What interventions are appropriate in improving the identification and management of delirium?

Hallam, Alison (2023) What interventions are appropriate in improving the identification and management of delirium? Masters dissertation, University of Cumbria. Item availability may be restricted.

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Abstract

An evidence-based proposal for change to provide a structured approach to prevent delirium on an acute Intensive Care Unit in a Local Trust (2020). Research has proven that the delirium practice on the unit and nationally (NICE, 2010) can be improved so the change agent has implemented a checklist through which the correct method and structure in caring for a delirious patient will be able to be followed and managed and the delirium should intentionally be prevented in some circumstances. Delirium rates continue to soar and the physical and mental impacts on delirium is causing detrimental effects to their care, causing an increased workload for the staff members looking after them and costing a vast amount in resources (Ali and Cascella, 2022; Dziegielewski, 2021). An implementation to improve this practice is a fundamental. This dissertation will guide the reader through why the change needs to occur, how the change will be implemented and the resistance that may be faced when this is introduced into practice. The topics included are: delirium guidance, preventing delirium and finding the causes, assessing for delirium and education and training on delirium. All influential factors that need to be addressed before the change can be carried out. Models used throughout the dissertation are Lewin’s change model and the CDC framework for evaluation (Lewin, 1947; CDC, 2017). Both have been critiqued to prove they are the most suited models for this project with other models consulted as well. The piece provided proves that delirium practice can be improved and the discusses what is the most successful method of introducing this, with stakeholder involvement in the form of a cooperative enquiry (Heron and Reason, 1997). Providing this care to these patients is a basic requirement to their needs and is detrimental in ensuring their ICU journey is less prolonged as possible (Herling et al., 2018).

Item Type:	Thesis/Dissertation (Masters)
Departments:	Institute of Health > Continuing Development and Health Leadership
Additional Information:	Dissertation submitted in part fulfilment for the MSc in Practice Development, University of Cumbria, submission date 1 July 2023, word count 13,568.
Depositing User:	Anna Lupton
Date Deposited:	16 Dec 2024 09:21
Last Modified:	16 Dec 2024 09:21
URI:	https://insight.cumbria.ac.uk/id/eprint/8548