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Barriers and Facilitators to Implementing Delirium Rounds in a Clinical Trial Across Three Diverse Hospital Settings

Author

Listed:
  • Andrea M. Yevchak
  • Donna M. Fick
  • Jane McDowell
  • Todd Monroe
  • Kanah May
  • Lori Grove
  • Ann M. Kolanowski
  • Jennifer L. Waller
  • Sharon K. Inouye

Abstract

Delirium occurs in more than half of hospitalized older adults with dementia, substantially worsening outcomes. The use of multiple strategies and a local opinion leader, unit champion, has cumulative and lasting effects compared with single-strategy interventions. The purpose of this article is to describe the early barriers and facilitators to rounding with unit champions in a cluster randomized clinical trial in Year 2 of a 5-year trial (5R01NR011042-02). This is a mixed-method study nested within an ongoing multisite cluster-randomized, controlled clinical trial. Descriptive and comparative statistics were collected on N = 192 nursing rounds. Qualitative data were thematically analyzed. On average, rounds lasted 25.54 min ( SD = 13.18) and were conducted with the unit champion 64% of the time. This is one of the first studies to systematically address quantitative and qualitative barriers and facilitators to nurse-led delirium rounds, demonstrating the gradual adoption of an intervention in diverse clinical settings.

Suggested Citation

  • Andrea M. Yevchak & Donna M. Fick & Jane McDowell & Todd Monroe & Kanah May & Lori Grove & Ann M. Kolanowski & Jennifer L. Waller & Sharon K. Inouye, 2014. "Barriers and Facilitators to Implementing Delirium Rounds in a Clinical Trial Across Three Diverse Hospital Settings," Clinical Nursing Research, , vol. 23(2), pages 201-215, April.
    • Handle: RePEc:sae:clnure:v:23:y:2014:i:2:p:201-215
    DOI: 10.1177/1054773813505321
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    References listed on IDEAS

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    1. Gulseren Kocaman & Seyda Seren & Ayhan A Lash & Seyyare Kurt & Nergiz Bengu & Havva A Yurumezoglu, 2010. "Barriers to research utilisation by staff nurses in a university hospital," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(13‐14), pages 1908-1918, July.
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