{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T10:16:24Z","timestamp":1772705784436,"version":"3.50.1"},"reference-count":37,"publisher":"Wiley","issue":"15-16","license":[{"start":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T00:00:00Z","timestamp":1683849600000},"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":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and Objectives<\/jats:title><jats:p>To examine knowledge, attitude, and practice regarding postoperative delirium and the relationships among cardiac surgery nurses in China.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Postoperative delirium is a prevalent and devastating complication following cardiac surgery. Nurses play a part in multi\u2010disciplinary collaboration for preventing and managing postoperative delirium, of whom knowledge, attitude, and practice are essential.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A cross\u2010sectional multi\u2010centre study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Nurses from cardiac surgery wards and intensive care units of five tertiary hospitals in Wuhan, Hubei Province, China were enrolled. Data were gathered online using a self\u2010administered questionnaire. Student's <jats:italic>t<\/jats:italic>\u2010test, or analysis of variance, or non\u2010parametric tests were performed to compare differences across groups. Bootstrapping mediation analysis was conducted to examine the relationship between knowledge, attitude, and practice. The STROBE checklist was used for the reporting of this study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 429 nurses, a moderate level of knowledge and high levels of attitude and practice regarding postoperative delirium were revealed. Nurses with higher education, higher academic title, 5\u201310\u2009years of practice in nursing and cardiac surgery nursing exhibited increased knowledge. With advanced age, practice in a specialised hospital, and training experience, nurses reported a better degree of practice. Attitude played a full mediating effect in the relationship between knowledge and practice, accounting for 81.82% of the total effects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Knowledge, attitude, and practice regarding postoperative delirium are promising among Chinese cardiac surgery nurses, with knowledge of screening tools and perioperative nonpharmacological interventions and practice of screening in need of enhancement. Attitudes act as an intermediary between knowledge and practice regarding postoperative delirium.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>Innovative and stratified in\u2010service education is warranted to address knowledge enhancement. Meanwhile, organisations are suggested to make efforts to foster nurses' positive attitudes, particularly in creating a favourable culture and developing institutional protocols for postoperative delirium management to improve practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>No Patient or Public Contribution<\/jats:title><jats:p>This study is focused on cardiac surgery nurses' knowledge, attitude, and practice regarding postoperative delirium, and the research questions and design are from clinical nursing practice, literature review, and expert panel review, in which the patient or public is temporarily not involved.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16751","type":"journal-article","created":{"date-parts":[[2023,5,13]],"date-time":"2023-05-13T04:30:27Z","timestamp":1683952227000},"page":"5046-5055","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Knowledge, attitude, and practice regarding postoperative delirium among cardiac surgery nurses: A cross\u2010sectional multi\u2010centre study"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7212-3881","authenticated-orcid":false,"given":"Chenxi","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Nursing, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9213-0248","authenticated-orcid":false,"given":"Xi","family":"Qu","sequence":"additional","affiliation":[{"name":"Department of Nursing, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Nursing, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiansheng","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Nursing, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanrong","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Nursing, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,5,12]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000594"},{"key":"e_1_2_13_3_1","first-page":"798","volume-title":"A handbook of social psychology","author":"Allport G. W.","year":"1935"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15097"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0091\u20107435(86)90025\u20103"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2021.106063"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0000000000000061"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.12.074"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.3928\/00989134\u201020170111\u201002"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003299"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15300"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2019.1153"},{"key":"e_1_2_13_13_1","first-page":"3138","article-title":"Current status investigation of delirium knowledge and management among ICU nurses in 187 hospitals in China","volume":"24","author":"Guan X.","year":"2019","journal-title":"Chinese Journal of Modern Nuring"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2021.110496"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000004641"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(13)60688\u20101"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2020.06.063"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-349-12971-3"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19052758"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2020.07.015"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/inr.12519"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2021.104157"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.778253"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina56100493"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15899"},{"key":"e_1_2_13_26_1","unstructured":"National Health Commission of the PRC. (2020).Notice of the National Health Commission on Printing and Distributing the Quality Control Indicators for Pharmaceutical Affairs Management and Nursing (2020).http:\/\/www.gov.cn\/zhengce\/zhengceku\/2020\u201008\/05\/content_5532636.htm"},{"key":"e_1_2_13_27_1","volume-title":"Delirium: Prevention, diagnosis and management","author":"National Institute for Health and Care Excellence","year":"2019"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2021.03.033"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14525"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2017.09.001"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u20105415.2010.02762.x"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13517"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17419"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14544"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15052"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12239"},{"issue":"02","key":"e_1_2_13_37_1","first-page":"150","article-title":"Knowledge, attitude,practice and learning needs on postoperative delirium in nurses of orthopedic departments","volume":"19","author":"Xie J.","year":"2022","journal-title":"Chinese Journal of Nursing Education"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000008028"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.16751","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T06:55:25Z","timestamp":1720508125000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.16751"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,12]]},"references-count":37,"journal-issue":{"issue":"15-16","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1111\/jocn.16751"],"URL":"https:\/\/doi.org\/10.1111\/jocn.16751","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,12]]},"assertion":[{"value":"2022-09-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}