23","author":"Olson T.","year":"2012","journal-title":"Dynamics"},{"key":"e_1_2_15_39_1","doi-asserted-by":"publisher","DOI":"10.4274\/jtsm.02.008"},{"key":"e_1_2_15_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)62409-0"},{"key":"e_1_2_15_41_1","unstructured":"Research Randomizer(2018).Generate numbers. Retrieved fromhttps:\/\/www.randomizer.org\/"},{"key":"e_1_2_15_42_1","first-page":"34","article-title":"Techniques for measurement of sleep in critical care","volume":"14","author":"Richards K.","year":"1987","journal-title":"Focus on Critical Care"},{"key":"e_1_2_15_43_1","doi-asserted-by":"publisher","DOI":"10.1891\/1541-6577.22.2.103"},{"key":"e_1_2_15_44_1","first-page":"1202","article-title":"Review articles: postoperative delirium: acute change with long\u2010term implications","volume":"112","author":"Rudolph J. L.","year":"2011","journal-title":"International Anesthesia Research Society"},{"key":"e_1_2_15_45_1","unstructured":"Scottish Intercollegiate Guidelines Network (SIGN)(2016)Scottish Standards of Care for Hip Fracture Patients. Retrieved fromhttps:\/\/www.shfa.scot.nhs.uk\/_docs\/20161109_SSC_for_Hip_Fracture_Patients.pdf"},{"key":"e_1_2_15_46_1","doi-asserted-by":"publisher","DOI":"10.3928\/00989134-20090930-01"},{"key":"e_1_2_15_47_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.092220"},{"key":"e_1_2_15_48_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-13-78"},{"key":"e_1_2_15_49_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2020.2975"},{"key":"e_1_2_15_50_1","doi-asserted-by":"publisher","DOI":"10.1051\/sicotj\/2018018"},{"key":"e_1_2_15_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijotn.2013.06.001"},{"key":"e_1_2_15_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijotn.2012.03.005"},{"key":"e_1_2_15_53_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.5408"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.15973","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocn.15973","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.15973","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T23:41:23Z","timestamp":1693006883000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.15973"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,23]]},"references-count":52,"journal-issue":{"issue":"7-8","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1111\/jocn.15973"],"URL":"https:\/\/doi.org\/10.1111\/jocn.15973","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,23]]},"assertion":[{"value":"2020-12-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}