{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:16:07Z","timestamp":1792714567635,"version":"4.5.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2021,6,6]],"date-time":"2021-06-06T00:00:00Z","timestamp":1622937600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Recent studies cast doubt on the net effect of antipsychotics for delirium.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To investigate the influence of these studies and other factors on clinicians\u2019 delirium treatment practice and practice change in palliative care and other specialties using the Theoretical Domains Framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Australia-wide online survey of relevant clinicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/participants:<\/jats:title>\n                    <jats:p>Registered nurses (72%), doctors (16%), nurse practitioners (6%) and pharmacists (5%) who cared for patients with delirium in diverse settings, recruited through health professionals\u2019 organisations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Most of the sample ( n\u2009=\u2009475): worked in geriatrics\/aged (31%) or palliative care (30%); in hospitals (64%); and saw a new patient with delirium at least weekly (61%). More (59%) reported delirium practice change since 2016, mostly by increased non-pharmacological interventions (53%). Fifty-five percent reported current antipsychotic use for delirium, primarily for patient distress (79%) and unsafe behaviour (67%). Common Theoretical Domains Framework categories of influences on respondents\u2019 delirium practice were: emotion (54%); knowledge (53%) and physical (43%) and social (21%) opportunities. Palliative care respondents more often reported: awareness of any named key study of antipsychotics for delirium (73% vs 39%, p\u2009&lt;\u20090.001); changed delirium treatment (73% vs 53%, p\u2009=\u20090.017); decreased pharmacological interventions (60% vs 15%, p\u2009&lt;\u20090.001); off-label medication use (86% vs 51%, p\u2009&lt;\u20090.001: antipsychotics 79% vs 44%, p\u2009&lt;\u20090.001; benzodiazepines 61% vs 26%, p\u2009&lt;\u20090.001) and emotion as an influence (82% vs 39%, p\u2009&lt;\u20090.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Clinicians\u2019 use of antipsychotic during delirium remains common and is primarily motivated by distress and safety concerns for the patient and others nearby. Supporting clinicians to achieve evidence-based delirium practice requires further work.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163211022183","type":"journal-article","created":{"date-parts":[[2021,6,10]],"date-time":"2021-06-10T19:34:03Z","timestamp":1623353643000},"page":"1553-1563","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Clinicians\u2019 delirium treatment practice, practice change, and influences: A national online survey"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1674-2124","authenticated-orcid":false,"given":"Annmarie","family":"Hosie","sequence":"first","affiliation":[{"name":"The University of Notre Dame Australia, School of Nursing and Midwifery, Darlinghurst, NSW, Australia"},{"name":"St Vincent\u2019s Health Network Sydney, The Cunningham Centre for Palliative Care, Darlinghurst, NSW, 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College of Medicine and Public Health, Adelaide, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debra","family":"Rowett","sequence":"additional","affiliation":[{"name":"University of South Australia, Clinical and Heath Sciences, Adelaide, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Penny","family":"Tuffin","sequence":"additional","affiliation":[{"name":"Royal Perth Hospital, Palliative Care Department and Pain Service, Perth, WA, Australia"},{"name":"Curtin University, Perth, WA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seong Leang","family":"Cheah","sequence":"additional","affiliation":[{"name":"University of Technology Sydney, Faculty of Health, Improving Palliative, Aged and Chronic Care through Research and Translation, Ultimo, NSW, 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