IDENTIFICATION OF BARRIERS TO THE IMPLEMENTATION OF ASSESSMENT AND MANAGEMENT OF DELIRIUM IN THE INTENSIVE CARE UNIT: LITERATUR REVIEW

Abstract

Background: Critically ill patients have a high incidence of delirium. Delirium is a serious
disorder associated with increased length of stay in the ICU, delayed functional recovery and
increased morbidity and mortality. Many studies over the years have found knowledge gaps
and lack of evidence-based practice of critical care personnel, so further research is needed
for this reason.
Purpose: To systematically review the barriers to nurses in implementing delirium screening
and delirium management in patients admitted to the intensive care unit.
Method: This literature study uses the scoping review method. Electronic literature searches
were performed using the Sciencedirect, PubMed, Google Scholar, and Proquest databases,
using the keywords barrier, delirium assessment, ICU, intensive care unit. A total of 9,986
articles were taken, but only 7 articles that met the inclusion and exclusion criteria were
included in the analysis.
Results: From the nine articles studied, three themes emerged related to obstacles in the
implementation of assessment and management of delirium in the intensive care unit. The
inability of nurses is the biggest obstacle in carrying out the assessment and management of
delirium.
Conclusion: There are several obstacles in the implementation of assessment and
management of delirium in the intensive care room, including the use of assessment tools, the
inability of nurses and obstacles in the work environment. More research is needed on this
topic.