{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T02:03:49Z","timestamp":1780538629259,"version":"3.54.1"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T00:00:00Z","timestamp":1748476800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing &amp;amp; Health Sciences"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    People with cognitive impairment account for ~30% of hospital admissions, commonly require invasive procedures, and are vulnerable to hospital\u2010acquired complications. This sequential mixed methods research explored clinician approaches to procedures for patients experiencing cognitive impairment. Data were collected 2021\u20132022 in a 26\u2010bed medical ward containing a secure eight\u2010bed unit in Australia. Observational data and semi\u2010structured interview data were analyzed using Framework Analysis and synthesized with Pillar Integration. There were 24 procedures conducted on 12 unique patients and nine clinicians were observed; 12 clinicians were interviewed. During seven (29%) procedures, patients were distressed; however, most (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200922, 92%) were completed. Clinicians were observed to value the patient, foster familiarity and trust, engage at each step, and adopt last resort actions. Clinicians reported key strategies: knowing the individual and context, adopting known strategies, and getting it done. Three overarching themes were: (1) Creating a safe shared space for care, (2) Enabling the procedure, and (3) When things don't go to plan. Clinicians were cognizant of risks and used tacit knowledge and specific strategies to enable effective procedures. These strategies may be adopted in other settings.\n                  <\/jats:p>","DOI":"10.1111\/nhs.70154","type":"journal-article","created":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T23:00:11Z","timestamp":1748559611000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Perceptions and Practices of Clinicians Undertaking Invasive Procedures With Patients Experiencing Delirium in Hospital: A Sequential Mixed Methods Study"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4947-339X","authenticated-orcid":false,"given":"Amanda","family":"Fox","sequence":"first","affiliation":[{"name":"Centre for Healthcare Transformation Queensland University of Technology  Brisbane QLD Australia"},{"name":"School of Nursing, Faculty of Health Queensland University of Technology  Brisbane QLD Australia"},{"name":"Redcliffe Hospital  Redcliffe QLD 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Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9779-0605","authenticated-orcid":false,"given":"Elizabeth","family":"Beattie","sequence":"additional","affiliation":[{"name":"Centre for Healthcare Transformation Queensland University of Technology  Brisbane QLD Australia"},{"name":"School of Nursing, Faculty of Health Queensland University of Technology  Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,29]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"ACSQHC.2019.National Safety and Quality Health Service Standards User Guide for Health Service Organisations Providing Care for Patients with Cognitive Impairment or at Risk of Delirium.https:\/\/www.safetyandquality.gov.au\/sites\/default\/files\/2019\u201006\/sq19\u2010027_acsqhc_cognitive_user_guide_accessible_pdf.pdf."},{"key":"e_1_2_12_3_1","unstructured":"ACSQHC.2021.National Safety 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