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Delirium screening instruments administered by nurses for hospitalized patients - literature review

Blažena Ševčíková, Hana Matějovská Kubešová, Lenka Šáteková, Elena Gurková

. 2019 ; 10 (4) : 1167-1178.

Jazyk angličtina Země Česko

Perzistentní odkaz   https://www.medvik.cz/link/bmc21001007

Aim: The aim of the paper was to create a literature review of valid and reliable delirium screening instruments administered by nurses for hospitalized patients. Design: Literature review. Methods: An advanced search of three licensed electronic databases (EBSCO, MEDLINE, PROQUEST) was selected. Twenty-one research studies complied with the inclusion criteria. Results: The predictive validity of ten delirium screening measuring tools were studied. The best predictive validity was found in the Nursing Delirium Screening Scale (Nu-DESC), with sensitivity values ranging from 32% to 100%, and specificity from 83% to 100%, with highest value for reliability of 0.94. The Delirium Observation Screening Scale (DOS) came second, with sensitivity from 25% to 97%, and specificity from 89% to 98.4%, with highest value for reliability of 0.77. The 4AT tool had sensitivity values from 83.3% to 90%, and specificity from 84% to 86.3%, with highest value for reliability of 0.99. Conclusion: The best screening tool for evaluating delirium by nurses was the Nu-DESC, followed by the DOS, and the 4AT. We recommend testing the predictive validity and reliability of selected screening tools administered by nurses in conditions of Czech clinical practice.

Citace poskytuje Crossref.org

Bibliografie atd.

Literatura

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