{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,29]],"date-time":"2024-06-29T03:10:35Z","timestamp":1719630635015},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T00:00:00Z","timestamp":1704412800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100016262","name":"Abbott Northwestern Hospital Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016262","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Delirium is described as acute brain dysfunction that often fluctuates throughout the day and is highly prevalent in hospitalized adults. Delirium negatively affects patient outcomes with consequences including decreased cognitive functioning and increased mortality and healthcare costs. Furthermore, neurological patients are at increased risk for developing delirium due to their underlying diagnoses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The purpose of this evidence\u2010based practice project was to evaluate the long\u2010term impact of nursing education and use of trained volunteers to prevent the development of delirium in an inpatient neuroscience unit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implementation Plan<\/jats:title><jats:p>This was a pre\u2013post designed evidence\u2010based practice project to educate and prioritize nursing care interventions for delirium prevention compared to a delirium management framework. The interventions included delirium education for nurses and nursing assistants along with the development of a specialized volunteer program to implement non\u2010pharmacological, multi\u2010component delirium prevention interventions. Long\u2010term sustainment and enculturation occurred over the subsequent year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes<\/jats:title><jats:p>The baseline data collection period included 2520 patients. The intervention period included 4515 patients, with both groups being similar in age, race, gender, and length of stay. The total number of patients with a discharge diagnosis of delirium decreased from 29.2% to 19.8% (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Fewer patients in the intervention group were discharged to a skilled nursing facility (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001) and other post\u2010acute facility (<jats:italic>p<\/jats:italic>\u2009=\u2009.008), along with more patients being discharged to home care (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Linking Evidence to Action<\/jats:title><jats:p>This evidence\u2010based practice project demonstrates long\u2010term sustained reduction of delirium in the neuroscience population. Despite the challenges during the COVID\u201019 pandemic, delirium prevention strategies were found to be effective in decreasing the rate at which patients develop delirium.<\/jats:p><\/jats:sec>","DOI":"10.1111\/wvn.12704","type":"journal-article","created":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T08:30:31Z","timestamp":1704443431000},"page":"263-270","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Sustained delirium reduction in an inpatient neuroscience unit"],"prefix":"10.1111","volume":"21","author":[{"given":"Elizabeth","family":"Kozub","sequence":"first","affiliation":[{"name":"Abbott Northwestern Hospital  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katie","family":"Hedquist","sequence":"additional","affiliation":[{"name":"Abbott Northwestern Hospital  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Tu","sequence":"additional","affiliation":[{"name":"Abbott Northwestern Hospital  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Bryant","sequence":"additional","affiliation":[{"name":"Abbott Northwestern Hospital  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,1,5]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.7812\/TPP\/16\u2010002"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.6030"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/JNN.0000000000000580"},{"key":"e_1_2_8_6_1","volume-title":"Johns Hopkins evidence\u2010based practice for nurses and healthcare professionals: Models and guidelines","author":"Dang D.","year":"2017"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40675\u2010020\u201000174\u2010y"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCQ.0000000000000297"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.120.031019"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrneurol.2009.24"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCQ.0000000000000499"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106963\u201013\u2010341"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.3928\/00989134\u201020180110\u201004"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psym.2017.05.005"},{"key":"e_1_2_8_15_1","unstructured":"Hedquist K. 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