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Centre for Policy on Ageing | |
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Reconceptualizing models of delirium education
— findings of a Grounded Theory study | | Author(s) | Andrew Teodorczuk, Elizabeta Mukaetava-Ladinska, Sally Corbett, Mark Welfare |
| Journal title | International Psychogeriatrics, vol 25, no 4, April 2013 |
| Publisher | Cambridge University Press, April 2013 |
| Pages | pp 645-655 |
| Source | journals.cambridge.org/ipg |
| Keywords | Confusion ; In-patients ; General hospitals ; Personnel ; Medical workers ; Training [welfare work] ; Theory. |
| Annotation | Effectiveness of educational interventions targeted at improving delirium care is limited by implementation barriers. Studying factors which shape learning needs can overcome these knowledge transfer barriers. This in-depth qualitative study aimed to explore the learning needs of hospital staff relating to care needs of the confused older patient. 15 research participants from across the healthcare spectrum working within an acute care setting were interviewed. Five focus groups were undertaken with patients, carers and mental health specialists. A Grounded Theory methodology was adopted and data were analysed thematically in parallel to collection until theoretical saturation was reached. Eight categories of practice gap emerged: ownership of the confused patient, negative attitudes, lack of understanding of how frightened the patient was in hospital, carer partnerships, person-centred care, communication, recognition of cognitive impairment and specific clinical needs (e.g. capacity assessments). Conceptually, the learning needs were found to be hierarchically related. Moreover a vicious circle relating to the core learning needs of ownership, attitudes and patient's fear emerged. A patient with delirium may be frightened in an alien environment and then negatively labelled by staff who subsequently wished for their removal, thereby worsening the patient's fear. These findings reconceptualise delirium education approaches suggesting a need to focus interventions on core level practice gaps. This fresh perspective on education, away from disease-based delirium knowledge toward work-based patient, team and practice knowledge, could lead to more effective educational strategies to improve delirium care. (JL). |
| Accession Number | CPA-130315226 A |
| Classmark | EDC: LF7: LD3: QM: QT: QW: 4D |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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