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Increasing delirium skills at the front door — results from a repeated survey on delirium knowledge and attitudes | Author(s) | Rodric Peter Llewelyn Jenkin, Adam Al-Attar, Sarah Richardson |
Journal title | Age and Ageing, vol 45, no 4, July 2016 |
Publisher | Oxford University Press, July 2016 |
Pages | pp 517-522 |
Source | www.ageing.oxfordjournals.org |
Keywords | Confusion ; Diagnosis ; Doctors ; Teaching hospitals ; Competence ; Attitude. |
Annotation | Delirium is under-recognised in comparison to other common and serious acute disorders. A 2006 survey of UK junior doctors (not undertaking specialist training) identified poor knowledge of the diagnostic criteria and treatment of delirium. It was hypothesised that increased prominence accorded to delirium in the form of national initiatives and guidelines may have had an impact on understanding among junior doctors. The study repeated a multi-centre survey of knowledge of and attitudes to delirium in junior doctors (not undertaking specialist training) assessing unselected acute medical presentations (the `medical take'). Questionnaires were used, designed to test understanding of delirium, including prevalence, knowledge of the DSM-IV diagnostic criteria, use of specific screening tools, association with adverse outcomes and pharmacological management. Overall 1,215 trainee physicians participated. Compared with the 2006 cohort, improvements were seen in 9 of 17 knowledge-based questions and overall score improved in the 2013 cohort. Nonetheless, significant deficits in knowledge, particularly for the diagnostic criteria for delirium, remained. Despite improvements in some aspects of delirium knowledge, the diagnostic criteria for delirium remain poorly understood. Challenges remain in ensuring adequate training for junior doctors in delirium. (JL). |
Accession Number | CPA-160805222 A |
Classmark | EDC: LK7: QT2: V6: DPB: DP |
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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