{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T16:50:34Z","timestamp":1781801434193,"version":"3.54.5"},"reference-count":26,"publisher":"Springer Publishing Company","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Doct Nurs Pract"],"published-print":{"date-parts":[[2025,3,1]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold>Detecting delirium accurately in older patients with heart failure (HF) is challenging for nurses due to difficulties in assessing baseline cognition, leading to inaccurate delirium assessment.<jats:bold>Objective:<\/jats:bold>The project aimed to evaluate the effectiveness of an educational intervention and a documentation tool in the electronic health record (EHR) to enhance delirium detection rates by up to 30% in patients over 65 years with HF.<jats:bold>Methods:<\/jats:bold>Delirium detection rates were assessed pre- and postimplementation through chart review spanning 8 weeks. The Chart-based Delirium Identification Instrument was applied to preimplementation (2023) and postimplementation (2024) data for comparison over 8 weeks. Additionally, the project included a pre\u2013post survey to examine nurses\u2019 self-reported knowledge, confidence, and perspectives on delirium detection and management.<jats:bold>Results:<\/jats:bold>Nurses achieved a 100% detection rate by accurately identifying the sole case of delirium postimplementation. Notably, nurses accurately ruled out delirium in patients who tested negative. Additionally, they reported increased knowledge and confidence in delirium detection.<jats:bold>Conclusions:<\/jats:bold>The dual intervention of nurses\u2019 education and structural documentation support contributed to enhancing the nurses\u2019 ability to accurately identify delirium. The intervention facilitated the consistent identification and documentation of baseline cognition. The streamlined process ensured consistency and facilitated easy retrieval by nurses when completing the Confusion Assessment Method for delirium detection.<jats:bold>Implications for Nursing:<\/jats:bold>Combining nurse education and an EHR tool ensures equitable access to resources for accurate delirium detection among older patients with HF. Improving delirium detection rates helps provide targeted interventions, ultimately reducing disparities in delirium-related outcomes.<\/jats:p>","DOI":"10.1891\/jdnp-2024-0020","type":"journal-article","created":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T16:02:54Z","timestamp":1739894574000},"page":"68-87","source":"Crossref","is-referenced-by-count":1,"title":["Enhancing Accurate Delirium Detection in Older Patients With Heart Failure: Integrating Education and an Electronic Health Record Tool for Nurses"],"prefix":"10.1891","volume":"18","author":[{"given":"Eva","family":"Tabarani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Hickey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"Raymond R.","family":"Blush","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"793","published-online":{"date-parts":[[2025,2,18]]},"reference":[{"issue":"1","key":"2025031212255248000_18.1.68.1","doi-asserted-by":"crossref","DOI":"10.1186\/s12877-020-01723-4","article-title":"A call to action for delirium research: Meta-analysis and regression of delirium associated mortality","author":"Aung Thein","year":"2020","journal-title":"BMC Geriatrics"},{"issue":"1","key":"2025031212255248000_18.1.68.2","doi-asserted-by":"crossref","DOI":"10.1186\/s13012-020-01003-0","article-title":"The use of the PARIHS framework in implementation research and practice-a citation analysis of the literature","author":"Bergstr\u00f6m","year":"2020","journal-title":"Implementation Science"},{"issue":"12","key":"2025031212255248000_18.1.68.3","article-title":"Emergency clinicians\u2019 perceptions of communication tools to establish the mental baseline of older adults: A qualitative study","author":"Chary","year":"2021","journal-title":"Cureus"},{"issue":"12","key":"2025031212255248000_18.1.68.4","article-title":"A survey of delirium self-reported knowledge and practices among emergency physicians in the United States","author":"Chary","year":"2021","journal-title":"Journal of Geriatric Emergency Medicine"},{"issue":"4","key":"2025031212255248000_18.1.68.5","doi-asserted-by":"crossref","first-page":"29","DOI":"10.3928\/00989134-20170111-02","article-title":"Is it my job? 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