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Effect of a multicomponent non-pharmacological strategy for delirium prevention in hospitalized older adults
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Viuya, Janielle. Effect of a multicomponent non-pharmacological strategy for delirium prevention in hospitalized older adults. Retrieved from https://doi.org/doi:10.7282/t3-etfz-0z65

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TitleEffect of a multicomponent non-pharmacological strategy for delirium prevention in hospitalized older adults
NameViuya, Janielle (author); Chao, Ying-Yu (chair); Garzon-Rivera, Claudia (outside member); Rutgers University; School of Nursing - RBHS
Date Created2021
Other Date2021-05 (degree)
SubjectAdult-Gerontology Acute Care Nurse Practitioner, Delirium, Older people -- Hospital care, Delirium in old age, Delirium -- Prevention
Extent1 online resource (112 pages) : illustrations
DescriptionPurpose of Project: Delirium is a common preventable iatrogenic complication in older adults. The purpose of this quality improvement project (QI) was to evaluate the efficacy of a multicomponent non-pharmacological strategy in reducing delirium incidence in hospitalized older adults.

Methodology: This project used a quantitative method design with retrospective and prospective chart reviews. The 2-week multicomponent non-pharmacological delirium prevention strategy for patients 65-100 years old was implemented in the orthopedic unit. Delirium incidence rates were compared before and after intervention.

Results: Four RNs and 291 chart reviews (123 pre-intervention and 168 post-intervention) were included in the study. 50% of RN participants worked in the orthopedic unit between two to five years. All RN participants were in between 25-34 years old.
Of the 123 charts reviewed during pre-intervention, 48.8% were ages 65-74, 24.4% were ages 75-84, and 26.8% were ages 85-100. Of the 168 charts reviewed during post-intervention, 61.3% were ages 65-74, 19.0% were ages 75-84, and 19.6% were ages 85-100.
The delirium incidence rate decreased from 14.63% at pre-intervention to 5.95% at post-intervention.
Results of this project support that a multicomponent non-pharmacological strategy is an effective method for delirium prevention in hospitalized older adults. Pre and post-test results from study participants support the need for delirium education for nursing staff.

Implications for Practice: Delirium in older adults is preventable through a multicomponent non-pharmacological strategy.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-etfz-0z65
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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