A Toolkit for Delirium Identification and Promoting Partnerships Between Carers and Nurses: A Pilot Pre–Post Feasibility Study

Abstract

Background: Delirium is frightening for people experiencing it and their carers, and it is the most common hospital-acquired complication worldwide. Delirium is associated with higher rates of morbidity, mortality, residential care home admission, dementia, and carer stress and burden, yet strategies to embed the prevention and management of delirium as part of standard hospital care remain challenging. Carers are well placed to recognize subtle changes indicative of delirium, and partner with nurses in the prevention and management of delirium. Objective: To evaluate a Prevention & Early Delirium Identification Carer Toolkit (PREDICT), to support partnerships between carers and nurses to prevent and manage delirium. Design: A pre–post-test intervention and observation study. Main Measures: Changes in carer knowledge of delirium; beliefs about their role in partnering with nurses and intended and actual use of PREDICT; carer burden and psychological distress. Secondary measures were rates of delirium. Participants: Participants were carers of Indigenous patients aged 45 years and older and non-Indigenous patients aged 65 years and older. Intervention: Nurses implemented PREDICT, with a view to provide carers with information about delirium and strategies to address caregiving stress and burden. Key Results: Participants included 25 carers (43% response rate) (n = 17, 68% female) aged 29–88 (M = 65, SD = 17.7 years). Carer delirium knowledge increased significantly from pre-to-post intervention (p =