Delirium care burden of intensive care nurses caring for patients undergoing open‐heart surgery: A mixed‐method research

Resumo

Background Delirium is an acute confusional state characterized by inattention, cognitive dysfunction and an altered level of consciousness. Delirium causes negative outcomes in patients, and patients with delirium increase the workload of nurses. Therefore, it is important to recognize the challenges and burdens experienced by nurses caring for patients with delirium. Aim To determine the subjective burden experienced by intensive care nurses caring for patients who have undergone open‐heart surgery. Study Design A mixed‐method sequential explanatory design. A non‐probability purposive sampling method was used for the quantitative stage. Using OpenEpi, we employed the method of sample calculation with an unknown universe. The sample size of the quantitive study comprised 130 nurses. Quantitative data were collected with Google survey. For gathering qualitative data, online video interviews were conducted with 10 nurses, an interpretive phenomenological approach was used and content analysis was performed. Results In the quantitative phase, we found that the subjective burden was high. In the qualitative phase, five main themes emerged: difficulty in recognizing delirium, physical burden, emotional burden, burden in care management of patients with delirium and the effect of patients with delirium on other patients. The nurses experienced physical and emotional burden in delirium management and felt lonely while caring for patients with delirium. Conclusions Because nurses pl

Tipo

Artigo

Área

Enfermagem

Ano

2024

Idioma

Inglês

Licença

CC BY-NC

DOI

10.1111/nicc.13137

Como citar (ABNT)

ULUS, Meltem; DURMAZ EDEER, Aylin. Delirium care burden of intensive care nurses caring for patients undergoing open‐heart surgery: A mixed‐method research. Nursing in Critical Care, v. 29, n. 6, p. 1263-1275, 2024. DOI: 10.1111/nicc.13137.