Date of Award

Spring 4-2024

Document Type


Degree Name

Doctor of Nursing Practice (DNP)




Kacy Ballard

First Committee Member

Joy Shoemaker

Second Committee Member

Amy Bishop


Delirium, Nursing Delirium Assessment, Evidence-Based Practice, Delirium Detection, Outcomes

Subject Categories

Medicine and Health Sciences | Nursing


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


Acknowledgement 2


Licensing Permission

Copyright, all rights reserved. Fair Use

Included in

Nursing Commons



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.