ORCID
0009-0000-4521-8167
Date of Award
Spring 4-2024
Document Type
Project
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Advisor
Kacy Ballard
First Committee Member
Joy Shoemaker
Second Committee Member
Amy Bishop
Keywords
Delirium, Nursing Delirium Assessment, Evidence-Based Practice, Delirium Detection, Outcomes
Subject Categories
Medicine and Health Sciences | Nursing
Abstract
Postoperative delirium (POD) is a serious adverse outcome that frequently affects older adults. Patients experiencing POD are at greater risk for postoperative mortality, increased length of hospital stay, functional decline, and increased cost of care. Current global population trends indicate that the population of adults over the age of 60 years old will double over the next thirty years. Recent guidelines call for hospitals to implement routine delirium assessment to improve early intervention. Nursing delirium assessment tools are a critical resource for early delirium identification. Nursing delirium assessment tools are often highly sensitive and specific for delirium when used in the correct environment and can be performed quickly. The Iowa Model Revised 2015 guides this evidence-based practice project. This evidence-based practice project evaluates current literature to identify, create a plan, and implement a practice change for routine delirium assessments in the PACU for a large midwestern hospital in an urban setting. Lastly, this project also describes methods for evaluating project effectiveness utilizing hospital admission chart coding review and daily nursing documentation review.
Acknowledgement 1
1
Acknowledgement 2
1
Licensing Permission
Copyright, all rights reserved. Fair Use
Recommended Citation
Baker, Aimee, "Evidence-Based Strategy to Improve Delirium Detection in Elderly Postsurgical Patients" (2024). Doctor of Nursing Practice Scholarly Projects. 102.
https://digitalcommons.otterbein.edu/stu_doc/102
Poster