{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T09:32:24Z","timestamp":1787909544959,"version":"build-2784847793"},"reference-count":40,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T00:00:00Z","timestamp":1711065600000},"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 in Critical Care"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Delirium commonly occurs in paediatric patients with acute critical illness and negatively affects clinical outcomes. Variations in delirium knowledge levels and its management have been noted among nurses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study investigated nurses' experiences and knowledge levels regarding paediatric delirium. Additionally, we aimed to assess the gap between knowledge levels and practical experiences with paediatric delirium.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>This cross\u2010sectional descriptive study conveniently sampled paediatric nurses from a university hospital in South Korea between September 2022 and March 2023. Nursing experiences with paediatric delirium and delirium knowledge levels were measured using structured survey questionnaires. Delirium knowledge was scored 0 to 47, and higher scores indicated higher levels of delirium\u2010related knowledge. Data were analysed using descriptive statistics and presented as mean, standard deviation, frequency and percentage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 127 paediatric nurses participated in this study; 40.2% had experience with 1\u20135 delirium cases in the previous year, and 86.6% (<jats:italic>n<\/jats:italic> =\u2009110) had never used assessment tools for paediatric delirium assessment. The mean total delirium knowledge score was 34.45\u2009\u00b1\u20095.4; the mean scores of knowledge regarding aetiology, signs and symptoms and nursing management of delirium were 8.93\u2009\u00b1\u20091.31, 13.24\u2009\u00b1\u20092.81 and 12.3\u2009\u00b1\u20092.7, respectively. Interventions associated with a lower level of delirium\u2010related knowledge and a lower performance rate included avoiding restraint use and maintaining hydration and electrolyte levels. Interventions associated with a higher level of delirium\u2010related knowledge but a lower rate of performance comprised providing orientation, offering emotional support, allowing participants to stay with family members and administering medications to manage delirium.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although nurses working in paediatric units exhibited high rate of delirium nursing care, there was the gap between their delirium\u2010related knowledge and practice. Nurses need to be aware of the insufficient part of delirium care, and paediatric delirium education should be reinforced.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>Preventing, assessing and systematically managing paediatric delirium is crucial, and considering the study results, delirium education among nurses is needed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nicc.13068","type":"journal-article","created":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T08:58:31Z","timestamp":1711097911000},"page":"923-930","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Nursing experiences and knowledge of paediatric delirium: Analysing knowledge\u2010practice gaps"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0571-2181","authenticated-orcid":false,"given":"Soonyoung","family":"Shon","sequence":"first","affiliation":[{"name":"College of Nursing Keimyung University  Daegu Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1105-1757","authenticated-orcid":false,"given":"Minkyung","family":"Kang","sequence":"additional","affiliation":[{"name":"College of Nursing Ajou University  Suwon Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,22]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2018.18070893"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2021.11.001"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000960"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000002324"},{"key":"e_1_2_14_7_1","first-page":"223","article-title":"Infants with delirium: a primer on prevention, recognition, and management","volume":"42","author":"Porter S","year":"2016","journal-title":"Pediatr Nurs"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000005260"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.4037\/ccn2017692"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2020\u2010005736"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000002005"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-017-0851-1"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000002004"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.22054"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542\u2010200405000\u201000015"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001558"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000002482"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100040\u20101721507"},{"issue":"1","key":"e_1_2_14_19_1","first-page":"35","article-title":"A study of Nurses' knowledge level and assessment experience of delirium","volume":"19","author":"Lee YW","year":"2007","journal-title":"J Korean Acad Adult Nurs"},{"key":"e_1_2_14_20_1","doi-asserted-by":"crossref","unstructured":"LimEY.An Exploratory Study of Staff Nurse's Knowledge and Experience of Delirium in the Pediatric Intensive Care Unit [Master's thesis]. 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