International Journal of Nursing Studies
Volume 46, Issue 1 , Pages 13-22 , January 2009

The process of practice redesign in delirium care for hospitalised older people: A participatory action research study

Received 29 April 2008 ,Revised 19 August 2008 ,Accepted 29 August 2008.

References 

  1. American Psychiatric Association . Diagnostic Criteria from DSM-IV. Washington, DC: American Psychiatric Association; 1994;
  2. Anderson D. Preventing delirium in older people. British Medical Bulletin. 2005;73(1):25–34
  3. British Geriatric Society and Royal College of Physicians, 2006. Concise guidance to good practice: a series of evidence-based guidelines for clinical management. The Prevention, Diagnosis and a Management of Delirium in Older People. Number 6, National Guidelines, Royal College of Physicians, London, UK.
  4. Britton A, Hogan-Doran J, Siddiqi N. Multidisciplinary team interventions for the management of delirium in hospitalised patients (Protocol). Cochrane Database of Systematic Reviews. 2006;2:
  5. Campbell A. Unstable disability and the fluctuations of frailty. Age and Ageing. 1997;26:315–318
  6. Caplan G, Harper E. Recruitment of volunteers to improve vitality in the elderly: the REVIVE study. Internal Medicine Journal. 2007;37:95–100
  7. Day J, Higgins I, Koch T. Delirium and older people: what are the constraints to best practice delirium care. International Journal of Older People Nursing. 2008;3:170–177
  8. Day, J., Higgins, I., Koch, T., in press. Delirium and older people in acute care. In R. Nay, S. Garratt (Eds.) Interdisciplinary care of Older People: Issues and innovations, Elsevier.
  9. Fick D, Hodo DM, Lawrence F, Inouye SK. Recognising delirium superimposed on dementia. Journal of Gerontological Nursing. 2007;(February):40–47
  10. Gaudreau J, Gagnon P, Harel F, Tremblay A, Roy M. Fast, systematic, and continuous delirium assessment in hospitalized patients: the nursing delirium screening scale. Journal of Pain and Symptom Management. 2005;29(4):368–375
  11. Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O. Diffusion of innovations in service organizations: systematic review and recommendations. The Milbank Quarterly. 2004;82(4):581–629
  12. Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwiz RI. Clarifying confusion: the confusion assessment method: a new method for detection of delirium. Annals of Internal Medicine. 1990;114(11):941–948
  13. Inouye S, Charpentier P. Precipitating factors for delirium in hospitalised elderly persons. Predictive model and interrelationship with baseline vulnerability. Journal of the American Medical Association. 1996;275(11):
  14. Inouye SK, Bogardus ST, Charpentier PA, Leo-Summers L, Acampora D, Holford TR, et al. A multicomponent intervention to prevent delirium in hospitalized older patients. New England Journal of Medicine. 1999;340(9):669–676
  15. Inouye SK, Schelesinger MJ, Lydon TJ. Delirium: a symptom of how hospital care is failing older persons and a window to improve quality of hospital care. American Journal of Medicine. 1999;106:565–573
  16. Inouye S, Bogardus STJ, Baker DI, Leo-Summers L, Cooney LM. The hospital elder life program: a model of care to prevent cognitive and functional decline in older hospitalised patients. Journal of the American Geriatrics Society. 2000;48(12):
  17. Inouye S, Foreman M, Mion L, Katz K, Cooney LJ. Nurse’s recognition of delirium and its symptoms. Archives of Internal Medicine. 2001;161(November 12):2467–2473
  18. Inouye S. A practical program for preventing delirium in hospitalized elderly patients. Cleveland Clinic Journal of Medicine. 2004;71(11):890–896
  19. Inouye S, Leo-Summers L, Zhang Y, Bogardus SJ, Leslie D, Agostini J. A chart-based method for identification of delirium: validation compared with interviewer ratings using the confusion assessment method. Journal of the American Geriatrics Society. 2005;53(2):312–318
  20. Inouye SK. Delirium in older persons. New England Journal of Medicine. 2006;354(11):1157–1165
  21. Koch T. ‘Having a say’: negotiation in fourth-generation evaluation. Journal of Advanced Nursing. 2000;31(1):117–125
  22. Koch T, Kralik D. Chronic illness: reflections on a community-based action research programme. Journal of Advanced Nursing. 2001;36(1):23–31
  23. Koch T, Selim P, Kralik D. Enhancing lives through the development of a community-based participatory action research program. Journal of Clinical Nursing. 2002;11:109–117
  24. Koch T, Kralik D. Participatory Action Research in Healthcare. Oxford, UK: Blackwell Publishing; 2006;
  25. Lemiengre J, Nelis T, Joosten E, Braes T, Foreman M, Gastmans C, et al. Detection of delirium by bedside nurses using the confusion assessment method. Journal of the American Geriatrics Society. 2006;54(4):658–659
  26. McCusker J, Cole M, Abrahamowicz M, Han L, Podoba J, Ramman-Haddad L. Environmental risk factors for delirium in hospitalized older people. Journal of the American Geriatrics Society. 2001;49(10):1327–1334
  27. McCusker J, Cole MG, Abrahamowicz M, Primeau FJ, Belzile E. Delirium predicts 12-month mortality. Archives of Internal Medicine. 2002;162(4):457–463
  28. McCusker J, Cole M, Dendukuri N, Belzile E. Does delirium increase hospital stay?. Journal of the American Geriatrics Society. 2003;51(11):1539–1546
  29. McCusker J, Cole M, Dendukuri N, Han L, Belzile E. The course of delirium in older medical inpatients: a prospective study. Journal of General Internal Medicine. 2003;18(9):770–771
  30. McCusker J, Cole M, Dendukuri N, Belzile E. The delirium index, a measure of the severity of delirium: new findings on reliability, validity, and responsiveness. Journal of the American Geriatrics Society. 2004;52(10):1744
  31. Milisen K, Abraham IL, Godderis J, Delooz HH, Broos P. A nurse-led interdisciplinary intervention program for delirium in elderly hip-fracture patients. Journal of American Geriatric Society. 2001;49:523–532
  32. Milisen K, Cremers S, Foreman M, Vandevelde E, Haspeslagh M, Geest S, et al. The strain of care for delirium index: a new instrument to assess nurses’ strain in caring for patients with delirium. International Journal of Nursing Studies. 2004;41(7):775–783
  33. Milisen K, Steeman E, Foreman MD. Early detection and prevention of delirium in older patients with cancer. European Journal of Cancer Care. 2004;13(5):494–500
  34. Milisen K, Lemiengre J, Braes T, Foreman MD. Multicomponent intervention strategies for managing delirium in hospitalized older people: systematic review. Journal of Advanced Nursing. 2005;52(1):79–90
  35. Potvin L, Haddad S, Frohlich KL. Beyond Process and Outcome Evaluation: A Comprehensive Approach for Evaluating Health Promotion Programmes. Vol. 92. WHO Regional Publications, European Series; 2001;pp. 45–62
  36. Rigney T. Delirium in the hospitalized elder and recommendations for practice. Geriatric Nursing. 2006;27(3):151–157
  37. Roche V. Etiology and management of delirium. American Journal of the Medical Sciences. 2003;325(1):20–30
  38. Rockwood K. Medical management of frailty: confessions of a gnostic. Journal of Canadian Medical Association. 1997;157(8):1081–1804
  39. Rockwood K, Bhat R. Should we think before we treat delirium?. Internal Medicine Journal. 2004;34(3):76–78
  40. Rogers EM. Diffusion of Innovations. New York: Free Press; 1995;

PII: S0020-7489(08)00238-1

doi: 10.1016/j.ijnurstu.2008.08.013

International Journal of Nursing Studies
Volume 46, Issue 1 , Pages 13-22 , January 2009

Article Tools