Eamonn Eeles1,2, Judy McCrow3, Andrew Teodorczuk4, Gideon A Caplan5. 1. Prince Charles Hospital Northside Clinical Unit, University of Queensland, Brisbane, Queensland, Australia. 2. Queensland Health, The Prince Charles Hospital, Brisbane, Queensland, Australia. 3. Churches of Christ, Brisbane, Queensland, Australia. 4. Griffith University, Gold Coast, Queensland, Australia. 5. University of New South Wales, Sydney, New South Wales, Australia.
Abstract
OBJECTIVES: Implementation research into delirium care is lacking. Exploiting known practice barriers to understand what management strategies work best in delirium is a means of prioritising care interventions. A consensus approach to determining priority interventions in delirium was derived and related to reference standards in health-care practice. METHODS: A workshop of 20 experts was held at the Australasian Delirium Association conference 2016. Structured small group work, iterative ranking and a 21-member check were undertaken to (i) explore research barriers in delirium care; (ii) explore how barriers related to individual items of multicomponent interventions; and (iii) rank multicomponent interventions in relation to each statement within the newly released Australian Commission on Safety and Quality in Health Care delirium standard. RESULTS: Top-ranking interventions included the following: education and training, comprehensive geriatric assessment, family partnerships, individualised care and multidisciplinary engagement. CONCLUSION: Delirium experts identified a minimum standard of any care intervention for delirium.
OBJECTIVES: Implementation research into delirium care is lacking. Exploiting known practice barriers to understand what management strategies work best in delirium is a means of prioritising care interventions. A consensus approach to determining priority interventions in delirium was derived and related to reference standards in health-care practice. METHODS: A workshop of 20 experts was held at the Australasian Delirium Association conference 2016. Structured small group work, iterative ranking and a 21-member check were undertaken to (i) explore research barriers in delirium care; (ii) explore how barriers related to individual items of multicomponent interventions; and (iii) rank multicomponent interventions in relation to each statement within the newly released Australian Commission on Safety and Quality in Health Care delirium standard. RESULTS: Top-ranking interventions included the following: education and training, comprehensive geriatric assessment, family partnerships, individualised care and multidisciplinary engagement. CONCLUSION:Delirium experts identified a minimum standard of any care intervention for delirium.
Authors: Estela Melguizo-Herrera; Ana Acosta-López; Isabel Patricia Gómez-Palencia; Yolima Manrique-Anaya; César Hueso-Montoro Journal: Int J Environ Res Public Health Date: 2019-11-15 Impact factor: 3.390