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Delirium Unit: A Unique Model of Care
Featured Abstracts from the 2005 NGNA Convention Using Computer-based Learning Modules to Prepare the Next Generation of Gerontological Nurses Judith E. Hertz, PhD, RN, Donna J. Munroe, PhD, RN, School of Nursing, Northern Illinois University DeKalb, Illinois Purpose: The purpose of this 2-year project is to develop and test 6 computer-based interactive modules on selected gerontological nursing topics. Background: Future nurses must be prepared with a solid knowledge base to care for the growing population of older adults. One method for teaching this information is to integrate computer-based, self-learning modules into courses throughout the curriculum. Project Description: At one Midwestern university school of nursing, teams of practicing nurses and educators are developing modules. Each module contains evidence-based content, interactive case studies, and other pertinent resources. The first 2 modules’ topics are medication issues and acute confusion. Process, implementation, and outcome evaluation data are being collected in three phases. Survey data collection during Phase I involves feedback from module development and project team members. In Phase II, an alpha pilot with 40 undergraduate students will emphasize students’ satisfaction with the modules and their learning outcomes; online surveys and think-aloud methods are being used. In Phase III, a beta pilot test will be conducted with undergraduate students and faculty from more than 1 program as well as a small group of practicing professional nurses. The beta pilot will assess satisfaction with the modules and learning outcomes. Results: Phases I and II evaluation findings for the first 2 modules will be reported. Data analyses will include descriptive and inferential statistics. Significance and Implications: The results have implications for future module development and for similar projects in educational and practice settings. doi: 10.1016/j.gerinurse.2005.12.006
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Delirium Unit: A Unique Model of Care Dennis J. Steckelbert, RN, BC, Nurse Manager Mayo Medical Center Rochester, Minnesota Studies show that functional decline (physical or cognitive) occurs in one-third to one-half of hospitalized elderly, and delirium is the most frequent and profound precipitating factor of functional decline during hospitalization. Delirium has been identified with prolonged hospital stays, increased mortality, higher rates of institutionalization, and increased need for posthospital care. In addition, patients with delirium may be a nursing challenge because of the increased workload for nursing and staffing issues. To address the complications of delirium, in the summer of 2003, the members of the division of internal medicine and the Jo3G nursing staff collaborated to construct a delirium unit. Members of the Jo3G geriatric committee searched the literature to identify the causes, problems, and outcomes of delirium. In spring 2004, the RNs on Jo3G implemented the CAM assessment to identify patients with acute delirium who might benefit from the structured environment of the delirium unit. Based on the previous literature review, the committee established guidelines for this unique model of care. The RN who coordinates care of these patients follows these guidelines, using them to make a personal plan of care. The lessons learned from the delirium unit model have contributed to practice changes with potential for replication. doi: 10.1016/j.gerinurse.2005.12.008
The Health-Seeking Behaviors of Korean Immigrant Aging Women with Urinary Incontinence Young Mi Kang, MSN, RN, Doctoral Candidate College of Nursing, University of Arizona Tucson, Arizona Problem Statement: The purpose of this study was to identify the casual relationships among predisposing, enabling, and need factors associated with the health-seeking behaviors (HSBs) of KIAW (Korean immigrant aging women) with urinary incontinence (UI). The behavioral model for vulnerable populations was used to
Geriatric Nursing, Volume 27, Number 1
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Delirium Unit: A Unique Model of Care Dennis J. Steckelbert, RN, BC, Nurse Manager Mayo Medical Center Rochester, Minnesota Studies show that functional decline (physical or cognitive) occurs in one-third to one-half of hospitalized elderly, and delirium is the most frequent and profound precipitating factor of functional decline during hospitalization. Delirium has been identified with prolonged hospital stays, increased mortality, higher rates of institutionalization, and increased need for posthospital care. In addition, patients with delirium may be a nursing challenge because of the increased workload for nursing and staffing issues. To address the complications of delirium, in the summer of 2003, the members of the division of internal medicine and the Jo3G nursing staff collaborated to construct a delirium unit. Members of the Jo3G geriatric committee searched the literature to identify the causes, problems, and outcomes of delirium. In spring 2004, the RNs on Jo3G implemented the CAM assessment to identify patients with acute delirium who might benefit from the structured environment of the delirium unit. Based on the previous literature review, the committee established guidelines for this unique model of care. The RN who coordinates care of these patients follows these guidelines, using them to make a personal plan of care. The lessons learned from the delirium unit model have contributed to practice changes with potential for replication. doi: 10.1016/j.gerinurse.2005.12.008
The Health-Seeking Behaviors of Korean Immigrant Aging Women with Urinary Incontinence Young Mi Kang, MSN, RN, Doctoral Candidate College of Nursing, University of Arizona Tucson, Arizona Problem Statement: The purpose of this study was to identify the casual relationships among predisposing, enabling, and need factors associated with the health-seeking behaviors (HSBs) of KIAW (Korean immigrant aging women) with urinary incontinence (UI). The behavioral model for vulnerable populations was used to
Geriatric Nursing, Volume 27, Number 1